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Case study jaar 2 HvA verpleegkunde, Klinisch Redeneren en Evidence Based Practice 2
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Behaald cijfer: 8,2 Casestudy voor Klinisch Redeneren en Evidence Based Practice jaar 2 HvA verpleegkunde
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CasestudyMisselijkheid verminderen bij patiënten met smaakverandering door chemotherapie
(1).
Studiegidsnummer:
Studentnummer:
Studieonderdeel: Casestudy jaar 2
Aantal woorden:
Inleverdatum:
Examinator:
Naam:
Klas:
, Inhoudsopgave
Inleiding........................................................................................................................................................ 3
Casus....................................................................................................................................................................3
Voorgeschiedenis..................................................................................................................................................4
Pathofysiologie.....................................................................................................................................................4
ICF-model.............................................................................................................................................................4
Verpleegkundige diagnose...................................................................................................................................5
Multidisciplinaire taakverdeling...........................................................................................................................5
Gezondheidsprobleem................................................................................................................................... 6
Methoden..................................................................................................................................................... 6
In- en exclusiecriteria............................................................................................................................................6
Verdieping..................................................................................................................................................... 7
In een RCT uitgevoerd door Panahi et al. (2012) werd het effect van gember als aanvulling op standaard anti-
emetische therapie onderzocht bij 100 vrouwen met gevorderde borstkanker die chemotherapie ondergingen
(8). De interventie bestond uit het toedienen van gember (1,5 g/d in drie verdeelde doses elke acht uur) naast
standaard anti-emetische behandeling. De mate van misselijkheid, braken en kokhalzen werd beoordeeld
met behulp van de Rhodes Index of Nausea, Vomiting, and Retching (RINVR). Resultaten toonden dat de
prevalentie van misselijkheid significant lager was in de gembergroep tussen 6 en 24 uur na de
chemotherapie (P =0.04) (Betrouwbaarheidsinterval wordt niet vermeld). Er werden geen andere significante
voordelen van gember waargenomen gedurende andere tijdsintervallen. Het risico op bias wordt als laag
beschouwd vanwege de randomisatie van deelnemers. Er is niet vermeld welke discipline de interventie
uitvoerde (8).........................................................................................................................................................7
Effect.....................................................................................................................................................................8
Aangrijpingspunt..................................................................................................................................................9
Werkingsmechanisme..........................................................................................................................................9
Haalbaarheid........................................................................................................................................................9
Besluit.................................................................................................................................................................10
Discussie...................................................................................................................................................... 10
Kritische blik.......................................................................................................................................................10
Aanbeveling................................................................................................................................................. 11
Bronnenlijst................................................................................................................................................. 12
Bijlage 1....................................................................................................................................................... 13
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