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Samenvatting wondzorg (2V)

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Samenvatting handboek wondzorg hoofdstuk 1: theorie hoofdstuk 2: wondreiniging en wondontsmetting hoofdstuk 3: debridement hoofdstuk 4: wondafdekking hoofdstuk 5: decubitus hoofdstuk 6: diabetische voet hoofdstuk 7: zeldzame oorzaken van ulceratie hoofdstuk 8: ulcus cruris hoofdstuk 9: brandwonden ...

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  • No
  • Hoofstuk 1 tot en met 9 en hoofstuk 11 tot en met 13
  • January 31, 2016
  • 194
  • 2015/2016
  • Summary

4  reviews

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By: brittbekooy2002 • 3 year ago

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By: desivanrooijen • 4 year ago

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By: mizznaz • 4 year ago

Translated by Google

there's nothing on it.

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By: yvdlind • 4 year ago

??

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By: tofanpap • 5 year ago

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Inhoudsopgave

1. Theorie............................................................................................................. 9
1.1 Inleiding..................................................................................................... 9
1.2 Anatomie en fysiologie.............................................................................. 9
1.2.1 Functies van de huid............................................................................9
1.2.2 Structuur van de huid........................................................................11
1.3 Wonden.................................................................................................... 14
1.3.1 Definitie............................................................................................. 14
1.3.2 Fasen in de wondgenezing................................................................14
1.3.3 Verschillende types wondgenezing....................................................21
1.4 Factoren die de wondgenezing beïnvloeden............................................24
1.4.1 Factoren eigen aan de wonde............................................................24
1.4.2 Voedingstoestand van de patiënt......................................................26
1.4.3 Concomitante aandoeningen.............................................................27
1.4.4 Psychologische toestand en lichaamsbeeld.......................................28
1.4.5 Medicatie en therapieën....................................................................28
1.4.6 Leeftijd van de patiënt.......................................................................29
1.4.7 Roken en drugs.................................................................................. 29
1.5 Indeling van wonden (wondclassificatie).................................................29
1.5.1 Indeling volgens het verloop van het helingsproces..........................30
1.5.2 Indeling naar uitzicht van de wond....................................................32
1.5.3 Wondspecifieke classificatie..............................................................36
1.6 Principes van wondzorg...........................................................................36
1.6.1 Theorie van de vochtige wondgenezing............................................36
1.6.2 Wondbedvoorbereiding volgende het TIME-principe..........................37
1.6.3 Wondzorg: de verschillende stappen.................................................38
2. Wondreiniging en wondontsmetting...............................................................41
2.1 Inleiding................................................................................................... 41
2.2 Achtergrondinformatie............................................................................. 41
2.3 Definities.................................................................................................. 42
2.4 Wondculturen nemen............................................................................... 43
2.5 Eigenschappen van een goed ontsmettingsmiddel.................................43
2.6 Ontsmettingsmiddelen............................................................................ 43
2.6.1 Algemeen.......................................................................................... 43
2.6.2 Alcoholen........................................................................................... 44


Pagina | 1

, 2.6.3 Chloorhexidine................................................................................... 44
2.6.4 Chloorverbindingen...........................................................................44
2.6.5 Jodium en jodiumverbindingen..........................................................44
2.6.6 HAC................................................................................................... 44
2.6.7 Waterstofperoxide............................................................................. 45
2.6.8 Eosine................................................................................................ 45
2.6.9 Azijnzuur............................................................................................ 45
2.6.10 Conclusie........................................................................................... 45
2.7 Topische antibiotica................................................................................. 45
2.8 Systemische antibiotica...........................................................................46
3. Debridement.................................................................................................. 47
3.1 Necrose en debridement.........................................................................47
3.1.1 Definitie............................................................................................. 47
3.1.2 Waar is debridement nodig?..............................................................47
3.1.3 Wanneer is debridement niet gewenst?............................................47
3.1.4 Soorten debridementen.....................................................................48
3.2 Autolyses debridement............................................................................ 48
3.2.1 Werkingsmechanisme.......................................................................48
3.2.2 Chemisch debridement.....................................................................48
3.3 Enzymatisch debridement.......................................................................49
3.3.1 Definitie............................................................................................. 49
3.3.2 Voorwaarden bij enzymatisch debridement.......................................49
3.3.3 Indicaties bij enzymatisch debrideren...............................................49
3.3.4 Contra-indicaties............................................................................... 49
3.3.5 Voor- en nadelen................................................................................ 49
3.3.6 Soorten enzymatische producten......................................................50
3.4 Osmotisch debridement...........................................................................50
3.4.1 Definitie............................................................................................. 50
3.4.2 Indicaties........................................................................................... 50
3.4.3 Contra-indicaties............................................................................... 50
3.4.4 Voordelen van osmotisch debridement.............................................51
3.4.5 Nadelen van osmotisch debridement................................................51
3.4.6 Praktische tips bij osmotisch debrideren...........................................51
3.5 Chirurgisch debridement.........................................................................51
3.5.1 Definitie............................................................................................. 51
3.5.2 Voordelen.......................................................................................... 51
3.5.3 Doel van chirurgisch debrideren........................................................52


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