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Begeleidingsplan GGZ
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Begeleidingsplan geschreven tijdens onderdeel GGZ
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GGZ-VGGbegeleidingsplan
Ingrid – Met pieken en
dalen
,Titelpagina
1
, Inhoudsopgave
Titelpagina..............................................................................................................................................1
Inhoudsopgave.......................................................................................................................................2
Inleiding..................................................................................................................................................3
H1 Anamnese.........................................................................................................................................4
P1 gezondheidspatronen van Gordon................................................................................................4
P2 Observaties en metingen cliënt.....................................................................................................6
P3 ICF beschrijving..............................................................................................................................7
P4 Kernset patiëntproblemen............................................................................................................8
H2 Diagnose...........................................................................................................................................9
P1 opsomming problemen.................................................................................................................9
P2 Prioriteit problemen....................................................................................................................11
P3 PES...............................................................................................................................................13
H3 Planning van resultaten...................................................................................................................15
H4 Planning van interventies................................................................................................................17
P1 Interventies verpleegkundig zakboek..........................................................................................17
P2 Evidence-based interventie.........................................................................................................19
H5 Uitvoering zorg................................................................................................................................20
P1 Betrokkenheid zorg......................................................................................................................20
P2 Disciplines betrokken bij de zorg.................................................................................................21
H6 Evaluatie..........................................................................................................................................22
P1 Product evaluatie.........................................................................................................................22
P2 Proces evaluatie...........................................................................................................................23
Conclusie..............................................................................................................................................24
Nawoord...............................................................................................................................................25
Bronnenlijst..........................................................................................................................................26
Bijlage I – Uitwerking ziektebeeld.........................................................................................................28
Bijlage II – uitwerking medicatie...........................................................................................................31
Bijlage III – Rapportage slaap................................................................................................................32
Bijlage IV – PANAS scale.......................................................................................................................33
Bijlage V – Multidimensionale vermoeidheidsindex.............................................................................34
Bijlage VI – EBP artikel..........................................................................................................................37
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, Inleiding
In dit portfolio gaan we een begeleidingsplan voor Ingrid ontwikkelen. Hierbij wordt eerst haar
ziektebeeld uitgebreid besproken. Hierbij wordt er ook grondig gekeken naar het activiteitenpatroon
van Ingrid. Vervolgens worden alle problemen geordend en aan de hand daarvan stellen wij doelen
op voor Ingrid. Dit doen wij volgens de SMART methode. Daarnaast kijken wij wie er allemaal
betrokken zijn bij de uitvoering van de zorg. Wij kijken hier hoe Ingrid zelf haar bijdrage kan leveren
hier in, maar ook hoe haar naasten dat kunnen doen. Hiernaast worden de betrokken disciplines ook
nog besproken. Dit allemaal om ervoor te zorgen dat Ingrid een goede begeleiding kan krijgen.
3
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