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Summary Atypische Ontwikkeling 3

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Dit is een beknopte samenvatting van de hoorcolleges

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  • January 9, 2023
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  • 2022/2023
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ATYPISCHE ONTWIKKELING 3
Inhoudsopgave
evidence based practice.................................................................................................................................................... 2

waarom EBP...............................................................................................................................................................................2
5 stappen (5 a’s).....................................................................................................................................................................3
tips bij zoeken naar evidence.................................................................................................................................................3
richtlijnen en systematic reviews...........................................................................................................................................4
efficiënt lezen en gebruiken van evidence.............................................................................................................................4
systematische literatuuronderzoek........................................................................................................................................4
pico-regel................................................................................................................................................................................4
hulpmiddelen bij systematisch zoeken..................................................................................................................................4
andere methodes om evidence en literatuut te zoeken........................................................................................................5
efficiënt lezen en gebruiken van evidence.............................................................................................................................5

hoofdstuk 2: juridische aspecten....................................................................................................................................... 5

Verdragen...................................................................................................................................................................................5
vn verdragen inzake rechten van personen met een handicap.............................................................................................5
decreten..................................................................................................................................................................................5
bewindvoering........................................................................................................................................................................8

settings – en context specifieke aspecten..................................................................................................................................9
centra voor ambulante revalidatie (car/rc)............................................................................................................................9
reglementering.....................................................................................................................................................................10
ondersteuningsnetwerken...................................................................................................................................................10
gemotiveerd verslag.............................................................................................................................................................10

buitengewoon onderwijs..........................................................................................................................................................10

vlaams agendschap voor personen met een handicap ( vaph)................................................................................................10
ondersteuning vaph..............................................................................................................................................................11
rechtstreeks toegankelijke hulp (rth)...................................................................................................................................11
n-RTH : persoonlijk assistentiebudget (pab)........................................................................................................................11
n-rth : multifunctioneel centra (mfc)...................................................................................................................................12
persoonvolgende financiering pvf........................................................................................................................................12
persoonsvolgend budget pvb...............................................................................................................................................12
vergunde zorgaanbieders vza...............................................................................................................................................13

zelfstandige praktijk.................................................................................................................................................................13
voorwaarden........................................................................................................................................................................13
geen terugbetaling?.............................................................................................................................................................13

METHODISCH HANDELEN BIJ ATYPSICHE ONTWIKKELING................................................................................................. 13

inventarisatie............................................................................................................................................................................14
1. kennismaking: aanvraag, ontmoeting en bereidheid.......................................................................................................14
2. inventarisatie....................................................................................................................................................................14

, leerpad.....................................................................................................................................................................................19

COMPLEXE ONTWIKKELINGSSTOORNISSEN...................................................................................................................... 20

DYSCALCULIE................................................................................................................................................................... 20

Internationaal: DSM-5..............................................................................................................................................................20

Leerprobleem, leerstoornis, leermoeilijkheid...........................................................................................................................20

Internationaal: ICF en OP-model..............................................................................................................................................20

Vlaanderen: criteria dyscalculie...............................................................................................................................................21
1. Het ernstcriterium............................................................................................................................................................21
2. exclusiecriterium..............................................................................................................................................................21
3. hardnekkigheidscriterium.................................................................................................................................................21

soorten dyscalculie...................................................................................................................................................................22
semantische geheugendyscalculie.......................................................................................................................................22
procedurale dyscalculie........................................................................................................................................................22
visuopatiële dyscalculie........................................................................................................................................................22

ontwikkeling van rekenvaardigheden......................................................................................................................................23

cliënt in beeld...........................................................................................................................................................................23
brede anamnese...................................................................................................................................................................23
beschrijvende kwanitatieve diagnostiek..............................................................................................................................24
Handelingsgerichte kwalitatieve diagnostiek.......................................................................................................................25

behandeling rekingstoornissen................................................................................................................................................25
handelingsgericht werken....................................................................................................................................................26

SENSORISCHE INFORMATIEVERWERKING ( SI).................................................................................................................. 26

GRONDLEGGERS.......................................................................................................................................................................27

ecology of human performance model (ehp)...........................................................................................................................27

sensorische informatieverwerking herkennen en erbij aansluiten..........................................................................................27

Practicums....................................................................................................................................................................... 29

dyscalculie................................................................................................................................................................................29
casussen................................................................................................................................................................................29
leeropdracht : redelijke aanpassingen (casus Abdul)...........................................................................................................30


EVIDENCE BASED PRACTICE
WAAROM EBP
 Om (smart) doelen op te stellen
 Om keuzes te maken in het methodisch handelen
 Om het plan van aanpak te bepalen op vlak van:
o methodiek,
o duur,
o plaats,
o uitvoering,
o frequentie,

, o theoretisch kader
o partners,…
 Om de kwaliteit, de effectiviteit en efficiëntie van de zorg te verbeteren




5 STAPPEN (5 A’S)
 Ask: Formuleer een klinische vraag
 Acquire: verzamel relevant onderzoek
 Appraise: beoordeel kritisch het onderzoek met eigen expertise en toets af aan voorkeuren en waarden van de
cliënt
 Apply: pas toe in de praktijk
 Assess: beoordeel het resultaat, bespreek met de cliënt en stuur bij indien nodig
Hoogste niveau




 Van hoog naar laag

Richtlijnen , zorgpaden ,evidence , statesments,..
 Zijn er richtlijnen beschikbaar dan gaan we deze gebruiken
 Per doelgroep , aandoening , ziekte
 Voor patienten vs voor behandelaars
o Wij focussen ons op die van de behandelaars
Waar zoeken:
 Cebam (www.cebam.be)
 CDLH (https://www.cdlh.be/nl/)
 EBPractice net (www.ebpnet.be)
 Tripdatabase (https://www.tripdatabase.com/)
 KCE (https://kce.fgov.be/)
 Gezondheid en wetenschap (https://www.gezondheidenwetenschap.be/)
 Richtlijnendatabase.nl
 NICE guidelines
 KNGF-richtlijnen


TIPS BIJ ZOEKEN NAAR EVIDENCE
 Zoek eerst naar Belgische richtlijnen en ergotherapeutische
o Indien die niet gevonden worden, zoek internationale richtlijnen en/of multidisciplinaire richtlijnen

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