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Heel PL3 stageportfolio (Klinisch redeneren + CAT)

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Heel mijn stageportfolio van PL3 (Klinisch redeneren + CAT). Ik heb een 8,2 hiervoor gekregen. Zelf ben ik al MBO verpleegkundige en ik doe nu de HBO-V duaal via de HU. Ik werk en loop stage in het Sint Antonius ziekenhuis op de cardio thoracale chirurgie.

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  • August 25, 2023
  • 72
  • 2023/2024
  • Essay
  • Unknown
  • 8-9

1  review

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By: Dunyahad • 6 months ago

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Stageafdeling:
HBO-verpleegkunde – Hogeschool Utrecht
Studiegroepscode:



Naam:
Studentnummer:
Mailadres: Cursuscode:
Stage docent: Inleverdatum:

,Inhoudsopgave
Voorwoord..............................................................................................................................................2
Praktijkleren 3 - Klinisch redeneren........................................................................................................4
Onderdeel 1: Klinisch redeneren t.b.v. een veranderende situatie.........................................................4
1.1 Probleemoriëntatie/klinisch beeld................................................................................................4
1.2 Probleemanalyse.........................................................................................................................7
1.3 Aanvullend onderzoek en diagnose..............................................................................................9
Onderdeel 2: Het klinisch redeneren t.b.v. het totale verpleegkundig proces......................................18
2.1 Klinisch verloop...........................................................................................................................18
2.2 Evaluatie.....................................................................................................................................20
Bronnenlijst Klinisch redeneren............................................................................................................21
Bijlagen Klinisch redeneren..................................................................................................................24
Bijlage 1 - Anamneseformulier.........................................................................................................24
Bijlage 2 - Medicatieoverzicht...........................................................................................................25
Bijlage 3 - Screeningsinstrumenten..................................................................................................27
3.1 ABCDE.....................................................................................................................................27
3.2 AMPLE-methode.....................................................................................................................27
3.3 Bradenschaal..........................................................................................................................28
3.4 Numeric Rating Scale (NRS)....................................................................................................28
3.5 Early Warning Sings (EWS) score.............................................................................................28
Bijlage 4 - Screeningsinstrumenten VMS-veiligheidsprogramma......................................................28
4.1 Malnutrition Universal Screening Tool (MUST) score..............................................................28
4.2 Katz-ADL6................................................................................................................................29
4.3 Valrisicoschaal.........................................................................................................................29
4.4 Delierscreening.......................................................................................................................29
4.5 Delirium Observation Screening Scale (DOSS)........................................................................29
Bijlage 5 - Groningen Activiteiten Restrictie Schaal (GARS)...............................................................30
Bijlage 6 - Eenzaamheidsschaal.........................................................................................................34
Bijlage 7 - Arteriële bloedgas analyse...............................................................................................35
Bijlage 8 – X-thorax...........................................................................................................................36
Bijlage 9 – Dagschema......................................................................................................................37
Bijlage 10 – Verpleegkundige overdracht..........................................................................................38
Praktijkleren 3 – Onderzoekend vermogen...........................................................................................40
Samenvatting........................................................................................................................................41
1. Inleiding............................................................................................................................................43

1

, 1.1 Probleemanalyse........................................................................................................................43
1.3 Doel- en vraagstelling.................................................................................................................44
2. Onderzoeksmethode (methode)......................................................................................................44
2.1 Zoekstrategie..............................................................................................................................44
2.2 Keuze databanken.......................................................................................................................44
2.3 In- en exclusiecriteria..................................................................................................................44
2.4 Zoektermen................................................................................................................................45
2.5 Wijze van selecteren...................................................................................................................45
2.6 Beoordeling en analyseren.........................................................................................................45
3. Dataverzameling (uitvoering)............................................................................................................46
4. Discussie...........................................................................................................................................49
5. Conclusie..........................................................................................................................................50
6. Advies...............................................................................................................................................50
7. Literatuurlijst....................................................................................................................................52
8. Bijlage...............................................................................................................................................53
8.1 HU beoordelingsformulieren wetenschappelijke publicaties......................................................53
8.2 Feedbackformulier presentatie I.................................................................................................70
8.3 Feedbackformulier presentatie II................................................................................................70




Voorwoord



2

, Mijn naam is .. en ik volg de duale opleiding tot HBO-verpleegkundige aan de Hogeschool Utrecht.
Momenteel loop ik stage op de …… , waar ik ook werkzaam ben. Hierbij presenteer ik u mijn
praktijkleren drie portfolio, welke mijn klinisch redeneren opdracht en Critical Appraisal of a Topic
bevat.

Klinisch redeneren:
In dit verslag heb ik de casus uitgewerkt van meneer Jansen, hij wordt heropgenomen na een
ongecompliceerde vervanging van de mitralisklep. Meneer Jansen is een fictieve naam om de privacy
van de patiënt te waarborgen.

Critical Appraisal of a Topic (CAT):
De CAT gaat over het preoperatief spoelen van de mond met chloorhexidine bij Cardiothoracale
Chirurgie patiënten. Hierbij heb ik middels een literatuurstudie onderzocht of dit zorgt voor een
verminderd aantal patiënten met een postoperatieve pneumonie.



In beide verslagen wordt gebruik gemaakt van hyperlinks welke verwijzen naar de bijlagen.




3

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