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Analyse Zorg SituatieNaam en studentnummer
Klas
Naam en code cursus Analyse zorgsituatie (AZS), OVK31AZS01
Instellingsdocent
Stage instelling
Stagebegeleider
Praktijkopleider
Onderwijsinstelling Hogeschool Rotterdam
Opleiding en leerjaar Verpleegkunde, jaar 3
Kwartaal en datum OP9 en OP10, 8 december 2021
, Inhoudsopgave
Inleiding ....................................................................................................................................................... 3
Stap 1: Gegevensverzameling ..................................................................................................................... 4
1.1. Hulpvraag cliënt ............................................................................................................................... 4
1.2. SBAR ................................................................................................................................................. 4
1.3. 11 patronen van Gordon.................................................................................................................. 5
1.4. Samenvatting ziektescript artrose ................................................................................................... 7
1.5. Beargumentatie keuze methodiek voor gegevensverzameling ...................................................... 8
Stap 2: Diagnose .......................................................................................................................................... 9
2.1. Diagnoses ......................................................................................................................................... 9
2.2. Definitieve diagnoses ..................................................................................................................... 11
Stap 3: Doelen en zorgresultaten .............................................................................................................12
3.1. Diagnose: Risico op vallen .............................................................................................................. 12
3.2. Diagnose: Verminderde mobiliteit................................................................................................. 12
3.3. Diagnose: Chronische pijn.............................................................................................................. 13
Stap 4: Interventies/planning ....................................................................................................................14
4.1. Interventies bij Risico op vallen ..................................................................................................... 14
4.2. Interventies bij Verminderde mobiliteit ........................................................................................ 15
4.3. Interventies bij Chronische pijn ..................................................................................................... 15
4.4. Wie doet wat en wanneer wordt er geëvalueerd? ....................................................................... 16
Stap 5: Interventies toepassen..................................................................................................................17
5.1. Risico op vallen ............................................................................................................................... 17
5.2. Verminderde mobiliteit.................................................................................................................. 17
5.3. Chronische pijn............................................................................................................................... 17
Stap 6: Nabeschouwing/evaluatie ............................................................................................................18
6.1. Bereiken van gewenste resultaat .................................................................................................. 18
6.2. Veiligheid patiënt ........................................................................................................................... 18
6.3. Reflectie verpleegkundige rol ........................................................................................................ 18
6.4. Klinische dilemma .......................................................................................................................... 18
Literatuurlijst .............................................................................................................................................19
Bijlage 1: Ziektescript artrose....................................................................................................................21
Bijlage 2: Valrisico test ..............................................................................................................................25
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