Summary
Samenvatting Leerpakket 9 bpv 3 reflectieve casestudy
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Leerpakket 9 Reflectieve casestudy Rc Ziekenhuis
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CaseStudy
Ggz Breburg
MICHELLE BPV 2 BPV-DOCENT WERKBEGELEIDERS GGZ BREBURG
MICHALSKI
2159879 31-01-2022 Koen Westen Marie-Jose van Dongen leerafdeling Learn to Care
24vb2m2 15-04-2022 kh.westen@avans.nl m.vandongen@ggzbreburg.nl zorggroep senioren care
+316885257361 +31612048237 Etten-Leur.
, PAGINA 02
Inhoudsopgave
Beschrijving zorgvrager:.............................................................................................Pagina 03
1.1 Basisgegeves....................................................................................................................Pagina 04
1.2 Beschrijving......................................................................................................................Pagina 04
1.3 Ecogram............................................................................................................................Pagina 04
Zorgplan............................................................................................................................Pagina 12
2.1 Gezondheidspatronen van Gordon............................................................................Pagina 13
2.2 I-Roc.................................................................................................................................Pagina 04
2.3 Verpleegkundige diagnoses........................................................................................Pagina 04
Evidence based practice (EBP) :.................................................................................Pagina 23
3.1 PICO vraag.....................................................................................................................Pagina 26
3.2 In -en exclusie.................................................................................................................Pagina 26
3.3 Zoekstrategie..................................................................................................................Pagina 26
3.4 Zoekopdracht.................................................................................................................Pagina 26
3.5 Stroomdiagram................................................................................................................Pagina 26
3.6 Artikel...............................................................................................................................Pagina 26
3.7 Kwaliteit............................................................................................................................Pagina 26
3.8 Resultaten........................................................................................................................Pagina 26
3.9 Klinische relevantie........................................................................................................Pagina 26
3.10 Conclusie.........................................................................................................................Pagina 26
3.11 Bronnen............................................................................................................................Pagina 26
Zorgtraject:.....................................................................................................................Pagina 27
4.1 Zorgtraject zorgvrager.................................................................................................Pagina 22
4.2 Overdracht......................................................................................................................Pagina 26
Kwaliteit:.........................................................................................................................Pagina 27
5.1 Incident..............................................................................................................................Pagina 22
5.2 Aanbeveling....................................................................................................................Pagina 22
Bijlage:..............................................................................................................................Pagina 33
6.1 APA...................................................................................................................................Pagina 34
6.1 Medicatie..........................................................................................................................Pagina 34
6.1 Tussen evaluatie..............................................................................................................Pagina 34
6.1 BPV-Plan...........................................................................................................................Pagina 34
, PAGINA 03
BESCHRIJVING
A
Beschrijving zorgvrager
Medische problematiek
Ecogram
, PAGINA 04
ONDERDEEL: A
1. BESCHRIJVING
ZORGVRAGER
Casestudy over een Cliënt van de afdeling
Basis gegevens:
Naam:
Eef de Ridder
Leeftijd:
64 jaar (17-04-1957)
Gelacht:
Vrouw
Afeling:
5 ter obsevatie
Medishe problematiek:
Psychisch: Functioneel:
Somatische symptoomstoornis Mobiliteit is beperkt
Depressieve stemmingsstoornis Ligt veelal in bed
ASS verdenking (Autismespectrumstoornis)
Converie stoornis (Functioneel neurologisch met
gemengde symptomen)
OCD (Obsessive compulsive disorder)
Orthorexia (Geen anorexia)
Lichamleijk: Sociaal:
Orthostase Geen contact met kinderen
Gluten allergie naar eigen zeggen Geen contact kleinkinderen
Chroische buikpijn Weinig contact met mede cliënten
Milde hartritmestoornis Issoleert zich in eigen kamer
Spierafbraak & weinig conditie Neemt niet deel aan activiteiten
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