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OHBOV09 - Verpleegkundige zorg aan volwassenen in acute zorgsituaties
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OHBOV09 - Verpleegkundige zorg aan volwassenen in acute zorgsituaties
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2OHBOV09 -
Verpleegkundige zorg aan
volwassenen in acute
zorgsituaties
Inhoudsopgave
Inleiding............................................................................................................................................ 4
Leeswijzer..................................................................................................................................... 4
, 2
Stap 1: Oriëntatie op de situatie...................................................................................................... 5
1.1 Situatie.................................................................................................................................... 5
1.2 Background............................................................................................................................. 6
1.3 Assessment............................................................................................................................. 6
1.4 Recommedation...................................................................................................................... 8
Stap 2: Klinische problematiek inzichtelijk....................................................................................... 9
2.1 Uitwerken zorgthema’s........................................................................................................... 9
Zuurstofbalans myocard............................................................................................................ 9
Circulatie.................................................................................................................................... 9
Bloed........................................................................................................................................ 10
Ademhaling.............................................................................................................................. 10
2.2 Differentiaal diagnose........................................................................................................... 10
Stap 3: Aanvullend onderzoek....................................................................................................... 11
3.1 Anamnese............................................................................................................................. 11
3.2 Lichamelijk onderzoek........................................................................................................... 11
3.3 Laboratorium onderzoek....................................................................................................... 12
3.4 Beeldvormend onderzoek..................................................................................................... 12
3.5 Fysiologisch functieonderzoek.............................................................................................. 12
Stap 4: Klinisch beleid.................................................................................................................... 13
4.1 Medische interventies........................................................................................................... 13
4.2 Verpleegkundige interventies............................................................................................... 14
Stap 5: Klinisch verloop.................................................................................................................. 15
5.1 Gewenst verloop (korte termijn)........................................................................................... 15
5.2 Ongewenst verloop (korte termijn)....................................................................................... 15
5.3 Verloop op lange termijn....................................................................................................... 15
5.4 Bewaken zorgresultaten....................................................................................................... 15
Stap 6: Nabeschouwing.................................................................................................................. 16
6.1 Patiëntveiligheid................................................................................................................... 16
6.2 Beroepsuitoefening............................................................................................................... 16
6.3 Ethisch dilemma.................................................................................................................... 16
6.4 Reflectie................................................................................................................................ 16
6.4.1 Situatie............................................................................................................................ 17
6.4.2 Taak................................................................................................................................ 17
6.5.3 Actie................................................................................................................................ 17
6.5.4 Resultaat......................................................................................................................... 17
6.5.5 Reflectie.......................................................................................................................... 17
Literatuurlijst.................................................................................................................................. 17
Stap 1: Oriëntatie op de situatie...................................................................................................... 5
1.1 Situatie.................................................................................................................................... 5
1.2 Background............................................................................................................................. 5
, 2
1.3 Assessment............................................................................................................................. 6
1.4 Recommedation...................................................................................................................... 8
Stap 2: Klinische problematiek inzichtelijk....................................................................................... 9
2.1 Uitwerken zorgthema’s........................................................................................................... 9
Zuurstofbalans myocard............................................................................................................ 9
Circulatie.................................................................................................................................... 9
Bloed.......................................................................................................................................... 9
Ademhaling.............................................................................................................................. 10
2.2 Differentiaal diagnose........................................................................................................... 10
Stap 3: Aanvullend onderzoek....................................................................................................... 11
3.1 Anamnese............................................................................................................................. 11
3.2 Lichamelijk onderzoek.......................................................................................................... 11
3.3 Laboratorium onderzoek....................................................................................................... 11
3.4 Beeldvormend onderzoek..................................................................................................... 12
3.5 Fysiologisch functieonderzoek.............................................................................................. 12
Stap 4: Klinisch beleid.................................................................................................................... 13
4.1 Medische interventies........................................................................................................... 13
4.2 Verpleegkundige interventies............................................................................................... 14
Stap 5: Klinisch verloop.................................................................................................................. 15
5.1 Gewenst verloop (korte termijn)........................................................................................... 15
5.2 Ongewenst verloop (korte termijn)....................................................................................... 15
5.3 Verloop op lange termijn...................................................................................................... 15
5.4 Bewaken zorgresultaten....................................................................................................... 15
Stap 6: Nabeschouwing.................................................................................................................. 16
6.1 Patiëntveiligheid................................................................................................................... 16
6.2 Beroepsuitoefening............................................................................................................... 16
6.3 Ethisch dilemma................................................................................................................... 16
6.4 Reflectie................................................................................................................................ 17
6.4.1 Situatie........................................................................................................................... 17
6.4.2 Taak................................................................................................................................ 17
6.5.3 Actie................................................................................................................................ 17
6.5.4 Resultaat......................................................................................................................... 17
6.5.5 Reflectie.......................................................................................................................... 18
Literatuurlijst.................................................................................................................................. 19
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