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Stageportfolio Praktijkleren 3 cijfer 8!!!
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In dit document vind je de opdrachten klinisch redeneren en de CAT volledig uitgewerkt.
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StageportfolioKlinisch redeneren, Onderzoekend vermogen
PL3
,Inhoudsopgave
Inhoudsopgave............................................................................................................................................2
Voorwoord...................................................................................................................................................3
Klinisch redeneren.......................................................................................................................................4
Hoofdstuk 1. Probleemoriëntatie............................................................................................................4
1.1 Situation......................................................................................................................... 5
1.2 Background.................................................................................................................... 5
1.3 Assessment.................................................................................................................... 5
1.4 Recommendation........................................................................................................... 7
Hoofdstuk 2. Probleemanalyse................................................................................................................8
2.1 Disfunctionele orgaansystemen......................................................................................9
2.2 SCEGS......................................................................................................................... 10
Hoofdstuk 3. Aanvullend onderzoek en diagnose..................................................................................10
3.1 Aanvullend onderzoek..................................................................................................10
3.2 Verpleegkundige diagnoses.........................................................................................12
Hoofdstuk 4. Klinisch beleid...................................................................................................................13
4.1 Verpleegkundige interventies.......................................................................................13
4.2 Shared-decision making...............................................................................................16
Hoofdstuk 5. Klinisch verloop................................................................................................................17
5.1 Korte termijn................................................................................................................. 17
5.2 Lange termijn................................................................................................................ 18
5.3 Interventies zelfmanagement........................................................................................19
5.4 Professionele zorg en mantelzorg................................................................................20
Hoofdstuk 6. Evaluatie...........................................................................................................................21
6.1 Evaluatie zorgproces....................................................................................................21
6.2 Verloop zorgproces......................................................................................................22
6.3 Kritische reflectie op het gebruik van het Elektronisch Patiëntendossier (EPD)............22
Literatuurlijst.........................................................................................................................................23
Bijlagen..................................................................................................................................................27
Bijlage 1. EWS................................................................................................................... 28
Bijlage 2. Labwaarden........................................................................................................29
Onderzoekend vermogen..........................................................................................................................32
Samenvatting.........................................................................................................................................32
2
, Inleiding (Probleemanalyse)..................................................................................................................34
Doelstelling......................................................................................................................... 35
PICO.................................................................................................................................. 36
Essentiele variabelen.........................................................................................................36
Methode................................................................................................................................................36
In-exclusie criteria..............................................................................................................37
Zoektermen........................................................................................................................ 37
Zoekplan............................................................................................................................ 39
Resultaten..............................................................................................................................................41
Discussie................................................................................................................................................44
Conclusie...............................................................................................................................................45
Advies....................................................................................................................................................46
Literatuurlijst.........................................................................................................................................47
Bijlagen..................................................................................................................................................50
Bijlage 1. Beoordelingslijsten wetenschappelijke onderzoek publicaties............................50
Voorwoord
Ik heb tijdens praktijkleren drie stagegelopen in het Diakonessenhuis op de afdeling …….. In
deze periode heb ik gewerkt aan verschillende opdrachten. In dit verslag zijn de opdrachten
klinisch redeneren en onderzoekend vermogen terug te vinden.
3
, Om de privacy van de patiënt in de opdracht van klinisch redeneren te bewaren is de AVG-wet
in acht genomen. De patiënt wordt aangeduid met de heer/dhr. De gegevens zijn niet te
herleiden naar de desbetreffende patiënt.
Klinisch redeneren
Hoofdstuk 1. Probleemoriëntatie
4
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