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Uitwerkingen alle casussen praktijk kinderminor
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2 JULI 2024UITWERKING PRAKTIJK
KINDERMINOR MODULE C
WOUTER DE ROO
431563
Klas 3B
, Uitwerkingen casussen
Inhoudsopgave
Week 1.......................................................................................................... 3
Casus 1: Hidde, 11 maanden.......................................................................................... 3
Casus 2: Finn 6 jaar........................................................................................................ 6
Week 2.......................................................................................................... 8
Tim deel 1: 0;3 jaar......................................................................................................... 8
Tim deel 2: 1;8 jaar....................................................................................................... 11
Week 3........................................................................................................ 13
Maaike, 10 jaar............................................................................................................. 13
Thamir 3;1 jaar............................................................................................................. 15
Week 4........................................................................................................ 17
Lian deel 1: 3;3 jaar...................................................................................................... 17
Lian 2, 8 jaar................................................................................................................. 20
Week 5........................................................................................................ 23
Thijs: 8 jaar................................................................................................................... 23
Week 6........................................................................................................ 27
Casus 1: Karin, 11 jaar.................................................................................................. 27
Casus 2: Levi, 13 jaar.................................................................................................... 29
Week 7........................................................................................................ 30
Casus 1: Nick, knieklachten links..................................................................................30
Casus 2, deel 1: Max, schouderluxatie, acute fase.......................................................32
Casus 2, deel 2: Max, schouderluxatie, 5 maanden later..............................................34
Week 8........................................................................................................ 36
Faiza, 11 jaar, overgewicht........................................................................................... 36
Week 1........................................................................................................ 38
Casus: Lars, 3 jaar, Cerebrale Parese............................................................................38
Week 2........................................................................................................ 41
Casus: Lars, 7 jaar, Cerebrale Parese............................................................................41
Week 3........................................................................................................ 44
Casus 1, Bianca, CF (Cystic Fibrosis).............................................................................44
Casus 2, Josh, CHA (Congenitale Hart-Aandoening)......................................................46
Symptomen............................................................................................................... 47
Diagnose................................................................................................................... 47
Behandeling.............................................................................................................. 47
Langdurige Zorg........................................................................................................ 47
De MABC-2 is verdeeld in drie leeftijdsbanden:.........................................................48
Ademhaling............................................................................................................... 48
1
, Uitwerkingen casussen
DDZ (Diep Door Zuchten).......................................................................................... 48
Hoesten..................................................................................................................... 48
Huffen....................................................................................................................... 48
Uithoudingsvermogen .............................................................................................. 48
Oefentherapie (lage intensiteit)................................................................................48
50-80% van VO2max, 20-45 minuten, 2-3 keer per week (aeroob)...........................48
Om te kunnen blijven rennen, springen, traplopen...................................................48
Kracht........................................................................................................................ 48
Oefentherapie .......................................................................................................... 48
Om te kunnen blijven rennen, springen, traplopen...................................................48
Veel pauze, vaak per dag.......................................................................................... 48
Week 4........................................................................................................ 49
Casus: Vera, ALK........................................................................................................... 49
Week 5........................................................................................................ 52
Casus 1: Ricardo, femurfractuur...................................................................................52
Casus 1a, Ricardo, 3e dag postoperatief:.....................................................................54
Casus 1b, Ricardo, één week postoperatief:.................................................................55
Casus 2: Marieke, scoliose............................................................................................ 56
Week 6........................................................................................................ 58
Casus: Mo, ziekte van Duchenne..................................................................................58
Week 7........................................................................................................ 61
Casus 1: Sarah, Spina Bifida partieel L5.......................................................................61
Casus 2, Jasper, OPBL rechts........................................................................................67
Week 8........................................................................................................ 71
Casus: Laura, Downsyndroom.......................................................................................71
2
, Uitwerkingen casussen
Week 1
Casus 1: Hidde, 11 maanden
Ouders komen bij de kinderfysiotherapeut met hun zoontje Hidde van 11
maanden oud. Hidde kan nog niet zelf tot zit komen en niet los zitten. Hij kan wel
zitten als hij steun krijgt bij zijn bekken. Hij verplaatst zich rollend door de kamer.
Ouders maken zich zorgen om zijn ontwikkeling. Het dochtertje van vrienden is
even oud en kan al loslopen. Ouders willen graag weten wat ze kunnen doen om
de ontwikkeling te stimuleren. Hun zoontje is geboren toen hij 36 weken oud was.
Er waren verder geen complicaties, hij heeft een goede start gehad. Er zijn geen
andere kinderen in het gezin. Hidde slaapt veel en vraagt weinig om aandacht.
Ouders geven aan dat hij zichzelf goed kan vermaken. Vader is gediagnostiseerd
met ASS.
Stoornis Activiteiten Paticipatie
- Slechte posturele - kan niet zelf tot zit - Mogelijk: spelen
controle in zit komen (PSK, AIMS) met
(observeren/GM) - kan niet loszitten leeftijdsgenootjes,
- AROM/PROM - loszitten bij steun bijvoorbeeld op de
onderste bekken (AIMS) kinderopvang
extremiteit -
(schatting/gonio)
- Motorische
ontwikkeling
(Bayley)
- Hypotonie
(tonusonderzoek)
Persoonlijke factoren Externe factoren
- slaapt veel - ouders willen weten hoe ze
- vraagt weinig aandacht ontwikkeling kunnen
- Hidde kan zichzelf goed vermaken stimuleren
- vader gediagnostiseerd met
ASS
Anamnese:
Uitleg:
Mijlpalen:
- Los zitten (6-11 maand)
- Loslopen (10-20 maand)
3
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