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PLP3 Beargumenteren van zorg
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Het hele portfolio PLP3 beargumenteren van zorg. Beoordeeld door twee docenten met een 8! In feb 2023 ingeleverd, dus zeer recent!
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,InhoudInleiding ....................................................................................................................................... 5
Het verpleegkundig proces ........................................................................................................... 6
1. Casuïstiek ................................................................................................................................. 7
1.1 De cliënt......................................................................................................................................... 7
1.2 De eerste kuur ............................................................................................................................... 7
1.3 De dipperiode ................................................................................................................................ 8
1.4 De actuele situatie ......................................................................................................................... 9
1.5 De rol van de verpleegkundige in opleiding .................................................................................. 9
1.6 Visie op de mens, familie en verpleging ........................................................................................ 9
2. Anamnese ............................................................................................................................. 11
2.1 Ordenen van gegevens ................................................................................................................ 11
2.2 Conclusie anamnese .................................................................................................................... 12
2.3 Ecogram ....................................................................................................................................... 12
2.4 Genogram .................................................................................................................................... 12
2.5 Zelfredzaamheidsradar................................................................................................................ 12
2.6 Balansmodel ................................................................................................................................ 12
2.7 Complexiteit casus....................................................................................................................... 13
3. Verpleegkundige diagnosen ................................................................................................... 14
3.1 Diagnosen .................................................................................................................................... 14
3.2 Risico diagnosen .......................................................................................................................... 14
3.3 Prioritering diagnosen ................................................................................................................. 14
3.4 Toelichting diagnosen.................................................................................................................. 15
3.5 Gezamenlijke besluitvorming ...................................................................................................... 16
4. Verpleegkundige resultaten, interventies, uitvoering en evaluatie ........................................... 17
4.1 Vermoeidheid en beperkte inspanningstolerantie ..................................................................... 17
4.2 Angst ............................................................................................................................................ 18
4.3 Zelfzorgtekort .............................................................................................................................. 19
4.4 Inadequate therapietrouw .......................................................................................................... 20
4.5 Risico op ondervoeding ............................................................................................................... 20
4.6 Verminderde afweer ................................................................................................................... 21
4.7 Het zorgplan in de praktijk .......................................................................................................... 22
5. Multidisciplinaire zorg ............................................................................................................ 23
5.1 Zorgarragement........................................................................................................................... 23
5.2 Betrokken disciplines................................................................................................................... 23
5.3 Samenwerkingspartners .............................................................................................................. 24
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, 5.4 Zorgpad........................................................................................................................................ 24
6. Het overlijden......................................................................................................................... 26
6.1 De hulpoproep............................................................................................................................. 26
6.2 De reanimatie .............................................................................................................................. 26
6.3 De nazorg..................................................................................................................................... 26
6.4 Nabespreking............................................................................................................................... 26
6.5 Reanimatiebeleid......................................................................................................................... 27
6.6 Klinisch redeneren ....................................................................................................................... 27
7. Informatie-/ en communicatietechnologieën .......................................................................... 28
7.1 Untire app.................................................................................................................................... 28
7.2 Kritische beschouwing ................................................................................................................. 28
7.3 Relevante ICT mogelijkheden ...................................................................................................... 29
8. Communicatietechnieken ....................................................................................................... 30
8.1 Narratieve benadering ................................................................................................................ 30
8.2 Motiverende gespreksvoering..................................................................................................... 30
8.3 Informerende gespreksvoering ................................................................................................... 30
8.4 Familiegesprek............................................................................................................................. 30
8.5 Gezamenlijke besluitvorming ...................................................................................................... 30
8.6 Nazorg ......................................................................................................................................... 30
9. Handelen in de praktijk ........................................................................................................... 31
10. Reflecties.............................................................................................................................. 33
10.1 Tussenevaluatie ......................................................................................................................... 33
10.2 Eindevaluatie ............................................................................................................................. 33
11. Waarderingsformulieren ....................................................................................................... 33
11.1 Tussenevaluatie ......................................................................................................................... 33
11.2 Eindevaluatie ............................................................................................................................. 33
12. Casusbespreking ................................................................................................................... 34
12.1 De casuïstiek .............................................................................................................................. 34
12.2 De bevindingen.......................................................................................................................... 35
12.3 Reflectie ..................................................................................................................................... 35
13. Antiplagiaatverklaring........................................................................................................... 36
Literatuurlijst ............................................................................................................................. 37
Bijlage I: Medisch dossier ........................................................................................................... 41
Bijlage II: Complexiteit casus....................................................................................................... 45
Bijlage III: Ecogram en genogram ................................................................................................ 48
Bijlage IV: Zelfredzaamheidsradar ............................................................................................... 49
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, Bijlage V: Redeneerweb .............................................................................................................. 50
Bijlage VI: Relevante wetgeving .................................................................................................. 51
Bijlage VII: Reflectie en waarderingsformulier PLP2 ..................................................................... 54
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