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Klinisch redeneren. Behaald met een 8
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Essay van 17 pagina's voor het vak OHBOV03 Klinisch redeneren voor verpleegkundigen aan de Saxion (Klinisch Redeneren)
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OHBOV03 KLINISCHREDENEREN VOOR
VERPLEEGKUNDIGEN
Saxion Hogescholen Enschede Parttime School
,Voorwoord
Voor de module Klinisch Redeneren voor verpleegkundigen heb ik onderstaand verslag geschreven.
In het verslag vindt u een inventarisatie van gezondheidsproblemen van een zorgvrager op basis van
een casuïstiek uit mijn huidige werkomgeving. De gezondheidsproblemen worden in kaart gebracht
door middel van een ordeningsmodel wat uiteindelijk de basis is voor een verpleegplan.
.
1
, Inhoudsopgave
Voorwoord.............................................................................................................................................1
Inhoudsopgave.......................................................................................................................................2
1. Inleiding..............................................................................................................................................3
1.1 Aanleiding.....................................................................................................................................3
1.2 Casuïstiek......................................................................................................................................3
1.3 Kern- en HBO competenties.........................................................................................................3
1.4 Leeswijzer.....................................................................................................................................3
2. Ordeningsmodellen............................................................................................................................4
2.1 Camberwell assessment of Needs................................................................................................4
2.1 Gezondheidspatronen van Gordon...............................................................................................4
2.3 Argumentatie gekozen ordeningsmodel.......................................................................................4
3. Anamnese...........................................................................................................................................5
3.1 Anamnese uitgewerkt...................................................................................................................5
4. Verpleegkundige diagnose.................................................................................................................7
4.1 Clusteren van belemmerende factoren en hypothetische diagnosen..........................................7
4.2 Aangenomen verpleegkundige diagnosen...................................................................................8
5. Verpleegkundige doelen en interventies..........................................................................................10
5.1 Beperkte inspanningstolerantie..............................................................................................10
5.3 Verstoorde stemmingsregulatie.............................................................................................11
Slotwoord.............................................................................................................................................13
Literatuurlijst........................................................................................................................................14
Bijlage 1 : Zorgplan.................................................................................................................................0
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