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Uitvoeren, coördineren, organiseren en verbeteren van zorg

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In dit stageverslag komen alle vier de leeruitkomsten van VMS 7: - Leeruitkomst 1: De student plant, organiseert, coördineert en evalueert de zorg rondom meerdere zorgvragers met een midden-complexe zorg- zwaarte. - Leeruitkomst 2: De student werkt effectief samen met andere zorgprofessionals ti...

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  • December 5, 2023
  • 69
  • 2023/2024
  • Thesis
  • /
  • Unknown
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VMS 7: Uitvoeren,
coördineren, organiseren en
verbeteren van zorg




Willems, Astrid
[BEDRIJFSNAAM] [Bedrijfsadres]

,Inhoudsopgave
Inleiding............................................................................................................................................4
Leeruitkomst 1..................................................................................................................................5
1.1 Gekozen methodieken verpleegkundige zorg vaststellen............................................................5
Verpleegkundig proces......................................................................................................................................5
Systematisch Rehabilitatiegericht handelen (SRH)...........................................................................................5
1.2 In kaart brengen zorgbehoefte....................................................................................................5

Stap 1: Anamnese.................................................................................................................................................6

Stap 2: Diagnosen stellen......................................................................................................................................7
Diagnosen met hoogste prioriteit.....................................................................................................................7

Stap 3: Doelen stellen............................................................................................................................................8
Doel 1.................................................................................................................................................................8
Doel 2.................................................................................................................................................................8
Doel 3.................................................................................................................................................................8

Stap 4: Interventies...............................................................................................................................................8

Stap 5: Uitvoeren interventies...............................................................................................................................9

Stap 6: Evalueren................................................................................................................................................10
1.3 Zorg rondom meerdere zorgvragers..........................................................................................10

Identiteit van zorgvrager....................................................................................................................................11

Culturele achtergrond.........................................................................................................................................11

Aandacht spirituele en zingevings aspecten.......................................................................................................11

Gespreksvoering..................................................................................................................................................12
Reflectie grenzen stellen.................................................................................................................................12
Leeruitkomst 2................................................................................................................................14

Eigen professionele verpleegkundige rol............................................................................................................14
2.1 Inschakelen passende professional............................................................................................14

Verschillende belangen.......................................................................................................................................15
Psychiater........................................................................................................................................................15
Psycholoog.......................................................................................................................................................15
Ambulante teams............................................................................................................................................15

Communiceren met andere zorgprofessionals...................................................................................................16
Reflectie EVV-dienst........................................................................................................................................16
2.2 Zorgcontext in groter perspectief..............................................................................................17
2.4 Formatieve feedback.................................................................................................................18
Leeruitkomst 3................................................................................................................................19
3.1 Ethisch dilemma........................................................................................................................19

Probleem.............................................................................................................................................................19

1

, Feiten...................................................................................................................................................................19
Medisch...........................................................................................................................................................19
Zorg gerelateerd..............................................................................................................................................20
Levensbeschouwelijk en psychosociaal..........................................................................................................20
Organisatorisch...............................................................................................................................................21
Juridisch...........................................................................................................................................................21

Morele waarden..................................................................................................................................................21
Welzijn van de cliënt.......................................................................................................................................21
Autonomie van patiënt...................................................................................................................................21
Rechtvaardigheid.............................................................................................................................................21
Andere waarden..............................................................................................................................................22
Verantwoordelijkheid van zorgverleners........................................................................................................22

Besluitvorming....................................................................................................................................................22
Reflectie...........................................................................................................................................................24
3.2 Feedback...................................................................................................................................24

Feedback van collega’s.......................................................................................................................................24

Formatieve feedback...........................................................................................................................................25
Leeruitkomst 4................................................................................................................................26
4.1 Oriëntatiefase............................................................................................................................26

Risico patiëntveiligheid.......................................................................................................................................26
Visie kliniek volwassenen................................................................................................................................27
4.2 Definitiefase..............................................................................................................................27

Verbeterpunt-mindmap......................................................................................................................................27
Doelstellingen..................................................................................................................................................28

Knoster................................................................................................................................................................29

Verbetermaatregelen..........................................................................................................................................29
4.3 Voorbereidingsfase....................................................................................................................30

veranderstrategie................................................................................................................................................30
Factoren die weerstand veroorzaken.............................................................................................................30
Stakeholdersanalyse........................................................................................................................................31

Literatuuronderzoek............................................................................................................................................31
4.4 Implementatie fase....................................................................................................................32

Plan van aanpak (korte versie)...........................................................................................................................32
4.5 Realisatiefase.............................................................................................................................33
4.6 Reflectie.....................................................................................................................................33
Bronnenlijst.....................................................................................................................................34

Bijlage A: Overzicht ziektebeelden......................................................................................................................39

Bijlage B: Complexiteit van zorg bepalen...........................................................................................................42

Bijlage C: Persoonlijk profiel................................................................................................................................44


2

, Bijlage D: Diagnosen...........................................................................................................................................46

Bijlage E: Medicatieschema................................................................................................................................48

Bijlage F: Dagschema..........................................................................................................................................49

Bijlage G: Enquêtes.............................................................................................................................................50

Bijlage H: Verbetermaatregelen.........................................................................................................................56

Bijlage I: Caluwé kleurentest...............................................................................................................................57

Bijlage J: Stakeholdersanalyse............................................................................................................................58

Bijlage K: Nieuwe checklist..................................................................................................................................59

Bijlage L: Plan van aanpak..................................................................................................................................65

Bijlage M: Instructiekaart...................................................................................................................................68




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