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OHBOV3 Klinisch redeneren beoordeeld met een 8!
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Klinisch redeneren Verpleegplan opstellen Handboek verpleegkundig diagnose Saxion Parttime school
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Klinisch redeneren voorverpleegkundigen
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Naam X
Studentnummer X
Mail X
Groep OHBOV03
Module Klinisch redeneren voor verpleegkundigen
Docent X
Mail docent X
Opleiding HBO verpleegkunde – saxion parttime school
Studiejaar 2024
Inleverdatum X
Aantal woorden 3923 woorden
, 2
Voorwoord
Mijn naam is X. Sinds 2011 ben ik afgestudeerd verpleegkundige niveau vier. Na mijn
afstudeerstage in de psychiatrie ben ik blijven werken in deze branche. Vooral de langdurige
psychiatrie en de woonvormen spraken mij aan.
In 2014 begon ik de verpleegtechnische handelingen te missen binnen de psychiatrie en heb
ik gekozen om de overstap te maken naar de wijk verpleging. Ik ben nu bijna 10 jaar
werkzaam als verpleegkundige in de wijk bij X en vond het tijd om mijzelf verder te
ontwikkelen. In X ben ik daarom gestart met de HBO-V opleiding op de Saxion parttime
school.
Bij X werken we met zelfsturende teams. Hier komt het stukje leiderschap en coördineren
binnen je team vaak naar voren. Tijdens mijn HBO-V opleiding hoop ik deze verder te kunnen
ontwikkelen.
, 3
Inhoud
Inhoud ..................................................................................................................................................... 3
Inleiding ................................................................................................................................................... 4
1. Ordeningsmodellen ICF (International Classification of Functioning, Disability and Health) en
Omaha ..................................................................................................................................................... 5
1.1 Verschil tussen de uitgewerkte classificatiemodellen ................................................................... 6
1.2 Door mij gekozen ordeningsmodel ................................................................................................ 6
2. De casus ............................................................................................................................................... 7
2.1 De anamnese ................................................................................................................................. 7
3.Verpleegkundige diagnose.................................................................................................................. 10
3.1 Clusteren van gezondheidsgegevens ........................................................................................... 10
4. Verpleegkundige doelen .................................................................................................................... 13
5. Verpleegkundige interventies ............................................................................................................ 14
6. Evalueren verpleegkundige besluitvorming ...................................................................................... 17
Bronnen ................................................................................................................................................. 19
Bijlage .................................................................................................................................................... 21
Bijlage A Het complete verpleegplan ................................................................................................ 21
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