,Voorwoord
Vanaf 11 september 2018 ben ik begonnen met mijn stage bij ZINN. Ik loop stage op de afdeling
psycho-geriatrie. Hier wonen voornamelijk mensen die dementerend zijn waarbij de mensen
allemaal een verschillende soort dementie hebben.
In totaal loop ik 65 dagen stage. 4 dagen in de week met dagen van 7.00 uur tot 15.30 uur. In een
week loop ik ca. 32 uur stage.
Bij deze wil ik de medewerkers van locatie de Es bedanken voor de goede begeleiding. Tijdens deze
stage heb ik tijd om bezig te gaan met mijn schoolopdrachten. Hierbij heb ik ook hulp gekregen van
collega’s.
1|Pagina
, Inhoudsopgave
Voorwoord ............................................................................................................................................... 1
Inleiding ................................................................................................................................................... 3
Casus: dhr. Bakker .................................................................................................................................. 4
Stap 1 Gezondheidskundige analyse ...................................................................................................... 5
1.1 Wat is het gezondheidsprobleem? .......................................................................................... 5
1.1 Gezondheidsanalyse van het gezondheidsprobleem; probleemgedrag bij ouderen met
dementie .............................................................................................................................................. 5
1.1 Gezondheidsanalyse van de doelgroep; ouderen met dementie ............................................ 6
1.1 Gezondheidsindicatoren .......................................................................................................... 6
Morbiditeit ........................................................................................................................................ 6
Levensverwachting .......................................................................................................................... 7
Mortaliteit ......................................................................................................................................... 7
Ziektelast ......................................................................................................................................... 8
Medische consumptie ...................................................................................................................... 8
1.1 Welke invloed heeft het gezondheidsprobleem op de kwaliteit van leven? ............................ 9
1.2 Wat is de relatie tussen het gezondheidsprobleem en het (gezondheids)gedrag? .............. 10
1.3 Wat is de relatie tussen het gezondheidsprobleem en de omgeving? .................................. 10
1.4 Welke gedragsdeterminanten bepalen de intentie en het (gezondheids)gedrag?...................... 11
Screeningsmethode ............................................................................................................................... 12
Observatieformulier ........................................................................................................................... 12
Observatieformulier ........................................................................................................................... 13
Gesignaleerde risicofactoren ................................................................................................................. 14
Dreigend probleem ................................................................................................................................ 14
Risicodiagnose ...................................................................................................................................... 15
Risico op geweld jegens anderen ..................................................................................................... 15
PES-structuur ................................................................................................................................ 15
Multidisciplinaire samenwerking ............................................................................................................ 16
Stages of change ................................................................................................................................... 17
Signaleringsplan .................................................................................................................................... 18
Toelichting interventies ...................................................................................................................... 20
Evaluatie ............................................................................................................................................ 21
Voorlichting ........................................................................................................................................ 22
Ethisch dilemma .................................................................................................................................... 23
Literatuurlijst .......................................................................................................................................... 24
2|Pagina
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