Beroepsproduct – Verslag van het
verpleegkundig proces
OHBOV03 – Klinisch redeneren voor verpleegkundigen
Producttoets:
Student:
Hogeschool:
- Saxion Hogeschool, SPS
- Locatie Enschede
Beoordelaar(s):
Aantal woorden bij dit schriftelijk product: maximaal 4000 woorden, in dit product (vanaf inleiding tot
bijlages: 3903.
1
,Voorwoord
XXXX
In februari 2023 ben ik afgestudeerd als MBO- verpleegkundige, en in september 2023 ben ik gestart
met de opleiding HBO-verpleegkundige duaal aan het Saxion, locatie Enschede.
Ik wens u veel leesplezier toe!
2
, Inhoudsopgave:
Voorwoord.............................................................................................................................................2
1. Inleiding..............................................................................................................................................4
1.1. Aanleiding....................................................................................................................................4
1.2. Kernvaardigheden........................................................................................................................4
1.3. Leeswijzer....................................................................................................................................4
1.4. Casus............................................................................................................................................5
2 Anamnese............................................................................................................................................6
2.1. Onderbouwde keuze van het ordeningsmodel.............................................................................6
2.3. Ordeningsmodel ‘’Elf gezondheidspatronen van Gordon’’;..........................................................7
3 Diagnosticeren.....................................................................................................................................8
3.1. Cluster 1; Vochttekort..................................................................................................................8
Relatie tot de clusters;........................................................................................................................8
Hypothetische diagnose verifiëren;....................................................................................................8
3.2. Cluster 2; Ineffectief omgaan met gezondheid............................................................................9
Relatie tot de clusters;........................................................................................................................9
Hypothetische diagnose verifiëren;....................................................................................................9
3.3. Cluster 3; Verminderde zelfwaardering.....................................................................................10
Relatie tot de clusters:......................................................................................................................10
Hypothetische diagnose verifiëren;..................................................................................................10
4 Doelen...............................................................................................................................................12
4.1. Doelen verpleegkundige diagnose 1;.........................................................................................12
4.2. Doelen verpleegkundige diagnose 2;.........................................................................................12
4.3 Doelen verpleegkundige diagnose 3;..........................................................................................12
5 Interventies.......................................................................................................................................13
5.1 Interventie bij vochttekort;..........................................................................................................13
5.2 Interventie bij ineffectief omgaan met gezondheid....................................................................13
5.3 Interventie bij verminderde zelfwaardering................................................................................13
6 Evaluatie & conclusie.........................................................................................................................15
Bijlages:................................................................................................................................................18
Bronnen volgens de APA- richtlijnen:...................................................................................................25
3
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