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samenvatting fysieke revalidatie Volwassenen
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Volledige Samenvatting van Fysieke revalidatie volwassenen gegeven door Evelyn Vanderhaegen Heel de samenvatting is volledig
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FYSIEKE REVALIDATIEVOLWASSENEN:
EVELYN VANDERHAEGEN
Inhoud
ergotherapeutische rol bij de revalidatie van NAH patiënten..................................................................................5
groep 1 : cerebro vasculair accident (cva)............................................................................................................5
1
, MOTORISCHE STOORNISSEN.............................................................................................................................6
cognitieve stoornissen.......................................................................................................................................6
gedragsveranderingen/ stemmingsstoornissen................................................................................................7
vermoeidheidsproblemen.................................................................................................................................7
fatische stoornissen...........................................................................................................................................7
ERGOTHERAPEUTISCHE AANPAK ACUTE FASE-REVALIDATIEFASE-CHRONISCHE FASE....................................8
groep 2: traumatisch hersenletsel (THL)...............................................................................................................8
case study: PADL douche + aankleden..............................................................................................................9
cognitieve en fatische stoornissen na een nAH......................................................................................................11
cognitieve stoornissen.........................................................................................................................................11
cognitieve revalidatie..........................................................................................................................................11
ergotherapeutisch proces...................................................................................................................................12
Stap 1: Vraaginventarisatie en analyse...........................................................................................................12
Stap 2: Doelbepaling en plan van aanpak.......................................................................................................12
Stap 3: Uitvoering van het plan van aanpak...................................................................................................13
Stap 4: evaluatie en nazorg.............................................................................................................................14
fatische stoornissen.............................................................................................................................................14
groep 3: Multiple sclerose (ms)...........................................................................................................................14
oorzaak............................................................................................................................................................15
symptomen.....................................................................................................................................................15
natuurlijk ziekteverloop..................................................................................................................................15
diagnose bevestigen........................................................................................................................................15
behandeling.....................................................................................................................................................16
impact op het handelen..................................................................................................................................16
ergotherapeutisch proces: hoe gaan we te werk binnen de revalidatie?......................................................18
case study........................................................................................................................................................19
arm-handfunctie na een NAH.................................................................................................................................22
vaardigheden om te kunnen grijpen...................................................................................................................22
meest voorkomende stoornissen van het BovenLichaam na een NAH..............................................................22
sub luxatie van de schouder............................................................................................................................22
frozen shoulder...............................................................................................................................................22
schouder-handsyndroom................................................................................................................................23
hypertonie/spasticiteit....................................................................................................................................23
hyptonie..........................................................................................................................................................23
sensibiliteit- of gevoelsstoornissen.................................................................................................................24
recuperatie arm/handfunctie na een hersenletsel.............................................................................................24
herstel van arm/handfunctie na een hersenletsel..............................................................................................24
2
, wat bepaalt wel of niet het herstel.................................................................................................................24
multidisciplinaire aanpak....................................................................................................................................24
revalidatie arts.................................................................................................................................................25
verpleegkundigen............................................................................................................................................25
kinesitherapeut...............................................................................................................................................25
egrotherapeut.................................................................................................................................................26
ergotherapeutische rol bij het herstel van arm en handfunctie na een nah......................................................26
in de acute fase (hosppitalisatie afdeling).....................................................................................................26
ravlidatiefase...................................................................................................................................................26
revalidatiefase.................................................................................................................................................27
herintegratiefase/ chronische fase.................................................................................................................27
case study........................................................................................................................................................28
De rol van de ergotherapeut bij de revalidatie van Dwarslaesies..........................................................................29
dwarlaesie...........................................................................................................................................................29
uitval volgens niveau van letsel...........................................................................................................................30
paraplegie........................................................................................................................................................30
paraparese.......................................................................................................................................................30
tetraplegie.......................................................................................................................................................30
tetraparese......................................................................................................................................................31
gevolgen..........................................................................................................................................................31
impact op het handelen......................................................................................................................................31
tetraplegie C1-c4.............................................................................................................................................31
tetraplegie c5..................................................................................................................................................31
tetraplegie c6..................................................................................................................................................32
tetraplegie c7..................................................................................................................................................32
tetraplegie C8..................................................................................................................................................32
t1-t12...............................................................................................................................................................32
lumbale paraplegie..........................................................................................................................................33
ergotherapeutisch proces...................................................................................................................................33
case study............................................................................................................................................................34
perifere letsels van de schouder, arm en hand.......................................................................................................35
wanneer kan een hand functioneren?................................................................................................................35
perifere letsels.....................................................................................................................................................35
voorbeelden perifere letsels...........................................................................................................................36
revalidatie............................................................................................................................................................36
impact op het handelen......................................................................................................................................36
ergotherapeutisch proces...................................................................................................................................37
3
, case study............................................................................................................................................................37
Taak van de ergotherapeut bij een knie /of heupproblematiek.............................................................................38
revalidatie na een knieprothese.........................................................................................................................38
anatomie en functie van de knie.....................................................................................................................38
wanneer wordt een knieprothese geplaatst?.................................................................................................38
pre operatieve consultaties: wie komt er allemaal langs?.............................................................................39
behandelplan post operatief...........................................................................................................................39
taak van de ergotherapeut..............................................................................................................................39
revalidatie na een heupprothese........................................................................................................................42
anatomie van het heupgewricht.....................................................................................................................42
waarom een heupprothese?...........................................................................................................................42
revalidatie na het plaatsen van een heupprothese........................................................................................43
taak van de ergotherapeut..............................................................................................................................43
ergotherapie na amputatie.....................................................................................................................................45
wat is een amputatie?.........................................................................................................................................45
oorzaken om over te gaan tot een amputatie....................................................................................................45
1e oorzaak= diabetes als belangrijkste oorzaak (95%) grootste oorzaak........................................................46
2e oorzaak= trauma.........................................................................................................................................46
3de oorzaak= bottumoren................................................................................................................................46
na de operatie.................................................................................................................................................47
behandeling.....................................................................................................................................................47
impact op het dagelijks handelen...................................................................................................................47
ergotherapeutisch proces...................................................................................................................................48
stap 1: vraaginventarisatie en analyse............................................................................................................48
stap 2: doelbepaling en plan van aanpak opmaken........................................................................................49
stap 3: uitvoeren van plan van aanpak...........................................................................................................53
stap 4: evaluatie en nazorg.............................................................................................................................53
soorten prothesen...............................................................................................................................................54
cosmetische prothese.....................................................................................................................................54
mechanische of actieve armprothesen...........................................................................................................54
prothese met myo elektrische aansturing......................................................................................................54
transferprothese.............................................................................................................................................54
sport prothese.................................................................................................................................................55
assesment in de fysieke revalidatie........................................................................................................................55
assesment............................................................................................................................................................55
assesment om een oordeel te vormen...........................................................................................................56
het gaat om specifieke prestaties.......................................................................................................................56
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