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Regisseren van zorg behaald met een 8!
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Gehele uitwerking Regisseren van zorg in de thuiszorg tijdens PLP3. Behaald met een 8.
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Student:Onderwijsinstelling: Academie voor Verpleegkunde, Hanzehogeschool
te Groningen
Studie: HBO-Verpleegkunde
Studiejaar: 2022-2023, PLP3
Module: Regisseren van zorg, HVVB18MRVZ
Stagebegeleider:
Docentbegeleider:
Datum:
,Voorwoord
~2~
,Inhoudsopgave
Voorwoord............................................................................................................................. 2
Inleiding................................................................................................................................. 5
Hoofdstuk 1. Waarderingsformulieren en reflecties...........................................................6
1.1 Waarderingformulier PLP2.............................................................................................6
1.2 Reflectie PLP2............................................................................................................... 7
1.3 Waarderingsformulieren PLP3.......................................................................................8
1.4 Reflecties PLP3............................................................................................................. 8
Hoofdstuk 2. Multidisciplinaire zorgproces........................................................................9
2.1 Cliëntengroep................................................................................................................. 9
2.2 Algemene disciplines......................................................................................................9
2.2.1 Wijkverpleegkundige................................................................................................9
2.1.2 Mbo-verpleegkundige............................................................................................10
2.1.3 Verzorgende IG......................................................................................................10
2.1.4 Huisarts.................................................................................................................. 10
2.1.5 Doktersassistent....................................................................................................10
2.3 Mogelijk betrokken disciplines binnen de cliëntengroep...............................................11
2.3.1 Fysiotherapeut.......................................................................................................11
2.3.2 Sociaal werker........................................................................................................11
2.3.3 Casemanager dementie.........................................................................................11
2.3.4 Ergotherapeut........................................................................................................ 11
2.3.5 Praktijkondersteuner huisarts (POH)......................................................................12
2.3.6 Specialistische zorg...............................................................................................12
Hoofdstuk 3. Gezamenlijke besluitvorming......................................................................16
3.1 Definitie gezamenlijke besluitvorming..........................................................................16
3.2 Stappenplan gezamenlijke besluitvorming...................................................................16
Hoofdstuk 4. Het coördineren- en continueren van zorg.................................................17
4.1 Overdrachtssituaties....................................................................................................17
4.1.1 Rapporteren...........................................................................................................17
4.1.2 Medewerkersportaal..............................................................................................17
4.1.3 Overdracht organisaties.........................................................................................17
4.2 Methodisch rapporteren- en overdrachtsinstrumenten.................................................18
4.2.1 SOAP-methode......................................................................................................18
4.2.2 SBAR-methode......................................................................................................18
4.2.3 TIME-model........................................................................................................... 18
4.3 Verpleegkundig leiderschap.........................................................................................19
~3~
, 4.3.1 De student als waarnemend wijkverpleegkundige.................................................19
4.4 Wet- en regelgeving.....................................................................................................19
4.4.1 Wet op Beroepen in de Individuele Gezondheidszorg (BIG)..................................19
4.4.2 Zorgverzekeringswet (Zvw)....................................................................................20
4.4.3 Wet maatschappelijke ondersteuning (WMO)........................................................20
4.4.4 Wet op de geneeskundige behandelingsovereenkomst (WGBO)..........................20
4.4.5 Wet langdurige zorg (Wlz)......................................................................................21
4.4.6 Wet zorg en dwang (Wzd)......................................................................................21
4.4.7 Wet kwaliteit, klachten en geschillen zorg (Wkkgz)................................................21
Hoofdstuk 5. Multidisciplinaire zorg en SDM in de praktijk.............................................22
5.1 Casussen multidisciplinaire samenwerking..................................................................22
5.2 Casussen SDM............................................................................................................ 24
5.3 Oordeel verpleegkundige zorg in multidisciplinaire context..........................................25
Hoofdstuk 6. Voorstel voor verbetering............................................................................26
6.1 Kritische beschouwing op de multidisciplinaire zorgverlening......................................26
6.2 Voorstel tot verbetering multidisciplinaire zorgverlening...............................................26
Literatuurlijst....................................................................................................................... 27
Bijlage 1. Module Werken aan gezondheid.......................................................................29
Waarderingsformulier.........................................................................................................29
Reflectie............................................................................................................................. 29
Bijlage 2. Module Bevorderen van zelfmanagement........................................................30
Waarderingsformulier.........................................................................................................30
Reflectie............................................................................................................................. 30
Bijlage 3. Module Borgen van kwaliteit en veiligheid.......................................................31
Waarderingsformulier.........................................................................................................31
Reflectie............................................................................................................................. 31
Bijlage 4. Reflectie bekwaamheidsplan SLO-VCM............................................................32
Bijlage 5. Competentiescans..............................................................................................33
Student.............................................................................................................................. 33
Stagebegeleider.................................................................................................................33
Bijlage 6. Antiplagiaatverklaring........................................................................................35
~4~
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