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Praktijkleren 4: Klinische redeneren en verpleegkundige leiderschap (cijfer 8.0)
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By: Niena26 • 1 year ago
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Mkh2020
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PortfolioPraktijkleren 4
,Inhoudsopgave
Opdracht klinisch redeneren.......................................................................................................................... 2
Voorwoord............................................................................................................................................................3
Onderdeel 1: Klinisch redeneren ten behoeve van een veranderende situatie....................................................4
1: Probleemoriëntatie/klinisch beeld..............................................................................................................5
1.1 Casusbeschrijving..................................................................................................................................5
1.3 Meetinstrumenten................................................................................................................................7
1.4 Hypothetische diagnoses......................................................................................................................8
2. Probleemanalyse.........................................................................................................................................9
2.1 Disfunctionele orgaansystemen...........................................................................................................9
2.2 Resultaten meetinstrumenten............................................................................................................10
3. Aanvullend onderzoek en diagnose...........................................................................................................11
3.1 Aanvullend onderzoek........................................................................................................................11
3.2 Verpleegkundige diagnoses................................................................................................................12
4. Klinisch beleid............................................................................................................................................12
4.1 Behandelplan......................................................................................................................................12
4.2 Shared decision making (gezamenlijke besluitvorming)....................................................................13
Onderdeel 2 Het klinisch redeneren ten behoeve van het totale verpleegkundig proces..................................14
5. Klinisch verloop..........................................................................................................................................14
5.1 Klinisch verloop en gevolgen..............................................................................................................14
5.2 Zelfmanagement.................................................................................................................................14
6. Evaluatie....................................................................................................................................................15
6.1 Evaluatie van de doelen......................................................................................................................15
6.2 Elektronisch patiëntendossier............................................................................................................15
Bibliografie..........................................................................................................................................................16
Bijlagen...............................................................................................................................................................17
Bijlage 1 Laboratorium streefwaarden bij chronische hemodialyse patiënten............................................17
Bijlage 2 Risicoanalyse...................................................................................................................................18
Bijlage 3 SNAQ65+ revalidatie.......................................................................................................................19
Bijlage 4 Barthel-index 1................................................................................................................................20
Bijlage 5 De Tilburg Frailty Indicator (TFI).....................................................................................................21
Bijlage 6 Short Form Health Survey (SF-12)...................................................................................................23
Bijlage 7 Barthel-index 2................................................................................................................................25
Opdracht Verpleegkundig leiderschap.......................................................................................................... 27
Voorwoord..........................................................................................................................................................28
1. Kennismaken met leiderschap........................................................................................................................29
1.1 Verpleegkundig leiderschap in eigen woorden........................................................................................29
1.2 Verpleegkundig leiderschap in het dagelijkse werk.................................................................................29
1.3 Leiderschap bij het verbeteren van kwaliteit van zorg op stageplek......................................................30
1.4 Rol van verpleegkundig leiderschap bij het verbeteren van de kwaliteit van zorg.................................30
1.5 Verpleegkundig leiderschap tijdens stage...............................................................................................32
2. Onderzoeken van leiderschap.........................................................................................................................32
2.1 Thema: medicatieveiligheid.....................................................................................................................32
2.2 Stakeholders thema medicatieveiligheid op micro-, meso- en macroniveau..........................................33
2.3 Vragen en antwoorden stakeholder op micro-, meso- en macroniveau.................................................34
2.4 Ervaringen en observaties tijdens het schaduwen..................................................................................36
2.5 Verbinding tussen eigen ervaring, opgedane kennis en de kwaliteit van patiëntenzorg........................36
2.6 Reflectie op eigen rol tijdens het schaduwen..........................................................................................37
2.7 Sterke punten en ontwikkelpunten ten aanzien van verpleegkundig leiderschap..................................37
1
, Bibliografie..........................................................................................................................................................38
Bijlagen...............................................................................................................................................................38
Bijlage 1 Presentatie verpleegkundige leiderschap.......................................................................................38
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Opdracht klinisch redeneren
2
, Voorwoord
Voor u ligt mijn opdracht Klinisch redeneren voor Praktijkleren 4.
3
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