Summary

Samenvatting over complexiteit & chroniciteit

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Course
Complexiteit & chroniciteit

Institution
Hogeschool Utrecht (HU)

Dit is een samenvatting over de module complexiteit en chroniciteit waar veel verschillende onderwerpen aan bod komen. Dit komt uit het 3e leerjaar van de studie fysiotherapie aan de HU.

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Uploaded on October 12, 2023
Number of pages 77
Written in 2022/2023
Type Summary

complexiteit
chroniciteit
covid
mantelzorger
immunologie
interproffesioneel
vermoeidheid
ebp
parkinson
reuma
dramadriehoek
slecht nieuws
alk
hoofdpijn
communicatie
slaap
copd
hartfalen
cc
ms

Institution
Hogeschool Utrecht (HU)
Education
Fysiotherapie
Course
Complexiteit & chroniciteit

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Inhoud
Pathologie................................................................................................................................................ 3
Reumatologie ........................................................................................ Error! Bookmark not defined.
Neurologie ........................................................................................................................................... 3
Hart- en vaatziekten ............................................................................................................................ 7
Oncologie – gevolgen ........................................................................................................................ 10
Longaandoeningen ............................................................................................................................ 11
Stress en psychosomatiek ................................................................................................................. 14
Farmacologie ......................................................................................................................................... 22
Medicatieleer .................................................................................................................................... 22
Fysiologie ............................................................................................................................................... 23
Homeostase en biologische regelprincipes ....................................................................................... 23
Fysiologie van groei en veroudering ................................................................................................. 33
Inspanningsfysiologie en trainingsleer .............................................................................................. 33
Diagnostiek en onderzoek ..................................................................................................................... 33
Analyse gezondheidsprobleem ......................................................................................................... 33
Anamnese .......................................................................................................................................... 34
Prognostisch profiel........................................................................................................................... 35
Cardiovasculaire aandoeningen (hart en vaat revalidatie) ............................................................... 35
Respiratoire aandoeningen (longtraining) ........................................................................................ 37
Psychosociale klachten ...................................................................................................................... 38
Reumatologische aandoeningen – diagnostiek................................................................................. 38
Bewegingstherapie ................................................................................................................................ 40
Afname van stoornissen .................................................................................................................... 40
Toename van participatie binnen de samenleving ........................................................................... 44
Toename van zelfredzaamheid – zelfverzorging – zelfstandigheid .................................................. 46
Afname van beperkingen in activiteit ............................................................................................... 47
Wetenschappelijke oriëntatie ............................................................................................................... 48
Klinimetrie ......................................................................................................................................... 48
Levels of evidence ............................................................................................................................. 58
Theorie fysiotherapie ............................................................................................................................ 58
Beroepseigen en beroeps gerelateerde richtlijnen en protocollen .................................................. 58
Internationaal geaccepteerde modellen: .......................................................................................... 59
Bio-psycho-sociaal model .................................................................................................................. 60
HOAC (Hypothesis Oriented Algorithmen for Clinicians II) ............................................................... 61
Sociologie .............................................................................................................................................. 63
Zorgsysteem, zorgorganisatie, zorgverzekering ................................................................................ 63

, Ontwikkelingen zorgsysteem ............................................................................................................ 65
Mantelzorg ........................................................................................................................................ 65
Communicatie ....................................................................................................................................... 67
Motivational interviewing ................................................................................................................. 67
Theorie interprofessioneel samenwerken ........................................................................................ 71
Communicatie Interculturele communicatie .................................................................................... 71
Gespreksvaardigheden ...................................................................................................................... 71
Psychologie ............................................................................................................................................ 72
Emoties en coping ............................................................................................................................. 72
Modellen en vragenlijsten ................................................................................................................. 75
Ondernemen in de zorg......................................................................................................................... 76
eHealth .............................................................................................................................................. 76

,Pathologie
Neurologie
Incidentie Prevalentie
MS ??????????????????????????? 1:500
M.P 0,2-0,3:1000 per jaar 1:330
Multiple sclerose; aantasting myelineschede -> sclerotische plaque
geopende bloed hersenbarrière -> afbraak axonen
- Witte stof gaat verloren
- Littekens blijven over
- Kortsluiting doordat geleiding niet meer mogelijk is (binnen cel)
- Cel sterft

Beeldvorming via MRI; sclerotische plaques zichtbaar als witte vlekken
Relapse = schub = exacerbatie (=aanval)

Demyelinisatie en remyelinisatie (negatief beïnvloed door 2 ((NO. Onderstaand))
1. Oligondendrocyten
2. Fibronectine klontert samen dus moeilijk afgebroken

Soorten ms;
- Relapse-remitting
- Primary-progressive
- Secondary-progressive
- Progressive-relapsing

1. Hypotonie
2. Hypermetrie in balans en coördinatie
3. Hypo/hyper-sensibiliteit

1. Visus 70% Neuritis nervus optica
2. Vermoeidheid 80-90%
3. Hypo/hyper/anesthesie / pijn 80-90%
4. Motorische problemen >80%
5. Mentale problemen 43-70%
6. Urogenitaal 60%

1. Ataxie 80% ooit een keer voor of blijvend
2. Dysarthrie
3. Mictie
4. Seksueel
5. Psychisch
6. Vermoeidheid

1. McD criteria (2010)
2. Min 2 laesies
3. Locatie en tijd

,

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