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Stageportfolio Praktijkleren 1
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Stageportfolio bevat het onderdeel Klinisch redeneren en Onderzoekend vermogen. Dit is voor praktijkleren 1 voor de opleiding HBO V
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PORTFOLIO PRAKTIJKLEREN 1Naam: Yiren He
Studentnummer: 1797981
Studiegroep code: GVE-1R1-RIJ-B
Cursuscode: GVE-1.PL1-16
Stage begeleider naam: Marjon Termaat
Stage docent: Doraya Haarmans
Inleverdatum: 31-01-2022
Mailadres: yiren.he@student.hu.nl
Aantal woorden: Deel 1: 3080 woorden Deel 2: 3614 woorden
,Inhoudsopgave
Inleiding....................................................................................................................................................... 3
Onderzoekend vermogen............................................................................................................................ 4
1. Probleemanalyse................................................................................................................................. 4
1.1 Casus en probleem........................................................................................................................ 4
1.2 Probleem-, doel-, en vraagstelling................................................................................................. 5
2. Onderzoeksmethode........................................................................................................................... 5
2.1 Zoekplan........................................................................................................................................ 5
2.2 Zoekstrategie................................................................................................................................. 6
2.3 Tijdsplanning.................................................................................................................................. 8
3. Dataverzameling.................................................................................................................................. 9
3.1 Relevante artikelen........................................................................................................................ 9
3.2 Beoordelingslijst............................................................................................................................. 9
4. Data-analyse..................................................................................................................................... 10
5. Rapportage........................................................................................................................................ 11
5.1 Conclusie..................................................................................................................................... 11
5.2 Advies.......................................................................................................................................... 12
5.3. samenvatting van het gesprek.................................................................................................... 12
5.4. Aanpassing................................................................................................................................. 12
6. bespreken met werkbegeleider.......................................................................................................... 12
Bronnenlijst onderzoekend vermogen........................................................................................................ 13
Bijlage A Beoordelingslijst onderzoekend vermogen.................................................................................14
Bijlage B beoordelingslijst onderzoekend vermogen..................................................................................18
Inleiding..................................................................................................................................................... 22
Klinische redeneren................................................................................................................................... 23
1. Anamnese......................................................................................................................................... 23
1.1 De eerste indruk........................................................................................................................... 23
1.2 Het ziektebeeld............................................................................................................................ 24
1.3 De belevingswereld...................................................................................................................... 24
1.4 De inschatting maken van de gezondheid...................................................................................25
1.5 Gezondheidssituatie..................................................................................................................... 28
2. Diagnose........................................................................................................................................... 28
2.1 Aanknopingspunten voor het verlenen van zorg..........................................................................28
2.2 Evaluatie diagnoses..................................................................................................................... 30
3. resultaat............................................................................................................................................. 30
1
, 3.1 Resultaten.................................................................................................................................... 30
3.2 Evaluatie resultaten...................................................................................................................... 30
4. Interventie.......................................................................................................................................... 32
4.1 interventies opstellen................................................................................................................... 32
4.2 Terugkoppeling werkbegeleider................................................................................................... 32
4.3 Evaluatie verpleegplan................................................................................................................. 33
5.Evaluatie............................................................................................................................................. 33
Bronnenlijst Klinisch redeneren................................................................................................................. 34
Bijlage C Feedbackformulieren.................................................................................................................. 35
Bijlage D tussentijdse en eindevaultie........................................................................................................ 39
2
, INLEIDING
Het doel van de opdracht onderzoekend vermogen is om een zorgvrager/zorgvragers te kiezen
waarvan de zorgverlening verbeterd kan worden. Vervolgens deze verbetering in kaart te
brengen en te onderbouwen met wettenschappelijk artikelen om tot slot een advies te geven
aan de stageafdeling.
Van wegen de Algemene Verordening Gegevensbescherming (AVG) wet is er in dit verslag
geen gebruik gemaakt van namen of herleidende informatie over de zorgvrager of zorgverleners
en de zorginstelling waar de stage plaats gevonden heeft. Er is gebruik gemaakt van de termen
mevrouw/meneer, zorgverleners en zorginstelling.
3
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