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Stageportfolio, GVE-2.PL2-17, Praktijkleren 2, CIJFER 8,5 Dit document bevat klinisch redeneren en onderzoekend vermogen. $8.09   Add to cart

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Stageportfolio, GVE-2.PL2-17, Praktijkleren 2, CIJFER 8,5 Dit document bevat klinisch redeneren en onderzoekend vermogen.

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Stageportfolio, GVE-2.PL2-17, Praktijkleren 2, met een indrukwekkend cijfer van 8,6! Deze uitgebreide verslag omvat grondige besprekingen van klinisch redeneren en onderzoekend vermogen. De casus concentreert zich op schizofrenie binnen een somatische afdeling.

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  • November 22, 2023
  • 30
  • 2022/2023
  • Case
  • -
  • 8-9
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Klinisch redeneren en
10-11-2022 onderzoekend vermogen
HBO-V-DUAAL PL2




Naam:
Studentnummer: 1817014
Studiegroep: GVE-1DUV-A
Cursus: GVE-2.PL2-17
Docent:

,§§




Inhoudsopgave
Inleiding........................................................................................................................................................ 2

Casusbeschrijving.......................................................................................................................................... 3
Medische voorgeschiedenis.................................................................................................................................4
Medicatie.........................................................................................................................................................4

Gegevens verzamelen.................................................................................................................................... 5
Anamnese.............................................................................................................................................................5
Aanvullende gegevens.....................................................................................................................................5
Lichamelijk welbevinden......................................................................................................................................6
Mentaal welbevinden...........................................................................................................................................6
Participatie...........................................................................................................................................................6
Woon- en leefomgeving.......................................................................................................................................6

Zorgtraject..................................................................................................................................................... 7
Betrokken disciplines............................................................................................................................................8
Vaststellen van de problemen: Shared decision making......................................................................................9

Diagnostiek.................................................................................................................................................. 10
Anatomie en functie...........................................................................................................................................10
Neurologisch zenuwstelsel............................................................................................................................10
Cardiovasculair systeem................................................................................................................................10
Externe en persoonlijke factoren ......................................................................................................................11
Beperkende factoren: ..................................................................................................................................11
Versterkende factoren: ...............................................................................................................................11
Copingstijlen .....................................................................................................................................................11
Activiteiten en participatie.................................................................................................................................12
Kwaliteit van leven.............................................................................................................................................12
Perceptie.............................................................................................................................................................12

Verpleegkundige Diagnose........................................................................................................................... 13
Verpleegkundige diagnose 1:.............................................................................................................................13
Verpleegkundige diagnose 2:.............................................................................................................................13
Verpleegkundige diagnose 3:.............................................................................................................................13

Resultaat..................................................................................................................................................... 14
Verpleegkundige doelen en interventies............................................................................................................14

Evaluatie...................................................................................................................................................... 16
Overdracht.........................................................................................................................................................17

Nawoord..................................................................................................................................................... 18

Literatuurlijst............................................................................................................................................... 19

1

, Bijlages........................................................................................................................................................ 21

Inleiding
Voor u ligt het verslag ‘Klinisch redeneren en onderzoekend vermogen’ voor het vak
‘Praktijkleren 2’. Deze casus heb ik uitgewerkt volgens het verpleegkundig proces en betrek
daarbij wetenschappelijke onderzoeken.

De afdeling somatiek waar ik op dit moment werkzaam ben als verpleegkundige heeft
cliënten langdurig in de zorg met somatische problematiek. De afdeling ligt in een
seniorencomplex met zorgappartementen, hier verblijven veelal cliënten die het in de
thuissituatie niet (meer) redden en 24-uurs zorg nodig hebben. De cliënten hebben met
name meerdere klachten tegelijkertijd, ofwel er is sprake van co-morbiditeit.
De keuze is naar deze casus gegaan omdat ik desbetreffende psychosomatische
ziektebeeld interessant en complex vind.

Om de privacy van de zorgvrager te waarborgen zal ik in dit document refereren naar ‘Dhr.’,
‘Dhr. L’ of ‘de cliënt’.




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