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Samenvatting geriatrie_dementie

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Verdiep je in deze samenvatting in de complexe wereld van geriatrie met een nadruk op dementie. Ontdek de intrigerende aspecten van deze aandoening die de cognitieve vermogens aantast en het dagelijks leven van ouderen beïnvloedt. Deze samenvatting belicht de verschillende vormen van dementie, dia...

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  • December 15, 2023
  • 25
  • 2023/2024
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HOORCOLLEGES GERIATRIE 2
2023-2024

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, Hoorcolleges Geriatrie (SARA)
Inhoudsopgave
Hoorcolleges Geriatrie (SARA)........................................................................................................................ 1

HOORCOLLEGE 1 Wat is dementie?................................................................................................................ 3

Onze bril : Redenen onbegrepen of vreemd gedrag........................................................................................3
1)Andere tijdsgeest en cultuur..............................................................................................................................3
2)Lichamelijke ongemakken..................................................................................................................................3
Biologisch verouderingsproces.........................................................................................................................3
Fysieke beperkingen..........................................................................................................................................3
Gehoorproblemen............................................................................................................................................4
Problemen met zicht.........................................................................................................................................4
3)Cognitieve veranderingen..................................................................................................................................4
4)Het gevoel ‘niet meer mee te tellen’..................................................................................................................5
5)Opgestapelde rouw / verlieservaringen............................................................................................................5

Wat is dementie?........................................................................................................................................... 6
Oorzaak dementie?...........................................................................................................................................6
Vormen van dementie.......................................................................................................................................7

Vormen dementie.......................................................................................................................................... 7
De ziekte Van Alzheimer........................................................................................................................................7
Wat?..................................................................................................................................................................7
Oorzaak: niet te kennen voor dit vak (komt wel terug)....................................................................................7
Stoornis korte termijngeheugen:......................................................................................................................7
Stoornis lange termijngeheugen:......................................................................................................................8
Vasculaire dementie..............................................................................................................................................8
Oorzaak:............................................................................................................................................................8
Frontotemporaal dementie...................................................................................................................................8
Symptomen:......................................................................................................................................................8
Ziekte van Lew-body.............................................................................................................................................8
Symtomen.........................................................................................................................................................8
Restcategorie........................................................................................................................................................9
Diagnose...............................................................................................................................................................9
Differentiaal Diagnose..........................................................................................................................................9
Diagnose...............................................................................................................................................................9
Behandeling..........................................................................................................................................................9

Hoorcollege 2 Fasen van dementie............................................................................................................... 11
Intro.....................................................................................................................................................................11
Verschillende fase van dementie (Dementiebeelden).........................................................................................11
1.Bedreigde.....................................................................................................................................................11
2.Verdwaalde...................................................................................................................................................12
3.Verborgen.....................................................................................................................................................12

1

, 4.Verzonken.....................................................................................................................................................13
Validation – Naomie Feil.....................................................................................................................................13
............................................................................................................................................................................14
Omgaan met veranderend gedrag.....................................................................................................................14
Onze bril..........................................................................................................................................................14
Wat maakt gedrag soms moeilijk om ermee om te gaan?.............................................................................14
Mogelijke oorzaken van veranderend gedrag.................................................................................................14
Belang van persoonsgerichte zorg – Tom Kitwood.........................................................................................14

HC3: communicatie bij personen met dementie...........................................................................................15
Communicatie.....................................................................................................................................................15
Hoe communiceren wij?......................................................................................................................................15
Problemen met communicatie bij dementie.......................................................................................................15
Voorwaarden om goed contact te houden.....................................................................................................15
Contacttips bij ouderen met en zonder dementie..........................................................................................15
Communicatie bij dementie – de verschillende fasen.........................................................................................16
Beginnende dementie.....................................................................................................................................16
Matige dementie.............................................................................................................................................16
Ernstige dementie...........................................................................................................................................16
Concrete tips in omgang en communicatie........................................................................................................16
1. PMD komt moeilijk uit zijn woorden..........................................................................................................17
2. PMD kan zijn gevoelens of voorkeuren slecht kenbaar maken..................................................................17
3. PMD begrijpt u of anderen moeilijk............................................................................................................17
4. PMD persevereert.......................................................................................................................................17
5. Toch een conflict?.......................................................................................................................................17

Hoorcollege 4 1. Profiel ergotherapeut in de geriatrie...................................................................................17
Functieprofiel WZC en G-dienst.....................................................................................................................17
2.geriatrisch profiel.............................................................................................................................................18
1. Verminderde homeostase...........................................................................................................................18
2. Multipele, chronische pathologie...............................................................................................................18
3. Bedreigde validiteit.....................................................................................................................................19
4. Polyfarmacie................................................................................................................................................19
5. Eigen ziektebeloop......................................................................................................................................20
6. Somato-psychosociale verwevenheid.........................................................................................................20
3. Psychosociale kenmerken bij ouderen............................................................................................................20
Achterdocht....................................................................................................................................................20
Affectlabiliteit..................................................................................................................................................20
Agressie...........................................................................................................................................................21
Angst...............................................................................................................................................................21
Apathie............................................................................................................................................................21
Claimen...........................................................................................................................................................21
Deliriant gedrag...............................................................................................................................................21
Deliriant gedrag /Depressief...........................................................................................................................21
Dwangmatig gedrag........................................................................................................................................22
Illusies, hallucinaties, wanen..........................................................................................................................22
Ontremd gedrag..............................................................................................................................................22
Roepen............................................................................................................................................................22
Vergeetachtigheid...........................................................................................................................................22
Hechting..........................................................................................................................................................22

Vermissing van personen dementie.............................................................................................................. 22

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