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OHBOV03 Klinisch Redeneren
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OHBOV03 Klinisch Redeneren voor verpleegkundigen, dit verslag is voor het Saxion geschreven.
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Klinisch redenerenvoor
verpleegkundigen
MODULE OHBOV03
,Inhoudsopgave
Inleiding........................................................................................................................................................ 3
Leeswijzer...................................................................................................................................................... 4
Hoofdstuk 1................................................................................................................................................... 5
Casusbeschrijving & Modelkeuze.........................................................................................................................5
1.1 Casus..........................................................................................................................................................5
1.2 Medische voorgeschiedenis......................................................................................................................5
1.3 Medische behandelingen..........................................................................................................................5
1.4 Actuele medicatie......................................................................................................................................5
1.5 Allergieën...................................................................................................................................................5
1.6 Globale beschrijving zorgvraag..................................................................................................................6
1.7 Modelkeuze...............................................................................................................................................6
Hoofdstuk 2................................................................................................................................................... 7
Anamnese.............................................................................................................................................................7
2.1 Inventariseren gezondheidsproblemen.....................................................................................................7
2.2 Verzamelde gezondheidsproblemen.........................................................................................................7
2.3 Gegevens verifiëren...................................................................................................................................7
2.4 Gezondheidspatroon van Gordon.............................................................................................................8
Hoofdstuk 3................................................................................................................................................. 10
Diagnose.............................................................................................................................................................10
3.1 Clusteren van gegevens...........................................................................................................................10
3.2 Definitieve verpleegkundige diagnoses...................................................................................................11
Hoofdstuk 4................................................................................................................................................. 12
Verpleegkundige doelen.....................................................................................................................................12
4.1 De Verpleegkundige doelen....................................................................................................................13
Hoofdstuk 5................................................................................................................................................. 14
Verpleegkundige interventies............................................................................................................................14
5.1 De Interventies........................................................................................................................................14
Hoofdstuk 6................................................................................................................................................. 15
Evaluatie.............................................................................................................................................................15
6.1 Product evaluatie.....................................................................................................................................15
6.2 Proces-evaluatie......................................................................................................................................15
6.3 Structuur evaluatie..................................................................................................................................15
Hoofdstuk 7................................................................................................................................................. 16
Slotwoord...........................................................................................................................................................16
Literatuurlijst............................................................................................................................................... 17
Bijlage........................................................................................................................................................... 0
Bijlage 1................................................................................................................................................................0
Domeinen........................................................................................................................................................0
Bijlage 2................................................................................................................................................................0
1
Klinisch redeneren voor verpleegkundigen 2021-2022
, Actievlakken.....................................................................................................................................................0
Bijlage 2................................................................................................................................................................1
Risicosignalering..............................................................................................................................................1
.........................................................................................................................................................................1
Bijlage 3................................................................................................................................................................0
PES Methode....................................................................................................................................................0
Bijlage 4................................................................................................................................................................0
SMART doelen..................................................................................................................................................0
2
Klinisch redeneren voor verpleegkundigen 2021-2022
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