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Examen W3 - stelt een verpleegplan op
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Naam leerling: Hamida NaajiOpleiding en leerjaar: MBO-V BBL leerjaar 4
Klas: BP1S8C4
Docent: Ron Beljaars
BPV: Verbinding 1A
Examinator BPV: Saske Klasens
Examinator school: Willemijn Gobbits
,1 Inleiding....................................................................................................................................................4
2 Instelling en afdeling.................................................................................................................................5
2.1 De Woenselse Poort..........................................................................................................................5
2.2 De Verbinding....................................................................................................................................5
2.3 Visie van de Verbinding/ GGzE...........................................................................................................6
2.3.1 Missie en Visie............................................................................................................................6
2.3.2 Planetree visie.............................................................................................................................6
2.3.3 Eigen visie...................................................................................................................................6
2.4 Werkmethode van de Verbinding......................................................................................................6
2.4.1 Orthopedagogisch behandelklimaat...........................................................................................6
3 Opdracht...................................................................................................................................................8
3.1 Verpleegkundig proces......................................................................................................................8
3.2 Casus..................................................................................................................................................9
3.2.1 Setting:........................................................................................................................................9
3.2.2 Persoonsgegevens:.....................................................................................................................9
3.2.3 Voorgeschiedenis:.......................................................................................................................9
3.2.4 De huidige ziektebeelden:.........................................................................................................10
3.2.5 Situatie op dit moment:............................................................................................................10
3.2.6 Juridische titel:..........................................................................................................................11
3.2.7 Risicofactoren:..........................................................................................................................11
3.2.8 Parametrie:...............................................................................................................................12
3.3 Uitwerking ziektebeelden................................................................................................................12
3.4 Behandelingen.................................................................................................................................14
3.5 Anamnese........................................................................................................................................14
3.5.1 Gezondheidsbeleving en instandhouding.................................................................................14
3.5.2 Voedings- en stofwisselingspatroon.........................................................................................14
3.5.3 Uitscheidingspatroon................................................................................................................15
3.5.4 Activiteitenpatroon...................................................................................................................15
3.5.5 Slaap- en rustpatroon...............................................................................................................15
3.5.6 Cognitie- en waarnemingspatroon............................................................................................16
3.5.7 Zelfbelevingspatroon................................................................................................................16
3.5.8 Rollen- en relatiepatroon..........................................................................................................16
3.5.9 Seksualiteits- en voortplantingspatroon...................................................................................17
, 3.5.10 Stressverwerkingspatroon......................................................................................................17
3.5.11 Waarde- en levensovertuigingspatroon..................................................................................17
3.6 Zorgindicatie en zorgbehoefte.........................................................................................................17
3.7 Verpleegkundige diagnoses.............................................................................................................18
3.8 Signaleringsplan...............................................................................................................................19
4 Verantwoording..................................................................................................................................22
4.1 Voorschriften en richtlijnen.........................................................................................................22
4.2 Classificatie..................................................................................................................................22
4.3 Mijn rol........................................................................................................................................22
4.4 Mijn bevoegdheid........................................................................................................................22
4.5 Keuzes..........................................................................................................................................23
4.5.1 Voorbereiding.......................................................................................................................23
4.5.2 Uitvoering.............................................................................................................................23
4.5.3 Aan wie.................................................................................................................................24
4.5.4 Wanneer...............................................................................................................................24
4.5.5 Waar.....................................................................................................................................24
4.5.6 PESDIE’s................................................................................................................................24
4.5.7 Evaluatie...............................................................................................................................27
5 Nawoord.............................................................................................................................................29
6 Bronnen..............................................................................................................................................30
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