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Samenvatting gedragsneurologie & neuropsychologie - Nancy de Gendt
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Alle hoorcolleges van Nancy, inclusief notities tijdens de les en foto's.
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GEDRAGSNEUROLOGIE EN NEUROPSYCHOLOGIE: HOORCOLLEGES NANCYInhoudsopgave
Gedragsneurologie en neuropsychologie: hoorcolleges Nancy................................................................................1
Hoorcollege 1: cognitieve revalidatie na NAH deel 1................................................................................................3
Korte herhaling gevolgen NAH..............................................................................................................................4
NAH....................................................................................................................................................................4
Oorzaken NAH...................................................................................................................................................4
Gevolgen NAH...................................................................................................................................................4
Impact gevolgen NAH op ADL...............................................................................................................................4
Zichtbare en onzichtbare gevolgen...................................................................................................................5
ZIekte inzicht.........................................................................................................................................................5
Self awareness...................................................................................................................................................5
geen “alles of niets” concept............................................................................................................................5
Is ontkenning schadelijk?..................................................................................................................................6
Beperkt inzicht...................................................................................................................................................6
Hoe is het zonder ziekte inzicht?.......................................................................................................................6
Mechanisme van zelfbewust zijn......................................................................................................................6
Hersengebieden die van belang zijn voor awareness.......................................................................................7
Expliciet ziekte inzicht.......................................................................................................................................7
Impliciet ziekte inzicht.......................................................................................................................................8
Hoe werken aan verbeteren van ziekteinzicht?....................................................................................................8
Waarom ziekte inzicht verbeteren?..................................................................................................................8
Verschillende modellen.....................................................................................................................................8
Soorten verkoper...............................................................................................................................................9
Open en gesloten vragen................................................................................................................................10
Bepalen van niveau ziekte inzicht...................................................................................................................10
Belang diagnostiek..........................................................................................................................................11
Relatie met cliënt................................................................................................................................................11
Benadering voorbijganger...............................................................................................................................11
Benadering zoeker...........................................................................................................................................12
Benadering klant.............................................................................................................................................12
Assessments........................................................................................................................................................12
Intellectueel inzicht.........................................................................................................................................12
Emergent inzicht.............................................................................................................................................12
Emergent en anticiperend inzicht...................................................................................................................13
Pagina 1 van 31
, Anticiperend inzicht........................................................................................................................................13
Behandeling.........................................................................................................................................................13
Specifieke technieken.....................................................................................................................................13
Zeer beperkt of geen ziekte inzicht.................................................................................................................13
Bevorderen van intellectueel inzicht..............................................................................................................13
Bevorderen van emergent inzicht...................................................................................................................14
Bevorderen van anticiperend inzicht..............................................................................................................14
Werken vanuit een visie..................................................................................................................................14
Balans tussen hoop en realiteit.......................................................................................................................15
De dynamiek van hoop....................................................................................................................................15
Aanvaarding is een rouwproces......................................................................................................................15
Prigatano, 1992...............................................................................................................................................16
Hoorcollege 2: cognitieve revalidatie na NAH deel 2..............................................................................................17
Wat is cognitie?...................................................................................................................................................17
Dynamic Interaction Model.............................................................................................................................17
Capaciteit.........................................................................................................................................................18
Cognitieve revalidatie (deel van neuropsychologische revalidatie)...................................................................18
Ergo in cognitieve revalidatie..........................................................................................................................18
Cognitieve revalidatie......................................................................................................................................18
Begrippenkader klinische neuropsychologie..................................................................................................19
Ergotherapeut in multidisciplinair team.............................................................................................................20
Assessments....................................................................................................................................................20
Wat zeggen de richtlijnen?..................................................................................................................................22
Behandelingen.................................................................................................................................................22
Cognitieve revalidatieprogramma’s................................................................................................................24
Doelen.................................................................................................................................................................24
Voordelen........................................................................................................................................................24
Nadelen...........................................................................................................................................................24
Aanbevelingen.................................................................................................................................................24
Evaluatie van doelen.......................................................................................................................................25
Verschillende behandelingsvormen/leertechnieken..........................................................................................25
Psycho-educatie..............................................................................................................................................25
Functietraining................................................................................................................................................25
Vaardigheidstraining.......................................................................................................................................25
Strategietraining..............................................................................................................................................26
OMgevingsaanpassing.....................................................................................................................................29
Maatwerk........................................................................................................................................................29
Pagina 2 van 31
, Procedureel leren............................................................................................................................................29
Cognitieve revalidatie in RevArte........................................................................................................................29
RevArte............................................................................................................................................................30
HOORCOLLEGE 1: COGNITIEVE REVALIDATIE NA NAH DEEL 1
Pagina 3 van 31
, KORTE HERHALING GEVOLGEN NAH
NAH
= de beschadiging van hersenweefsel dat na de geboorte is ontstaan en resulteert in stoornissen op
fysiek, sensorisch, cognitief of emotioneel functioneren
hierdoor ontstaan problemen op vlak van zelfredzaamheid en psychosociaal functioneren die
tijdelijk of blijvend van aard zijn en persoonlijke assistentie of toezicht noodzakelijk maken
ENKELE CIJFERS:
- 1 op de 6 kinderen in de wereld heeft een hersenletsel
- 50% van de ouderen in de wereld heeft een hersenletsel
mensen met Parkinson of dementie
- 1 op de 4 mensen in de wereld heeft een hersenletsel
- In 2017 waren er 247 000 mensen met NAH in Vlaanderen
- Jaarlijks 50 000 personen getrokken door NAH waarvan 15 000 met ernstige beperkingen tot
gevolg
OORZAKEN NAH
- Verkeersongeval
- Bloedklonter
- Beroerte
- Hersentumor
GEVOLGEN NAH
- Overprikkeling
- Tragere informatieverwerking
- Kort lontje hebben
- Mindere concentratie
- Verlammingsverschijnselen
IMPACT GEVOLGEN NAH OP ADL
Pagina 4 van 31
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