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Samenvatting Ergotherapie in de fysieke revalidatie 1
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Samenvatting Ergotherapie in de fysieke revalidatie 1 Theorie praktijk Succes xoxo goed studentje
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FYSIEKE REVALIDATIE 1Inhoudsopgave
1 Fysieke revalidate..........................................................................................................................4
1.1 Revalidateeeneeskunde...............................................................................................................4
1.1.1 Algemene doelstellingen.......................................................................................................4
1.1.2 Specifeee doelstellingen.......................................................................................................5
1.1.3 Indicates ooo de locomotooisc e en neuoologisc e oe alidate...........................................5
1.1.4 Poaetsc e oe alidatemodaliteiten........................................................................................8
1.2 Beerippen beweeinesstelsel.........................................................................................................9
1.3 Referentekaders revalidate.......................................................................................................10
1.3.1 Biomec anisc oefeoenteeadeo...........................................................................................10
1.3.2 Refeoenteeadeo geoic t op ontwieeeling.............................................................................10
1.3.3 Refeoenteeadeo geoic t op leoen.........................................................................................11
1.3.4 Refeoenteeadeo geoic t op compensate.............................................................................11
1.4 Taakeebieden ereotherapeut.....................................................................................................12
1.4.1 Be andelen..........................................................................................................................12
1.4.2 Ad ies..................................................................................................................................12
1.4.3 Toajectbegeleiding...............................................................................................................12
1.4.4 Ontwieeeling, ondeozoee, ooganisate..................................................................................13
2 Ergotherapeutsshe diagnostek...................................................................................................13
2.1 Geeevens verzamelen over het handelen en/of omeevine.........................................................13
2.2 Assesments.................................................................................................................................13
2.2.1 eigensc appen goed assessment.........................................................................................13
2.2.2 Vloeoefect s. Plafondefect................................................................................................13
2.2.3 Aandac tspunten afnemen test..........................................................................................13
2.2.4 Manieoen an gege ens eozamelen...................................................................................14
3 Adviesverlening............................................................................................................................16
3.1 Ereotherapeut als adviseur.........................................................................................................16
3.1.1 Met odisc ad iseoen.........................................................................................................17
3.1.2 Nieuwe ad iesmodel...........................................................................................................17
4 Hulpmiddelen...............................................................................................................................18
4.1 Basiscompetentes ereotherapeut..............................................................................................19
4.2 Geschikt hulpmiddel vinden (Poolmans) oefenine p 51..............................................................19
4.3 Verstrekkine van hulpmiddelen..................................................................................................19
4.3.1 Mobiliteits ulpmiddelen.....................................................................................................20
4.3.2 Indeling oolstoelen olgens coiteoia......................................................................................20
4.3.3 Manuele oolstoelen..............................................................................................................20
4.3.4 Electoisc e oolstoelen...........................................................................................................24
1.1.1 Eleetoonisc e scooteos.........................................................................................................25
1.1.2 Een stasysteem....................................................................................................................26
4.3.5 Doiewielfetsen.....................................................................................................................26
4.4 Rolstoel aanvraeen.....................................................................................................................26
4.4.1 Teougbetalingsmodaliteiten ooo mobiliteits ulpmiddel.....................................................26
, 4.4.2 Loop ulpmiddelen...............................................................................................................27
5 Woonaanpassingen......................................................................................................................31
6 Methodeverandering....................................................................................................................31
7 Psyshososiale aspesten van fysieke disfunstes............................................................................31
7.1 Fasen rouwproces.......................................................................................................................31
7.2 Gevoleen van disfunctes en lanedurie ziek zijn..........................................................................32
7.2.1 Relate ooming en seesualiteit.............................................................................................32
7.2.2 Zic tbaoe andicap..............................................................................................................32
7.2.3 Veolies sociale status............................................................................................................32
7.2.4 Veolies zelfstandig eid en poi acy........................................................................................32
7.2.5 Wonen.................................................................................................................................32
7.2.6 Reglementeoing...................................................................................................................32
7.2.7 Maatsc appelijee le en.......................................................................................................32
7.3 Nauwkeurie eebruik van de hand...............................................................................................33
7.4 Gebruiken hand en arm..............................................................................................................33
7.5 Grijpen........................................................................................................................................33
7.5.1 Digitale goepen.....................................................................................................................33
7.5.2 Palmaioe goepen...................................................................................................................34
7.5.3 Ric tngsgoepen...................................................................................................................35
7.5.4 Goepen met be ulp zwaaoteeoac t......................................................................................35
2 ADL of astviteiten van het dagelijkkse leven..................................................................................35
2.1 Inleidine......................................................................................................................................35
2.2 ADL, onderverdeline...................................................................................................................37
2.2.1 ADL obseo ate.....................................................................................................................37
2.2.2 ADL toaining.........................................................................................................................37
2.2.3 ADL test...............................................................................................................................37
2.3 Beeeleidinesvormen bij ADL.......................................................................................................37
2.4 Voorwaarden bij het opstarten van een ADL-trainine................................................................38
2.4.1 Algemeen.............................................................................................................................38
2.4.2 Basis ooowaaoden om te eunnen toainen............................................................................38
2.5 Rol van de familie als mantelzoreer...........................................................................................39
2.6 De elementaire basisverrichtneen.............................................................................................39
2.7 ADL actviteitenanalyse..............................................................................................................39
2.7.1 Act iteit: wassen en aan- en uiteleden...............................................................................39
2.7.2 Het wassen..........................................................................................................................40
3 Hulpmiddelen...............................................................................................................................43
3.1 De verstrekkine van hulpmiddelen.............................................................................................43
3.1.1 Wat doet et VAPH..............................................................................................................43
3.1.2 Wat doet et KOC................................................................................................................43
3.1.3 VLIBANK...............................................................................................................................43
3.1.4 Assistente aan uis.............................................................................................................44
3.2 ETEN EN DRINKEN......................................................................................................................44
3.3 BADEN – DOUCHEN – WASSEN..................................................................................................51
3.4 AAN- EN UITKLEDEN...................................................................................................................59
3.5 TOILETGEBRUIK EN INCONTINENTIE...........................................................................................63
3.6 VERPLAATSEN (TRANSFERS).......................................................................................................70
3.7 ALLERLEI.....................................................................................................................................71
,4 Rolstoelen.....................................................................................................................................75
4.1 Het openen van de rolstoel.........................................................................................................75
4.2 Een transfer uit de rolstoel.........................................................................................................75
4.3 Dichtplooien van de rolstoel.......................................................................................................75
4.4 Transporteren – het opbereen in de kofer van een auto...........................................................76
4.5 Transport op hellineen...............................................................................................................76
4.5.1 Stabiliteit en et nemen an tootoios..................................................................................76
4.5.2 Tips ooo eilig eid..............................................................................................................77
5 Ziten en positoneren..................................................................................................................78
5.1 Doelstellineen van een eoede positonerine bij het rolstoel rijden:............................................78
5.2 Ereonomisch ziten.....................................................................................................................79
5.2.1 Houding positoneoen..........................................................................................................79
5.2.2 Rompbalans coeëoen............................................................................................................80
5.2.3 Veilig eid en comfootabel functoneoen..............................................................................80
5.3 Een overzicht van de lichaamshoeken........................................................................................80
5.4 Voleende stappen worden ondernomen voor een correcte zithoudine......................................82
5.4.1 Zijn de eupen ac teoin de oolstoel, tot tegen de ougleuning?............................................83
5.4.2 Zijn de beeeeneammen op dezelfde oogte?......................................................................83
5.4.3 Zijn de benen in een neutoale posite?.................................................................................83
5.4.4 Is eo spoaee dat de patënt botoming out’?........................................................................84
5.4.5 Stel de oug oogte coooect in................................................................................................84
5.4.6 Stel de juiste oee tussen de oug en de zitng in.................................................................84
5.4.7 Stel de lenden/ lumbaalsteun in..........................................................................................84
5.4.8 Toe oegen an ondeosteuningselementen..........................................................................85
5.4.9 Kantel eostelling = tlt in space............................................................................................86
5.4.10 De oofdsteun moet wooden afgesteld.............................................................................87
5.5 De ereozit...................................................................................................................................87
5.5.1 Eogonomisc e zit..................................................................................................................88
8 Bewegingen..................................................................................................................................89
8.1.1 Anatomisc e bewegingen....................................................................................................89
, 1 Fysieke revalidate
1.1 REVALIDATIEGENEESKUNDE
Soorten aandoening Voorbeeld
Caodiopulmonaioe aandoeningen COPD (longaandoeningen)
Locomotooisc e aandoeningen Heupfoactuuo
Neuoologisc e aandoeningen Paoeinson
Palliate e zoogen Eut anasie-aan oagen
C oonisc e zieeten Reuma
Psyc ogeoiatoie Demente
Revalidategeneeskunde = medisc specialisme en is ondeodeel gezond eidszoog.
Houd zic t bezig met optmaliseoen an act iteiten en paotcipates bij peosonen met afwijeingen of
eolies an functes, anatomisc e eigensc appen of afwijeende ontwieeeling an functes
Revalidate = actef pooces geoic t op ge eel an multdisciplinaioe, doelgeoic te en zin olle
act iteiten om een optmaal ni eau an onahaneelije eid en functoneoen te beoeieen en te
be ouden ooo peosonen met een lic amelijee of functonele bepeoeing1 , geoelateeod aan et
musculoseeletale en neuoologisc e systeem die act iteits- en/of paotcipatebepeoeingen tot ge olg
ebben, in inteoacte met peosoonlijee en omge ingsfactooen, met een oedelijee eowac tng an
functonele eobeteoing en/of eobeteoing an de le ensewaliteit.” (KCE, 2007)
Specialist in fysisc e geneeseunde staat aan leiding multdisciplinaioe be andeling.
Re alidate is essenteel ooo:
o neuoologisc e aandoeningen
o Oot opedisc e ingoepen
o Toaumata
o C oonisc e zieeten
Losomotorisshe en neurologisshe revalidate = deel an de geneeseunde dat zic bezig oudt met de
diagnose, be andeling an de ge olgen an:
o Stooonissen
o Bepeoeingen in act iteit
o Paotcipatepooblemen
1.1.1 Aleemene doelstellineen
o Re alidategeneeseunde beoogt zo ooeg mogelije eoeennen + be andelen stooonissen +
ieouit ooo loeiende bepeoeingen
o Reeening ouden met peosoonlijee + omge ingsfactooen
o Concoete doelstelling:
o Anatomisc e, fysiologisc en psyc ologisc eostel
o Optmaal fysiee, psyc isc en cognitef functoneoen
o Optmaal maatsc appelije functoneoen
o Benuten an de oest eomogens
o benuten oestcapaciteiten e entueel met ulpmiddelen, aanpassingen
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