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PLP2/PLP3 Module beargumenteren van zorg
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Uitwerking module beargumenteren van zorg in de revalidatie. Hanze hogeschool. Afgerond met een 7.2
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Module Beargumenteren van zorgNaam:
Studentnummer:
Opleiding: Hanzehogeschool Groningen, Academie voor verpleegkunde
Stagedocent:
Praktijkleerperiode: PLP 3, 06-09-2021/04-02-2022
Praktijkleerplaats: Revalidatie
Afdeling:
Cursuscode: HVVB21MBVZ
Werkbegeleiders:
Datum: 22-12-2021
Inhoudsopgave
Inleiding........................................................................................................................................................ 2
, Hoofdstuk 1 Anamnesefase........................................................................................................................... 3
1.1 Gegevens verzamelen.....................................................................................................................................3
1.2 Verifiëren van gegevens.................................................................................................................................4
1.3 Ordenen en vastleggen van gegevens............................................................................................................4
1.3.1 Anamnese...............................................................................................................................................4
1.3.2 Gezondheidspatronen van Gordon........................................................................................................6
1.4 Zelfmanagement............................................................................................................................................8
1.4.1 SeMas......................................................................................................................................................8
1.4.2 Ecogram..................................................................................................................................................9
1.4.3 EDIZ.........................................................................................................................................................9
Hoofdstuk 2 Diagnosefase............................................................................................................................ 10
2.1 Interpreteren van gegevens..........................................................................................................................10
2.1.1 Clusteren van gegevens........................................................................................................................11
2.1.2 Redeneerweb........................................................................................................................................15
2.2 Verifiëren......................................................................................................................................................16
2.3 Labelen en vastleggen..................................................................................................................................16
Hoofdstuk 3 Resultaten, interventie, uitvoering...........................................................................................18
3.1 Resultaten.....................................................................................................................................................18
3.2 Interventie.....................................................................................................................................................20
3.3 Uitvoering.....................................................................................................................................................21
Hoofdstuk 4 Evaluatie.................................................................................................................................. 23
4.1 Evaluatie.......................................................................................................................................................23
4.2 Ontslag..........................................................................................................................................................25
Hoofdstuk 5 Informatie- en communicatie................................................................................................... 25
5.1 ICT-mogelijkheden........................................................................................................................................25
5.1.1 Algemeen..............................................................................................................................................25
5.1.2 Binnen de instelling..............................................................................................................................26
5.1.3 Casusgericht..........................................................................................................................................26
Literatuur.................................................................................................................................................... 26
Bijlage......................................................................................................................................................... 30
A GRZ-anamnese formulier................................................................................................................................30
B Medicatieoverzicht..........................................................................................................................................34
C Ecogram...........................................................................................................................................................36
D EDIZ.................................................................................................................................................................37
Inleiding
Tijdens praktijkleerperiode 3 in de Boshof heb ik gewerkt aan de module beargumenteren
van zorg. In deze module staan de Canmeds rollen zorgverlener, communicator en
reflectieve EBP-professional centraal. De rol van de zorgverlener richt zich op het versterken
van de zelfmangement van mensen in hun sociale context en het verplegen doormiddel van
klinisch redeneren (Lambregts, Grotendorst & Van Merwijk, 2015). De communicator richt
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