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Op Stage? Hierbij mijn portfolio van PLP2

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Tijdens mijn stage in de thuiszorg heb ik gewerkt aan drie modules: werken aan gezondheid, bevorderen van zelfmanagement en regisseren van zorg. Gemiddeld is mijn portfolio beoordeelt met een 8! De opdrachten zijn uitgebreid uitgewerkt en goed onderbouwd. Ook staan de reflecties en de waarderingsfo...

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  • May 20, 2022
  • 147
  • 2021/2022
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Portfolio praktijkleerperiode 2




Naam:
Studentnummer:
Klas:
Opleiding:
Periode:
Studieonderdeel:
Docent:
Stagebegeleiders:
Einddatum:


1

,Voorwoord
Ik ben Marin Kuipers en volg de opleiding Verpleegkunde aan de Hanzehogeschool in Groningen. Ik
heb het afgelopen halfjaar stage gelopen bij ZINN Thuiszorg Vinkhuizen. Voor u ligt het portfolio
waarin ik de afgelopen periode heb gewerkt aan mijn ontwikkeling en de leeruitkomsten van de
modules.

Tijdens mijn praktijkleerperiode rond ik drie modules af. Ook laat ik zien dat ik kan reflecteren op
mijn eigen handelen. Ik heb mij kunnen ontwikkelen als hbo verpleegkundige met dank aan mijn
werkbegeleiders ….. en ……... Ik wil hun bedanken voor de goede begeleiding, er was altijd ruimte
voor vragen en er was oprechte aandacht. Ook wil ik mijn praktijkopleider ……. bedanken voor het
mogelijk maken van de praktijkleerplaats. Als laatst wil ik mijn docent van de Hanzehogeschool
bedanken, zij heeft mij goed kunnen begeleiden tijdens het uitwerken van de modules.

Ik wens u veel lees plezier!

Marin Kuipers




2

,Inhoudsopgave
Voorwoord ....................................................................................................................................................... 2

Inleiding ........................................................................................................................................................... 7

Werken aan gezondheid................................................................................................................................... 8
Inleiding .............................................................................................................................................................. 9
1.1 Casus........................................................................................................................................................... 10
1.1.1 Thuissituatie ....................................................................................................................................... 10
1.1.2 Huidige situatie ................................................................................................................................... 10
1.2 Het 11-stappenmodel ................................................................................................................................. 11
1.3 Stap 1: vertrouwen opbouwen ................................................................................................................... 12
1.4 Stap 2: verzamelen van gegevens .............................................................................................................. 13
1.4.1 Anamnese ........................................................................................................................................... 13
1.4.2 Ecogram .............................................................................................................................................. 18
1.4.4 Draaglast en draagkracht .................................................................................................................... 19
1.5 Stap 3: oorzaken en gevolg sorteren .......................................................................................................... 20
1.5.1 ASE-model .......................................................................................................................................... 20
1.5.2 Stages of change ................................................................................................................................. 21
1.6 Stap 4: mogelijke diagnoses voorleggen .................................................................................................... 22
1.7 Stap 5: zelfredzaamheid toetsen ................................................................................................................ 26
1.7.1 Zelfredzaamheidsradar ....................................................................................................................... 26
1.8 Stap 6: diagnoses vaststellen en voorleggen .............................................................................................. 28
1.8.1 Redeneer web ..................................................................................................................................... 28
1.8.2 Prioritering verpleegkundige diagnoses ............................................................................................. 29
1.8.3 PES ...................................................................................................................................................... 30
1.9 Stap 7: resultaten bepalen.......................................................................................................................... 31
1.9.1 Bepalen van de zorgresultaten ........................................................................................................... 31
1.10 Stap 8: interventies bepalen (preventie plan) ........................................................................................... 33
1.10.1 Onderbouwing interventies .............................................................................................................. 36
1.11 Stap 9: toewijzen en/of verwijzen ............................................................................................................ 37
1.12 Stap 10: zorgplan starten ......................................................................................................................... 38
1.13 Stap 11: zorgplan monitoren en evalueren .............................................................................................. 39
1.14 Gesprekstechnieken .................................................................................................................................. 41
1.15 Handelen in de praktijk............................................................................................................................. 42
1.16 Reflecties .................................................................................................................................................. 43
1.16.1 Tussentijdsreflectieverslag ............................................................................................................... 43
1.16.2 Eindreflectieverslag .......................................................................................................................... 44
1.17 Waarderingsformulieren .......................................................................................................................... 46
1.17.1 Tussenevaluatie ..................................................................................................................................... 46
1.17.2 Eindevaluatie ......................................................................................................................................... 47

Bevorderen van zelfmanagement .................................................................................................................. 48
Inleiding ............................................................................................................................................................ 48
2.1 casus ........................................................................................................................................................... 50


3

, 2.1.1 Thuissituatie ....................................................................................................................................... 50
2.1.2 Huidige situatie ................................................................................................................................... 50
2.2 Zelf- en samenredzaamheid ....................................................................................................................... 51
2.2.1 Zelfmanagement................................................................................................................................. 51
2.2.2 zelfredzaamheid ................................................................................................................................. 51
2.2.3 Samenredzaamheid ............................................................................................................................ 52
2.2.4 Visie zelf- en samenredzaamheid ....................................................................................................... 52
2.2.5 Familiegerichte zorg ........................................................................................................................... 53
2.3 Analyse van het familie gesprek ................................................................................................................. 54
2.3.1 Het familie gesprek ............................................................................................................................. 54
2.4 (Familie) systeem gericht assessment ........................................................................................................ 56
2.4.1 Systeemgericht assessment................................................................................................................ 56
2.4.2 Ecogram .............................................................................................................................................. 62
2.4.3 Draaglast en draagkracht .................................................................................................................... 63
2.4.4 Zelfredzaamheidsradar ....................................................................................................................... 64
2.5 Gedragsanalyse .......................................................................................................................................... 66
2.5.1 Zelfmanagement................................................................................................................................. 66
2.5.2 ASE-model .......................................................................................................................................... 67
2.5.3 Stages of change ................................................................................................................................. 68
2.6 analyse van de zorgsituatie ........................................................................................................................ 69
2.6.1 Medicatie inname ............................................................................................................................... 69
2.6.2 Bewegen ............................................................................................................................................. 69
2.6.3 Voeding ............................................................................................................................................... 70
2.6.4 Bevindingen delen .............................................................................................................................. 70
2.6.5 Conclusie............................................................................................................................................. 70
2.7 Technologische ontwikkelingen .................................................................................................................. 71
2.7.1 informatie- en communicatie technologie ......................................................................................... 71
2.8 Zorg op afstand .......................................................................................................................................... 72
2.9 Beeldzorg .................................................................................................................................................... 74
2.9.1 Beeldbellen ......................................................................................................................................... 74
2.9.2 Voor- en nadelen ................................................................................................................................ 74
2.9.3 Compaan ............................................................................................................................................. 74
2.10 Uitvoering ................................................................................................................................................. 76
2.11 Therapeutic letter ..................................................................................................................................... 77
2.12 Gesprekstechnieken .................................................................................................................................. 78
2.13 Handelen in de praktijk............................................................................................................................. 79
2.14 Reflecties .................................................................................................................................................. 80
1.14.1 Tussentijdsreflectieverslag ............................................................................................................... 80
1.14.2 Eindreflectieverslag .......................................................................................................................... 81
2.15 Waarderingsformulieren .......................................................................................................................... 84
2.15.1 Tussenevaluatie ..................................................................................................................................... 84
2.15.2 Eindevaluatie ......................................................................................................................................... 86

....................................................................................................................................................................... 86

....................................................................................................................................................................... 86

....................................................................................................................................................................... 86




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