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samenvatting GGZ- volwassenenpsychiatrie

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Dit onderdeel bevat alles wat te kennen is voor het examen GGZ- volwassenpsychiatrie

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  • March 28, 2023
  • 85
  • 2022/2023
  • Class notes
  • P. colman, p. walleghem
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V OLW A SS E N EN P SY C H IA T RI E




GEESTELIJKE GEZONDHEIDSZORG


HoGent | 2022 - 2023

,Inhoudsopgave
1. De inleiding................................................................................................................................................ 7

2. Vermaatschappelijking van zorg................................................................................................................. 9

2.1 Factoren die een rol hebben gespeeld in de vermaatschappelijking van de zorg..........................................9

De maatschappelijke ontwikkelingen...............................................................................................................9

De farmacologische revolutie.........................................................................................................................11

De economische factoren...............................................................................................................................11

Afstand nemen ban een strikt medisch – psychiatrisch model.....................................................................11

1. Herstelzorg en ervaringsdeskundigheid.................................................................................................... 12

1.1 Doel...............................................................................................................................................................12

1.2 Functies.........................................................................................................................................................13

2. Definitie van herstel volgens Anthony...................................................................................................... 13

3. Fasen van herstel..................................................................................................................................... 14

Stabilisatiefase....................................................................................................................................................14

Heroriëntatiefase................................................................................................................................................15

Re- integratiefase......................................................................................................................................... 15

4. Herstel van ondersteunende zorg............................................................................................................. 16

Vergelijking.........................................................................................................................................................16

Hulpverlener binnen de herstel ondersteunende zorg.......................................................................................17

1. Inleiding................................................................................................................................................... 18

2. Draaglast en draagkracht......................................................................................................................... 18

4. Stress- kwetsbaarheid model................................................................................................................... 19

Balkmetafoor......................................................................................................................................................20

Het balkmetafoor als leidraad van de behandeling.......................................................................................21

1. Interpersoonlijke vaardigheidstraining van Goldstein...............................................................................22

Kenmerken van de training................................................................................................................................23

2. Vaardigheden........................................................................................................................................... 23

3. De hoofdcomponenten van de training.................................................................................................... 24
1

, 3.1 Modeling.......................................................................................................................................................24

3.2 Gedragsoefening/ rollenspel/ role – taking training....................................................................................24

3.3 De bekrachtiging...........................................................................................................................................25

Voorwaarden voor de effectieve bekrachtiging.............................................................................................25

3.4 Transfertraining............................................................................................................................................25

4. Verloop en werkwijze............................................................................................................................... 25

De trainingsruimte..............................................................................................................................................25

De introductie.....................................................................................................................................................26

Het verloop van de training................................................................................................................................26

5. Toepassing............................................................................................................................................... 26

1. Algemeen................................................................................................................................................. 27

Rehabilitatie........................................................................................................................................................27

Het uitgangspunt................................................................................................................................................27

2. Inleiding................................................................................................................................................... 28

3. Situering.................................................................................................................................................. 28

4. Doel......................................................................................................................................................... 28

5. Doelgroep................................................................................................................................................ 29

6. De modules.............................................................................................................................................. 29

Omgaan met anti-psychotische medicatie.........................................................................................................29

Doelgroep.......................................................................................................................................................29

Opbouw..........................................................................................................................................................30

Omgaan met psychotische symptomen.............................................................................................................30

Doelgroep.......................................................................................................................................................30

Omgaan met vrije tijd.........................................................................................................................................30

De doelgroep..................................................................................................................................................31

De opbouw.....................................................................................................................................................31

Omgaan met verslaving.....................................................................................................................................31

Omgaan met werk..............................................................................................................................................32


2

, De doelgroep..................................................................................................................................................32

De opbouw.....................................................................................................................................................32

Omgaan met sociale relaties en intimiteit.........................................................................................................33

Doelgroep:......................................................................................................................................................33

Opbouw:.........................................................................................................................................................33

1. Inleiding................................................................................................................................................... 35

De film 9999........................................................................................................................................................35

Het doel van de film.......................................................................................................................................35

De motivatie voor het maken van de film......................................................................................................36

2. Begrippen................................................................................................................................................ 36

3. Internering............................................................................................................................................... 38

Wat is het?..........................................................................................................................................................39

Het doel...............................................................................................................................................................39

4. De wetgeving........................................................................................................................................... 40

5. Risicoprofiel............................................................................................................................................. 40

6. Voorzieningen.......................................................................................................................................... 41

7. Behandeling............................................................................................................................................. 42

Theorie van Andrews en Bonte...........................................................................................................................42

Het good lives model van ward en brown..........................................................................................................43

1. Psychosociaal welzijn............................................................................................................................... 44

2. Probleemdefiniëring.......................................................................................................................................44

3. De kern van de burn- out.......................................................................................................................... 45

4. Differentiaaldiagnose............................................................................................................................... 45

5. Nieuwe definitie van burn- out................................................................................................................. 45

6. Ontstaansgeschiedenis van stress............................................................................................................. 46

7. Alarmsignalen van een burn – out............................................................................................................ 46

8. Het stresscontinuüm................................................................................................................................ 48

9. Visies over stress...................................................................................................................................... 48

3

, Stress als stimulus of gebeurtenis buiten het individu.......................................................................................48

Stress als psychische integratie tussen een gebeurtenis en de verstandelijke of emotionele kenmerken van het
individu...............................................................................................................................................................49

Stress als beïnvloedende factor op de beleving van werk..................................................................................49

Job demands control model...........................................................................................................................49

Effort- reward imbalance model....................................................................................................................49

Job demands resources model.......................................................................................................................50

Bevlogenheid als motor voor een goede zorg................................................................................................51

Stress als een lichamelijke dan wel biologische reactie.....................................................................................51

Wat heet stress?.............................................................................................................................................52

Samengevat: stress is complex.......................................................................................................................53

10. Heb je een burn- outprofiel?................................................................................................................... 53

11. Focus op je persoonlijkheid................................................................................................................... 55

12. De valkuil van het perfectionisme........................................................................................................... 55

13. Burn- out in cijfers?................................................................................................................................ 56

14. Is burn- out een modeverschijnsel?........................................................................................................ 56

1. Valse vrijheid........................................................................................................................................... 58

1.1 Opgelet!........................................................................................................................................................58

2. Het 5G- model.................................................................................................................................................59

3. Beter voorkomen dan genezen................................................................................................................. 59

4. Zorgen voor jezelf.................................................................................................................................... 60

5. Een gezonde geest in een gezond lichaam................................................................................................. 60

Een gezond lichaam............................................................................................................................................60

Een gezonde geest..............................................................................................................................................61

6. Emotioneel welbevinden.......................................................................................................................... 61

7. Zelfmanagement...................................................................................................................................... 62

7.1 De TOGoefening............................................................................................................................................62

8. Verander van gedachten.......................................................................................................................... 62


4

, 9. Zoek je drijvende kracht........................................................................................................................... 63

De zelfdeterminatietheorie.................................................................................................................................63

De 2 soorten motivatie.......................................................................................................................................63

10. Evalueer op tijd en stond....................................................................................................................... 64

11. Coping.................................................................................................................................................... 64

12. Hoe kan je eraan werken?...................................................................................................................... 65

Stap 1: Signalen opvangen.................................................................................................................................65

Stap 2: zorg voor voldoende sociale steun.........................................................................................................65

Stap 3: leer omgaan met conflicten...................................................................................................................65

Stap 4: leer grenzen trekken...............................................................................................................................66

Stap 5: leer omgaan met perfectionisme...........................................................................................................66

13. Genezing van een burn out..................................................................................................................... 67

Fase 1: aanvaard dat je een burn- out hebt.......................................................................................................67

Fase 2: werk aan je klachten..............................................................................................................................67

Fase 3: pak de oorzaken aan..............................................................................................................................69

Fase 4: ga opnieuw aan de slag.........................................................................................................................69

14. Tot slot................................................................................................................................................... 70

1. Een waarschuwing voor dreigend gevaar..................................................................................................71

2. Een teken des tijds................................................................................................................................... 72

2.1 De maatschappelijke veranderingen............................................................................................................72

Toegenomen tijdsdruk....................................................................................................................................72

Individualisme.................................................................................................................................................72

Toegenomen prestatiedruk............................................................................................................................73

Digitale overprikkeling....................................................................................................................................74

Adieu ideologie...............................................................................................................................................74

2.2 Vakmanschap en autonomie........................................................................................................................75

2.3 Open brief van een arts................................................................................................................................76

3. Het probleem met de zorg........................................................................................................................ 76


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