Evaluatie......................................................................................................................13
Bijlagen........................................................................................................................14
Reflectie....................................................................................................................14
Goed?....................................................................................................................14
Niet zo goed?.........................................................................................................14
Anders?..................................................................................................................14
Leerpunten............................................................................................................14
Toelichting...................................................................................................................15
Voorafgaand aan de 3 behandelsessies...................................................................15
Het sticker systeem..................................................................................................17
Behandelplan............................................................................................................20
Structuurelementen 1+2+3..................................................................................20
Doelmatig.................................................................................................................21
Bronnen....................................................................................................................21
, Gegevens
Persoonsgegevens cliënt
Achternaam Brons
Voornaam Riet
Geboortedatum 24-03-1946
Geslacht☐Man ☒ Vrouw
Burgerlijke staat/woonsituatie
Woont met echtgenoot in een
eengezinswoning.
Adres Rembrandtlaan 59
PC/Woonplaats 3141 HH, Maassluis
Telefoonnummer 01018838853
Zorgverzekeraar Zilverenkruis, Achmea
BSN 45678901
Medische diagnose Seniele dementie van het Alzheimer
type
Huisarts Dr. Tumkaya
Gegevens verwijzer
Naam Iris van Vliet
Functie Geriater Erasmus MC
E-mail adres vliet@ErasmusMC.nl
Telefoonnummer 015-4567890
Bereikbaarheid Di, do, vrij 8.30-17.00 u.
Handtekening
Gegevens ergotherapeut
Naam Madelon Moorman
Functie Ergotherapeut bij Ergotherapie
Rotterdam
E-mail adres Madelon.m@hotmail.com
Telefoonnummer 0641620020
Bereikbaarheid Ma, woe, do, vrij 08.00-16.00 u.
Handtekening
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