,Inhoud
Inleiding.................................................................................................................................................. 2
Vier fasen palliatieve zorg....................................................................................................................... 3
2: Symptoomgerichte palliatie.........................................................................................4
3: Palliatie in de stervensfase..........................................................................................4
4: Nazorg......................................................................................................................... 4
Het verloop van de palliatieve fases................................................................................4
Problemen in de palliatieve fase............................................................................................................. 5
Veel voorkomende lichamelijke klachten in de laatste fase:...........................................5
Andere mogelijke lichamelijke klachten in de laatste fase:.............................................6
Psychische klachten:....................................................................................................... 6
Sociale kaart palliatieve zorg.................................................................................................................. 7
Actuele maatschappelijke problemen/ontwikkelingen.............................................................................8
Vernieuwde Zorgpad Stervensfase..................................................................................8
Medicamenteuze behandeling................................................................................................................ 9
Paracetamol:................................................................................................................... 9
NSAID’s:.......................................................................................................................... 9
Zwakwerkende opioïden:............................................................................................... 10
Sterkwerkende opioïden:............................................................................................... 10
Anti-emetica:................................................................................................................. 10
Meetinstrumenten in de palliatieve zorg............................................................................................... 10
Coping.................................................................................................................................................. 12
Praktijk.................................................................................................................................................. 13
Praktijk situatie 2................................................................................................................................... 15
PAT................................................................................................................................ 17
Feedback.............................................................................................................................................. 18
Bronnen................................................................................................................................................ 19
INLEIDING
2
, VIER FASEN PALLIATIEVE ZORG
Er bestaan vier fasen van palliatieve zorg hieronder benoem ik de vier fasen
van palliatieve zorg:
3
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