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Beroepsproduct keuzecursus oncologie - eindcijfer 7,6!
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Uitwerking beroepsproduct van de keuzecursus oncologische zorg over het longcarcinoom. Deze is behaald met een 7,6!
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BEROEPSPRODUCT KEUZECURSUSONCOLOGIE
LONGCARCINOOM
XXX (Studentennummer) Docent: XXX
XXX (Studentennummer) Studiegroepscode: GKO-ONCOZO-B
XXX (Studentennummer) Cursuscode: GKO-ONCOZO-18
XXX (Studentennummer) Inleverdatum: 26 oktober 2020
,InhoudsopgVE
Inleiding...........................................................................................................................................................................4
Hoofdstuk 1. Probleemoriëntatie...................................................................................................................................5
1.1 Longcarcinoom......................................................................................................................................................5
1.2 Oorzaken en risicofactoren...................................................................................................................................5
1.3 Oncogenese...........................................................................................................................................................5
1.4 Lichamelijke symptomen......................................................................................................................................6
1.5 Incidentie en Prevalentie......................................................................................................................................6
1.5.1. Incidentie.......................................................................................................................................................6
1.5.2. Prevalentie....................................................................................................................................................7
1.6 Preventie...............................................................................................................................................................7
1.7 Diagnostiek............................................................................................................................................................7
1.8 Prognose................................................................................................................................................................8
Hoofdstuk 2. Probleemanalyse.....................................................................................................................................10
2.1. Orgaansystemen................................................................................................................................................10
2.1.1. Respiratoir systeem....................................................................................................................................10
2.1.2. Afweersysteem...........................................................................................................................................10
2.1.3. Thermoregulatiesysteem............................................................................................................................10
2.1.4. Bloed...........................................................................................................................................................10
2.1.5. Neurologisch systeem.................................................................................................................................10
2.2. Context zorgvrager.............................................................................................................................................11
2.3. Verpleegkundige problemen.............................................................................................................................11
2.3.1. Somatische problemen...............................................................................................................................11
2.3.2. Psychische problemen................................................................................................................................11
2.2.3. Functionele problemen...............................................................................................................................12
2.2.4. Spirituele problemen..................................................................................................................................12
2.2.5. Sociale problemen......................................................................................................................................13
Hoofdstuk 3. Aanvullend onderzoek en diagnose........................................................................................................14
3.1. Differentiële diagnose........................................................................................................................................14
3.2. Screeningsinstrumenten....................................................................................................................................14
3.3. Ernst van de situatie...........................................................................................................................................14
Hoofdstuk 4. Klinisch beleid..........................................................................................................................................15
4.1. Verpleegkundige interventies............................................................................................................................15
4.1.1. Somatische problemen...............................................................................................................................15
2
, 4.1.2. Psychische problemen................................................................................................................................15
4.1.3. Functionele problemen...............................................................................................................................16
4.1.4. Spirituele problemen..................................................................................................................................16
4.1.5. Sociale problemen......................................................................................................................................16
4.2. Critical Appraisal of a Topic (CAT)......................................................................................................................17
4.2.1 Aanbeveling..................................................................................................................................................17
4.2.2. Klinisch scenario..........................................................................................................................................17
4.2.3. PIO en onderzoeksvraag.............................................................................................................................17
4.2.4. Zoekstrategie en kritische beoordeling......................................................................................................17
Hoofdstuk 5. Klinisch verloop.......................................................................................................................................19
5.1. Korte termijn......................................................................................................................................................19
5.2. Lange termijn.....................................................................................................................................................19
5.2. Bijdrage interventie CAT....................................................................................................................................20
Hoofdstuk 6. Werkveldbezoek en evaluatie.................................................................................................................21
6.1. (Patiënten)informatie........................................................................................................................................21
6.1.1. Informatiefolder..........................................................................................................................................21
6.2. Belangrijke aspecten oncologische zorg............................................................................................................22
Hoofdstuk 7. Literatuurlijst...........................................................................................................................................23
Hoofdstuk 8. Bijlagen....................................................................................................................................................26
Bijlage 1: De casus.....................................................................................................................................................26
Bijlage 2: Uitkomsten meetinstrumenten/screeningsinstrumenten........................................................................27
Bijlage 3.....................................................................................................................................................................29
Bijlage 4.....................................................................................................................................................................38
Bijlage 4.1 XXX.......................................................................................................................................................38
Bijlage 4.2 XXX.......................................................................................................................................................39
Bijlage 4.3 XXX.......................................................................................................................................................40
Bijlage 4.4 XXX.......................................................................................................................................................41
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, INLEIDING
Dit document betreft het beroepsproduct van de keuzecursus oncologie. Hierin wordt de casus van mevrouw
Anders beschreven. Mevrouw Anders is 51 jaar en werd twee maanden geleden gediagnosticeerd met een niet-
kleincellig longcarcinoom (longkanker), waarbij genezing niet meer mogelijk is (zie Bijlage 1).
In dit beroepsproduct wordt de casus van mevrouw onderzocht door middel van klinisch redeneren. Daarbij
worden verschillende aspecten van de ziekte beschreven, welke orgaansystemen hierbij betrokken zijn en worden
er mogelijke verpleegproblemen en een nieuwe differentiële diagnose geformuleerd. Aan de verpleegproblemen
zijn interventies gekoppeld, waarvan er één wordt onderzocht aan de hand van de Critical Apraisal of a Topic (CAT).
Vervolgens wordt er aandacht besteed aan het klinische verloop van de ziekte op zowel lange als korte termijn. In
het laatste onderdeel worden de resultaten en bevindingen van online gevonden informatie en belangrijke
aspecten voor kwaliteit van oncologische zorg weergegeven.
Ten slotte wordt het leerrendement en het reflectieverslag van ieder individu weergegeven in Bijlage 4.
Aantal woorden: 4496
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