Minor palliatieve zorg- Onderdeel 1: klinisch rederen in de palliatieve zorg- Behaald met een 8
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Course
Minor palliatieve zorg
Institution
Hogeschool Windesheim (HW)
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Implementatie plan + Klinisch redeneren in de palliatieve zorg
1.Palliatief redeneren.................................................................................................................................... 6
1.1 Besluitvorming in de palliatieve fase.............................................................................................................6
1.2 Verpleegkundige methodiek..........................................................................................................................6
1.3 Verzamelen van gegevens..............................................................................................................................6
1.4 Symptoomanalyse..........................................................................................................................................6
1.4.1 Lichamelijk component...........................................................................................................................6
1.4.2 Psychische component...........................................................................................................................7
1.4.3 Sociale component.................................................................................................................................7
1.4.4 Spirituele component.............................................................................................................................7
1.5 Lichamelijk onderzoek....................................................................................................................................7
1.5.1 Meetinstrument......................................................................................................................................7
1.5.2 Medicatie gebruik...................................................................................................................................7
1.5.3 Proactieve zorgplanning (advance care planning)..................................................................................7
1.5.4 Het palliatieve stadium...........................................................................................................................8
2. Fase twee van palliatief redeneren..................................................................................................................8
2.1 De stap naar gezamenlijke besluitvorming....................................................................................................8
2.2 Verpleegkundige diagnosen...........................................................................................................................9
2.3 Motiverende gespreksvoering........................................................................................................................9
2.4 Prioritering en gezamenlijk besluitvorming.................................................................................................10
2.5 Medicatiegebruik.........................................................................................................................................11
2.6 Levensverwachting.......................................................................................................................................12
2.7 Wet- en regelgeving.....................................................................................................................................12
2.8 Financiering..................................................................................................................................................13
3. Uitwerking van verpleegkundige diagnosen..............................................................................................13
3. 1 Actuele verpleegkundige diagnosen...........................................................................................................14
3.2 Twee potentiële verpleegkundige diagnosen..............................................................................................18
3.3 Complementaire zorg...................................................................................................................................21
4. Draagkracht en draaglast......................................................................................................................... 22
4.1 Evidence based pratice (EBP).......................................................................................................................22
Bijlage F: De Lastmeter................................................................................................................................. 37
Inleiding
Palliatieve zorg is zorg die de kwaliteit van het leven verbetert van patiënten en hun naasten
die te maken hebben met een levensbedreigende aandoening of kwetsbaarheid, door het
4
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