Essay

Stageportfolio

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Course
Praktijkleren 3 Klinisch Redeneren En CAT

Institution
Hogeschool Utrecht (HU)

Dit stageportfolio is geschreven in 2020. In deze periode liep ik stage op de MDL afdeling in het Diakonessenhuis in Utrecht. Dit portfolio bevat de opdrachten klinisch redeneren en CAT. Voor klinisch redeneren was het cijfer een 7,2. Voor de CAT een 8,7.

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Uploaded on October 13, 2022
Number of pages 68
Written in 2019/2020
Type Essay
Professor(s) Unknown
Grade 8-9

cat
stageportfolio
klinisch redeneren
ebp
evidence based practice
critically appraised topic

Institution
Hogeschool Utrecht (HU)
Education
Medische Hulpverlening
Course
Praktijkleren 3 Klinisch Redeneren En CAT

sk21

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Stageportfolio

Shirley Keiman, 1723332
GVE-3.PL3-16

GVE-3R3-DIA-G-19

Dieke Martini 0
10-07-2020

,Voorwoord
Dit stageportfolio is geschreven naar aanleiding van mijn derde verpleegkundige stage. Ik heb deze stage
gelopen van 3 februari 2020 tot 21 maart 2020 bij het Diakonessenhuis in Utrecht op de afdeling Maag
darm leverziekten.

Tijdens deze stage heb ik meerdere opdrachten gemaakt, waaronder de opdrachten klinisch redeneren
en onderzoekend vermogen. In de opdracht klinisch redeneren is er gekeken naar een patiënt met een
klinische verandering. Hierbij zijn verpleegkundige diagnoses, doelen en interventies opgesteld. In de
opdracht onderzoekend vermogen is er gekeken naar een interventie op de afdeling. Deze interventie is
verder uitgediept en aan de hand hiervan is een advies geschreven voor de afdeling.

Ik wil graag Mirte van der Spek en Sara Derks bedanken voor de fijne en leerzame begeleiding.
Daarnaast wil ik Dieke Martini bedanken voor de interessante lessen en het verduidelijken van de
opdrachten.

1

,Inhoudsopgave
Voorwoord.................................................................................................................................................... 1
Opdracht Klinisch redeneren ....................................................................................................................... 4
Stap 1: Probleemoriëntatie .......................................................................................................................... 5
Situation .................................................................................................................................................... 5
Background ............................................................................................................................................... 6
Assessment ............................................................................................................................................... 6
Recommendation...................................................................................................................................... 7
Stap 2: Probleemanalyse.............................................................................................................................. 8
Welke orgaansystemen zijn disfunctioneel en hebben prioriteit? ........................................................... 8
Overige problematiek ............................................................................................................................... 9
Resultaten van meetinstrumenten en scoringssystemen ...................................................................... 10
Stap 3: Aanvullend onderzoek en diagnose .............................................................................................. 12
Diagnoses ................................................................................................................................................ 12
Stap 4: Klinisch beeld ................................................................................................................................. 14
Stap 5: Klinisch verloop ............................................................................................................................... 18
Prognose ................................................................................................................................................. 18
Complicaties en risico’s ........................................................................................................................... 18
Gevolgen ................................................................................................................................................. 18
Zelfmanagement ..................................................................................................................................... 19
Stap 6: Evaluatie.......................................................................................................................................... 20
Ontslag .................................................................................................................................................... 20
HIX ........................................................................................................................................................... 20
Literatuurlijst .............................................................................................................................................. 21
Bijlagen ....................................................................................................................................................... 24
Bijlage 1: SIT-scores................................................................................................................................. 24
Bijlage 2: Volledige screening SCEGS ...................................................................................................... 25
Bijlage 3: Vragenlijst MijnPositieveGezondheid ..................................................................................... 26
Opdracht onderzoekend vermogen........................................................................................................... 28
Samenvatting.............................................................................................................................................. 29
Probleemanalyse ........................................................................................................................................ 32
Inleiding................................................................................................................................................... 32
Voor- en nadelen .................................................................................................................................... 33
Oriënterende literatuurstudie ................................................................................................................ 33

2

, Onderbouwing voor keuze interventie ................................................................................................... 33
Doelstelling ............................................................................................................................................. 33
PICO......................................................................................................................................................... 34
Essentiële variabelen .............................................................................................................................. 34
Onderzoeksmethode .................................................................................................................................. 35
Inclusie en exclusiecriteria ...................................................................................................................... 35
Zoekplan.................................................................................................................................................. 35
Verantwoording van gekozen artikelen .................................................................................................. 37
Beoordeling artikelen.............................................................................................................................. 38
Wijze van analyseren .............................................................................................................................. 38
Dataverzameling......................................................................................................................................... 39
Gekozen artikelen ................................................................................................................................... 39
Data-analyse en rapportage ...................................................................................................................... 40
Resultaten ............................................................................................................................................... 40
Discussie .................................................................................................................................................. 44
Sterke en zwakke punten .................................................................................................................... 45
Implicaties voor de praktijk................................................................................................................. 45
Conclusie ................................................................................................................................................. 46
Advies ...................................................................................................................................................... 47
Literatuurlijst .............................................................................................................................................. 48
Bijlagen ....................................................................................................................................................... 51
Bijlage 1: Artikel 1 ................................................................................................................................... 51
Bijlage 2: Artikel 2 ................................................................................................................................... 54
Bijlage 3: Artikel 3 ................................................................................................................................... 58
Bijlage 4: Artikel 4 ................................................................................................................................... 61
Bijlage 5: Tabel 3 Resultaten IM-onderzoeken ......................................................................................... 2
Bijlage 6: Feedbackformulier presentatie ................................................................................................. 4

3

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