Tijdens de derde praktijkleerperiode (PLP3) is de module Beargumenteren van zorg afgerond waarbij het verpleegkundig proces in kaart wordt gebracht door middel van klinisch redeneren. De module is afgerond met een 8,5!
, Voorwoord..............................................................................................................................................3
Inleiding..................................................................................................................................................5
Heroïnebehandelunit Groningen............................................................................................................6
Huidige situatie van de HBU...............................................................................................................7
Toekomst van de HBU.........................................................................................................................8
1. Het model van Rosendal.....................................................................................................................8
1.1 Casuïstiek......................................................................................................................................9
1.1.1 Vastgestelde diagnostiek........................................................................................................9
1.1.2 Medicatie...............................................................................................................................9
2. Gegevensverzameling.........................................................................................................................9
2.1 Vertrouwen opbouwen...............................................................................................................10
2.2 Anamnese...................................................................................................................................10
2.2.1 De elf patronen van Gordon................................................................................................10
2.3 Urinecontroles............................................................................................................................13
2.3 Manchester short assessment of quality of life (MANSA)...........................................................14
2.4 Measurements in the addictions for triage and evalution (MATE)..............................................18
2.5 DSM-5.........................................................................................................................................22
2.6 Zelfredzaamheidsradar...............................................................................................................23
3. Verpleegkundige Diagnostiek...........................................................................................................23
3.1 Clusteren en mogelijke diagnoses...............................................................................................24
3.2 PES-structuur..............................................................................................................................26
3.3 Prioritering..................................................................................................................................27
3.4 Voorkeur en behoeftes van Floris...............................................................................................28
3.5 Stages of change.........................................................................................................................28
4. Verpleegkundige zorgresultaten.......................................................................................................30
5. Verpleegkundige interventies...........................................................................................................32
6. Monitoren en evalueren...................................................................................................................34
7. Informatie- en communicatietechnologie.........................................................................................36
7.1 Elektronisch patiëntendossier (EPD)...........................................................................................36
7.2 Website VNN..............................................................................................................................36
8. Handelen in de praktijk.....................................................................................................................37
8.1 Uitvoeren van zorg......................................................................................................................37
8.1.1 Zorgverlener........................................................................................................................37
8.1.2 Communicator.....................................................................................................................37
8.1.3 Reflectieve EBP-professional................................................................................................37
8.2 Leerproces..................................................................................................................................37
9. Casusbespreking...............................................................................................................................39
Bibliografie...........................................................................................................................................41
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