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Summary Atypische Ontwikkeling 3
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ATYPISCHE ONTWIKKELING 3Inhoudsopgave
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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