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KLINISCHE REDENERENOO-C-1 Casus 2 - PL2-opdracht Klinisch Redeneren en Onderzoekend Vermogen
Inhoudsopgave
...................................................................................................................................................................... 4
2. Anamnese.................................................................................................................................................. 5
2.1 Uitleg..............................................................................................................................................................5
2.2 VMS screeningsinstrumenten.........................................................................................................................9
2.3 Shared decision making................................................................................................................................10
2.4 Zorgtraject....................................................................................................................................................11
3. Diagnostiek:............................................................................................................................................. 12
3.1 Anatomie en functies....................................................................................................................................12
3.2 Externe en persoonlijke factoren..................................................................................................................13
Naam:
3.2.1 Coping stijl.................................................................................................................................................14
Studentnummer:
Studiegroepscode:
3.3.1 Beperkingen in activiteit............................................................................................................................14
Naam cursus:PL2 Klinisch redeneren & Onderzoekend vermogen
3.3.2 Beperkingen in participatie........................................................................................................................15
3.3.3 kwaliteit van leven.....................................................................................................................................15
Naam docent: J
Aantal woorden: 5837
3.3.4 Eigen inschatting van kwaliteit van leven.................................................................................................15
Inleverdatum:24/05/2022
3.3.5Vragenlijst SF-12.........................................................................................................................................15
3.3.6 Overeenkomsten en verschillen van kwaliteit van leven...........................................................................15
4. Resultaat................................................................................................................................................. 18
5. Interventies............................................................................................................................................. 19
, 6. Evaluatie.........................................................................................................................................................21
6.1 Beschrijving verleende zorg..........................................................................................................................21
6.2 Overdracht....................................................................................................................................................22
6.3 Passende advies EPD....................................................................................................................................23
Nawoord..................................................................................................................................................... 24
Litratuur lijst................................................................................................................................................ 25
Bijlage 1 must.....................................................................................................................................................29
Bijlage 2 KATZ ADL..............................................................................................................................................29
Bijlage 3 MEWS...................................................................................................................................................30
Bijlage 4 NRS.......................................................................................................................................................30
Bijlage 5 CCSA.....................................................................................................................................................30
Bijlage 6. DRI (Disability Rating Index)...............................................................................................................31
Bijlage 7. ADDQoL-19.........................................................................................................................................32
Bijlage 8. SF-12...................................................................................................................................................33
Voorwoord.................................................................................................................................................... 3
1. Casusbeschrijving....................................................................................................................................... 4
2. Anamnese................................................................................................................................................. 5
2.1 Uitleg..............................................................................................................................................................5
2.2 VMS screeningsinstrumenten.........................................................................................................................9
2.3 Shared decision making................................................................................................................................10
2.4 Zorgtraject....................................................................................................................................................11
3. Diagnostiek:............................................................................................................................................. 12
3.1 Anatomie en functies....................................................................................................................................12
3.2 Externe en persoonlijke factoren..................................................................................................................13
3.2.1 Coping stijl.................................................................................................................................................14
3.3.1 Beperkingen in activiteit............................................................................................................................14
3.3.2 Beperkingen in participatie.......................................................................................................................15
3.3.3 kwaliteit van leven.....................................................................................................................................15
3.3.4 Eigen inschatting van kwaliteit van leven.................................................................................................15
3.3.5Vragenlijst SF-12.........................................................................................................................................15
3.3.6 Overeenkomsten en verschillen van kwaliteit van leven...........................................................................15
4. Resultaat................................................................................................................................................ 17
5. Interventies............................................................................................................................................. 18
1
, 6. Evaluatie.........................................................................................................................................................20
6.1 Beschrijving verleende zorg..........................................................................................................................20
6.2 Overdracht....................................................................................................................................................21
6.3 Passende advies EPD....................................................................................................................................22
Nawoord..................................................................................................................................................... 23
Litratuur lijst................................................................................................................................................ 24
Bijlage 1 must.....................................................................................................................................................28
Bijlage 2 KATZ ADL.............................................................................................................................................28
Bijlage 3 MEWS..................................................................................................................................................29
Bijlage 4 NRS.......................................................................................................................................................29
Bijlage 5 CCSA.....................................................................................................................................................29
Bijlage 6. DRI (Disability Rating Index)..............................................................................................................30
Bijlage 7. ADDQoL-19.........................................................................................................................................31
Bijlage 8. SF-12...................................................................................................................................................32
2
, Voorwoord
Beste lezer,
Hierbij leest u mijn opdracht klinisch redeneren en onderzoekend vermogen. Deze opdracht maak ik
in het kader van mijn hbo-opleiding Verpleegkunde aan de Hogeschool Utrecht. In deze opdracht
beschrijf ik hoe het verpleegkundige proces verloopt. Ik werk hier uitgebreid een patiënt uit met
Multi-morbiditeit. Het uiteindelijke doel is adviezen te kunnen geven aan de zorgvrager met Multi-
morbiditeit. Dit doe ik door heel het verpleegkundig proces te doorlopen.
Ik wens u veel leesplezier toe.
Eva de Zeeuw
Weesp, maart 2022
3
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