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B1-k1-w10 evalueert en legt de verpleegkundige zorg vast
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volledig uitgewerkt examen met 2 zorgplannen met evaluatie
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B1-K1-W3Stelt een verpleegplan op.
,Inhoudsopgave
plan van aanpak...................................................................................................................... 5
introductie:............................................................................................................................... 6
casus 1 mw Hengel:................................................................................................................ 7
situatie..................................................................................................................................... 7
Zorg S’ ochtends.............................................................................................................. 7
Zorg s ’avonds................................................................................................................. 7
Achtergrondgegevens..........................................................................................................8
Diabetes mellitus type 2:..................................................................................................8
Knieoperatie nieuwe knie links:........................................................................................8
Herseninfarct.................................................................................................................... 8
Klapvoet links ter gevolgen van herseneninfarct..............................................................9
Heupfractuur.................................................................................................................... 9
gegevens ordene:................................................................................................................. 10
Anamnese op Gezondheidsbevordering............................................................................10
Anamnese op Voeding......................................................................................................10
Anamnese op Uitscheiding/uitwisseling.............................................................................11 2
Anamnese op Activiteit/rust...............................................................................................11
Anamnese op Waarneming/cognitie..................................................................................11
Anamnese op Zelfperceptie...............................................................................................12
Anamnese op Rollen/relaties.............................................................................................12
Anamnese op Coping/stresstolerantie...............................................................................12
Anamnese op Levensprincipes..........................................................................................12
Anamnese op Veiligheid/bescherming...............................................................................13
zorgplan................................................................................................................................ 14
evaluatie:............................................................................................................................... 15
Doel: Mw. kan binnen 4 weken onder begeleiding zelfstandig wassen/douchen en
aankleden.......................................................................................................................... 15
Proces:.............................................................................................................................. 15
Product:............................................................................................................................. 15
Doel: Mw. loopt binnen 4 weken zelfstandig met rollator van de wc naar woonkamer.......15
Proces:.............................................................................................................................. 15
Product:............................................................................................................................. 15
Doel: Mw. kan binnen 4 weken zelfstandig met hulpmiddel ogen druppelen.....................15
Paraaf examinator
, Proces............................................................................................................................... 15
Product.............................................................................................................................. 15
huidige situatie...................................................................................................................... 16
Casus 2 dhr soldaat.............................................................................................................. 17
situatie................................................................................................................................... 17
Achtergrondgegevens........................................................................................................... 18
Hypertensie....................................................................................................................... 18
Hersentumor:..................................................................................................................... 18
Hemianopsie...................................................................................................................... 18
gegevens ordenen................................................................................................................ 19
Anamnese op Gezondheidsbevordering............................................................................19
Anamnese op Voeding......................................................................................................19
Anamnese op Uitscheiding/uitwisseling.............................................................................19
Anamnese op Activiteit/rust...............................................................................................20
Anamnese op Waarneming/cognitie..................................................................................20
Anamnese op Zelfperceptie...............................................................................................20
Anamnese op Rollen/relaties.............................................................................................20
Anamnese op Coping/stresstolerantie...............................................................................20 3
Anamnese op Levensprincipes..........................................................................................20
Anamnese op Veiligheid/bescherming...............................................................................21
Anamnese op Welbevinden...............................................................................................21
zorgplan................................................................................................................................ 22
evaluatie:............................................................................................................................... 24
Doel: dhr. kan binnen 4 weken onder begeleiding zelfstandig wassen/douchen en
aankleden.......................................................................................................................... 24
Proces:.............................................................................................................................. 24
Product:............................................................................................................................. 24
Doel: De wond op stuit van dhr is binnen 4 weken dicht....................................................24
Proces:.............................................................................................................................. 24
Product:............................................................................................................................. 24
Doel: Echtgenoot wordt binnen 4 weken meer tijd voor haarzelf........................................24
Proces:.............................................................................................................................. 24
Product:............................................................................................................................. 24
huidige situatie:..................................................................................................................... 25
Situatie.............................................................................................................................. 26
Paraaf examinator
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