Klinisch redeneren
Nodig om ,passende interventies en zorgresultaten vast te stellen. Dit gebeurd door procesmatig
gegevens verzamelen en analyseren.
Zes stappen van proactive nursing (klinisch redeneren):
1. Ortiëntatie op situatie/klinisch beeld
2. Klinische probleemstelling (beredeneren van problematiek en prioriteiten).
3. Aanvulend klinisch onderzoek
4. Klinisch beleid
5. Klinisch verloop
6. Nabeschouwing
Klinisch redeneren in “normale taal”:
1. Hoe gaat het? Er is iets aan de hand.
2. Wat is er mis met mijn patiënt?
3. Welk aanvullend onderzoek is er nodig?
4. Wat moet ik doen?
5. Wat kan ik hiervan verwachten?
6. Evaluatie
Diversiteit
Er zijn twee vormen van diversiteit.
1. Culturele diversiteit
2. Laaggeletterdheid en beperkte gezondheidsvaarigheden
Meervoudige identiteit
Afkomst, uniek DNA, leeftijd
Systeem Theoretische Benadering
Dwang en drang in zorg
Harm principle (John Stuart Mill 1849)
Er mag alleen dwang uitgeoefend worden om schade bij anderen te voorkomen.
Totale institutie
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