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Module beargumenteren van zorg PLP3 Scheper ziekenhuis Oncologie
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Module beargumenteren van zorg PLP 3 Gemaakt in het Scheper ziekenhuis op de afdeling Oncologie.
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Module beargumenteren van zorgPLP3 Stage Scheper ziekenhuis Emmen
Afdeling Zuid 3 Interne MDL en Oncologie
Afbeelding 1 Vankleef instituut, 2022
,Inhoudsopgave
Titelpagina..............................................................................................................................................3
Voorwoord..............................................................................................................................................5
Inleiding..................................................................................................................................................6
Hoofdstuk 1: Toelichting verpleegkundig proces....................................................................................8
Verpleegkundig proces volgens Wilkinson..........................................................................................8
Verpleegkundig proces volgens Bakker...............................................................................................9
Hoofdstuk 2: Casuïstiek........................................................................................................................10
1.1 Voorgeschiedenis........................................................................................................................11
1.2 Medicatielijst..............................................................................................................................11
Hoofdstuk 3: Anamnese (Gegevens verzamelen)..................................................................................13
3.1 De gezondheidspatronen van Gordon.........................................................................................14
3.2 ABCDE methodiek.......................................................................................................................14
Hoofdstuk 4: Gegevens ordenen...........................................................................................................17
4.1 Clusteren van gegevens..............................................................................................................18
4.2 Aanvullend onderzoek.................................................................................................................20
4.3 Ecogram......................................................................................................................................22
4.4 Zelfredzaamheidsradar...............................................................................................................22
4.5 Redeneer web.............................................................................................................................23
4.5.1 Conclusie redeneer web.............................................................................................................. 23
4.6 Diagnoses vaststellen volgens de PES-structuur.........................................................................25
Hoofdstuk 5: Verpleegkundige zorgresultaten en interventies/beleidsbepaling...................................26
5.1 Verpleegkundige zorgresultaten.................................................................................................26
5.3 Verpleegkundige interventies.....................................................................................................28
5.5 Richtlijn en protocollen...............................................................................................................32
Wet BIG (Wet op beroepen in de individuele gezondheidszorg)..........................................................33
WBGO (Wet op geneeskundige behandelovereenkomst)....................................................................33
Zvw (Zorgverzekeringswet)................................................................................................................. 33
Wzd (Wet zorg en dwang) en WvGGZ (Wet verplichte geestelijke gezondheidszorg)..........................33
Wkkgz (Wet kwaliteit, klachten en geschillen zorg).............................................................................34
5.6 Multidisciplinair team.................................................................................................................34
Hoofdstuk 6: Uitvoering........................................................................................................................36
6.1 Argumentatie voor gekozen interventies....................................................................................36
6.2 Gewenste verloop en ongewenste verloop.................................................................................38
Hoofdstuk 7: Evaluatie..........................................................................................................................39
, 7.1 Proces- en effectevaluatie...........................................................................................................39
Hoofdstuk 8: Technologische mogelijkheden in de praktijk..................................................................41
8.1 Communicatiestrategieën...........................................................................................................41
8.2 ICT-mogelijkheden......................................................................................................................42
Hoofdstuk 8: Reflectieverslag handelen in de praktijk..........................................................................44
Hoofdstuk 9: Casusbespreking..............................................................................................................47
Stap 1: Klinisch beeld........................................................................................................................47
Stap 2: Klinische probleemstellingen................................................................................................50
ICF-Zorgthema’s...............................................................................................................................51
Stap 3: Aanvullend onderzoek..........................................................................................................53
Stap 4: Klinisch beleid.......................................................................................................................55
Zorgthema’s prioriteren....................................................................................................................55
Uitwerking diagnoses aan de hand van de PES-structuur.................................................................55
Stap 5: Klinisch verloop.....................................................................................................................57
Stap 6: Nabeschouwing....................................................................................................................58
Literatuurlijst........................................................................................................................................59
Bijlagen.................................................................................................................................................63
Bijlage 1: Geneeskundige methodiek................................................................................................63
Bijlage 2: Complexiteit van de zorgvrager........................................................................................65
Bijlage 3: Ecogram............................................................................................................................68
Bijlage 4: Zelfredzaamheidsradar.....................................................................................................69
Bijlage 5: Waarderingsformulier en reflectie PLP2............................................................................70
Bijlage 6: Waarderingsformulieren PLP3..........................................................................................72
Bijlage 7: Methodische reflecties PLP3..............................................................................................88
Bijlage 8: Anti-plagiaat verklaring....................................................................................................92
Titelpagina
Naam student: Ilse Ottens
, Studentnummer: 415470
Opleiding: Hbo-verpleegkunde
Studieonderdeel: Praktijkleerperiode
Groep: PLG45
Stageplaats: Scheper ziekenhuis Emmen
Oncologie/MDL
Praktijkbegeleider: Simone Kootstra-Stoffers
Docentbegeleider: Marjan van Nieuwenhoven
Datum: 14-06-2023
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