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Afstuderen Case Study: Benauwdheid bij COPD

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Afstudeeropdracht HBO verpleegkunde aan de Hogeschool van Amsterdam. In deze case study wordt een antwoord gezocht op welke interventies (specifieke interventies n.a.v. een literatuurstudie, ook een van de afstudeeropdrachten van de HvA) het meest passend zijn om benauwdheid te verminderen bij volw...

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  • August 20, 2023
  • 18
  • 2022/2023
  • Case
  • Dobber
  • 8-9

3  reviews

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By: valenciablackson • 8 months ago

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By: LSB • 1 year ago

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By: brontewalta • 1 year ago

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Case Study
“Geen puf meer” – benauwdheid bij COPD




“Wat is de best passende interventie (loophulpmiddelen, ademhalingsoefeningen, voorlichting
en/of handventilatoren) die ziekenhuisverpleegkundigen kunnen inzetten om benauwdheid
te verminderen bij volwassen COPD-patiënten met hartfalen?”

Student:
Studentnummer:
Groep:
Eerste examinator:
Tweede examinator:
Vak: Afstuderen: Case Study
Studiegidsnummer:
Datum: 30-01-2023
Aantal woorden: 3499 (max. 3500, exclusief titelblad, tabellen, inhoudsopgave,
searchstring en bronnenlijst)

,Inhoudsopgave
Case Study..................................................................................................................................................... 1

Inhoudsopgave.............................................................................................................................................. 2

Casus............................................................................................................................................................. 4

Gevalsbeschrijving......................................................................................................................................... 5
Voorgeschiedenis.................................................................................................................................................5
Medische diagnose..............................................................................................................................................5
Pathofysiologie COPD en hartfalen......................................................................................................................5
Pathofysiologie en behandeling van benauwdheid.............................................................................................6
Gevolgen van het gezondheidsprobleem.............................................................................................................6
Multidisciplinaire en verpleegkundige diagnoses................................................................................................7
Behandeling en multidisciplinaire taakverdeling.................................................................................................7

Gezondheidsprobleem................................................................................................................................... 7

Methodesectie.............................................................................................................................................. 9
Gebruikte literatuur/databases...........................................................................................................................9
Searchstring..........................................................................................................................................................9
Praktijkperspectief................................................................................................................................................9

Verdieping................................................................................................................................................... 10

Bespreking................................................................................................................................................... 13
Effect..................................................................................................................................................................13
Bewijs.................................................................................................................................................................13
Aangrijpingspunt en werkingsmechanisme.......................................................................................................13
Haalbaarheid......................................................................................................................................................14
Alhoewel rollators op de AOA aanwezig zijn en fysiotherapeuten in consult kunnen worden gevraagd voor
een veilig gebruik ervan, wordt verwacht dat loophulpmiddelen niet haalbaar zijn. De interventie is namelijk
gericht op het verminderen van benauwdheid bij COPD-patiënten. Bij mevrouw is echter ook sprake van
benauwdheid en inspanningsvermijding door hartfalen. Bij deze specifieke patiënte kan benauwdheid door
het gebruik van loophulpmiddelen (toegenomen fysieke activiteit) vanwege haar comorbiditeit toenemen..14
Aanvaardbaarheid.............................................................................................................................................14

Discussiesectie............................................................................................................................................. 15
Discussie.............................................................................................................................................................15
Conclusie............................................................................................................................................................15
Aanbeveling........................................................................................................................................................16

Bronnenlijst................................................................................................................................................. 16

Bijlage 1: Meten van benauwdheid (MRC- en Borg-score).............................................................................18



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