ABCDE voor verpleegkundigen met Expert College toegangscode
Deze beroepsopdracht is het eindproduct van de keuzecursus/minor Vitaal Bedreigd, behaald met een 8,4 (hoogste van de klas ;) )!
Dit verslag betreft onderzoek (aan de hand van een casus) naar een specifieke vitaal bedreigde situatie - een miltruptuur - en de impact hiervan op de voormalig patiënt...
Inleiding..................................................................................................................................................3
Casus...................................................................................................................................................3
Prioritering gezondheidsproblemen casus.....................................................................................3
Doelstelling, vraagstelling en opbouw................................................................................................3
Disease framework.................................................................................................................................5
Miltruptuur.........................................................................................................................................5
Symptomen....................................................................................................................................5
Diagnostiek.....................................................................................................................................5
Behandeling....................................................................................................................................5
Risicofactoren.................................................................................................................................6
Preventiefactoren...........................................................................................................................6
Betrokken orgaansystemen van Bakker..............................................................................................6
Cardiovasculair systeem.................................................................................................................7
Vocht- en elektrolytenbalans..........................................................................................................7
Neurologisch systeem/ zintuiglijk...................................................................................................7
Illness framework...................................................................................................................................8
Het perspectief van Daan...................................................................................................................8
Het ongeluk........................................................................................................................................9
Het perspectief tijdens en na de IC.....................................................................................................9
Het perspectief nu (na één jaar).......................................................................................................10
Verpleegbeleid.....................................................................................................................................11
Verpleegbeleid en Patient Centered Care model..............................................................................11
Verpleegkundige diagnoses, zorgresultaat en interventies..............................................................11
NANDA-diagnose 1: Acute pijn.....................................................................................................11
Zorgresultaat................................................................................................................................11
Interventies..................................................................................................................................12
NANDA- diagnose 2: (Risico op) hypoxemie.................................................................................12
Zorgresultaat................................................................................................................................12
Interventies..................................................................................................................................13
NANDA-diagnose 3: Wens tot verbetering, kennis.......................................................................13
Zorgresultaat................................................................................................................................13
Interventies..................................................................................................................................13
Verpleegkundige en disease framework...........................................................................................14
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