In dit uitgebreide verslag is de casus van een oudere persoon uit de praktijk uitgewerkt. 2 december 2022 is mijn verslag beoordeeld met een 8,9!
In het eerste deel van het verslag wordt de casus van deze persoon omschreven en is zijn kwetsbaarheid bepaald. Bij aanvang
van de opdracht is er een...
Naam: Kim Hekkert
Studentnummer:
Mailadres:
Studiegroepscode: GKO-AGEING-A
Cursuscode: Ageing VGG (GKO-AGEING-18_2022)
Docenten:
Aantal woorden: 6587
Inleverdatum: 10 november 2022
,Inhoudsopgave
Voorwoord .............................................................................................................................................. 3
Casus........................................................................................................................................................ 4
Fysiek domein ...................................................................................................................................... 4
Sociale domein .................................................................................................................................... 5
Psychische domein .............................................................................................................................. 5
Levensgeschiedenis ............................................................................................................................. 5
Stap 1 Kwetsbaarheid.............................................................................................................................. 6
Stap 2 Vroegsignalering/screening.......................................................................................................... 7
Stap 3 Prioritering geriatrische problemen ........................................................................................... 13
Stap 4 Uitwerking drie geriatrische syndromen .................................................................................... 14
4.1 Geriatrisch syndroom vallen ....................................................................................................... 14
Definitie en prevalentie ................................................................................................................. 14
Anatomie en functies .................................................................................................................... 15
Externe- en persoonlijke factoren ................................................................................................. 16
4.2 Geriatrisch syndroom slaapstoornissen ...................................................................................... 17
Definitie en prevalentie ................................................................................................................. 17
Anatomie en functies .................................................................................................................... 17
Externe- en persoonlijke factoren ................................................................................................. 18
4.3 Geriatrisch syndroom eenzaamheid ........................................................................................... 19
Definitie en prevalentie ................................................................................................................. 19
Anatomie en functies .................................................................................................................... 19
Externe- en persoonlijke factoren ................................................................................................. 20
4.4 Assessment en Diagnostiek ......................................................................................................... 21
4.5 Activiteiten en participatie .......................................................................................................... 22
Levensloopinterview en samenvatting ................................................................................................. 24
Jeugd.................................................................................................................................................. 24
Volwassen leven ................................................................................................................................ 24
Ouder worden ................................................................................................................................... 24
Levenslijn ............................................................................................................................................... 25
Levenslijngrafiek ................................................................................................................................ 25
Life event ........................................................................................................................................... 26
Uitwerking drie gerontologische modellen ........................................................................................... 27
Disengagement-theorie..................................................................................................................... 27
SOC-theorie ....................................................................................................................................... 27
1
, Socio-emotionele selectiviteitstheorie ............................................................................................. 27
Stap 5 Zorgbehandelplan ...................................................................................................................... 29
Mening cliënt......................................................................................................................................... 36
Verhoogd valrisico ............................................................................................................................. 36
Slapeloosheid .................................................................................................................................... 36
Eenzaamheid ..................................................................................................................................... 36
Gewrichtspijn .................................................................................................................................... 36
Toekomst ............................................................................................................................................... 37
Lichamelijk functioneren ................................................................................................................... 37
Psychisch functioneren...................................................................................................................... 37
Cognitief functioneren ...................................................................................................................... 37
Sociaal functioneren .......................................................................................................................... 37
Literatuurlijst ......................................................................................................................................... 38
Bijlagen .................................................................................................................................................. 41
Bijlage 1 Screeningsinstrument ‘Behoefte als kompas, de oudere aan het roer’ ............................. 41
Bijlage 2 Diagnostisch assessment .................................................................................................... 49
2.1 Falls Efficacy Scale International (FES-I) .................................................................................. 49
2.2 Evaluatie valrisico .................................................................................................................... 50
2.3 Short Physical Performance Battery (SPPB) ............................................................................ 53
2.4 Orthostasemeting .................................................................................................................... 56
2.5 Slaapanamnese........................................................................................................................ 57
2.6 Pittsburg Sleep Quality Index (PSQI) ....................................................................................... 60
2.7 De eenzaamheidsschaal van De Jong Gierveld en Kamphuis .................................................. 64
2.8 Geriatric Depression Scale 15 (GDS-15) .................................................................................. 65
Bijlage 3 De topiclijst ......................................................................................................................... 67
Bijlage 4 Getranscribeerd levensloopinterview inclusief opmerkingen............................................ 69
2
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