Summary
Samenvatting Kennislijn Geen paniek, Kennisweek 1, OP4, jaar 1 (OVK14GPK01)
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Samenvatting van theorie en colleges in kennisweek 1 van OP4. OVK14GPK01
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Herstelgerichte ZorgSamenvatting Kennisweek 1, OP4
Inhoud
Herstel-gerichte zorg ............................................................................................................................... 3
GGZ ...................................................................................................................................................... 4
Huisartsenzorg → licht .................................................................................................................... 4
Generalistische Basis GGZ → licht-matig ........................................................................................ 4
Specialistische GGZ → complex ...................................................................................................... 4
De theorieën........................................................................................................................................ 5
Van HIC (high & intensive care) naar POH-GGZ (praktijkondersteuner huisarts) ............................... 6
Stepped Care ................................................................................................................................... 6
HIC ................................................................................................................................................... 6
POH-GGZ.......................................................................................................................................... 6
Belangrijke Competentie ..................................................................................................................... 6
Neurocognitieve stoornissen (NAH) ........................................................................................................ 7
Psycho-educatie ...................................................................................................................................... 7
Stemmingsstoornissen ............................................................................................................................ 8
Depressie ............................................................................................................................................. 8
Diagnostiek ...................................................................................................................................... 9
Rol van de verpleegkundige bij behandeling van depressie ......................................................... 10
Manie................................................................................................................................................. 10
Bipolaire stoornis........................................................................................................................... 11
Signaleringsplan................................................................................................................................. 11
E-Health ............................................................................................................................................. 12
De organisatie van de GGZ in Nederland .............................................................................................. 13
POH-GGZ............................................................................................................................................ 13
Basis generalistische GGZ .................................................................................................................. 13
Specialistische GGZ ............................................................................................................................ 13
HIC ..................................................................................................................................................... 13
(F)-ACT teams .................................................................................................................................... 13
Individuele en collectieve belangenbehartiging in de GGZ ............................................................... 13
DSM-V .................................................................................................................................................... 13
Recht...................................................................................................................................................... 14
WvGGZ............................................................................................................................................... 14
, WvGGZ-maatregelen ..................................................................................................................... 14
TBS ................................................................................................................................................. 15
Wet Zorg en Dwang (WZD)............................................................................................................ 16
Crisisopname ......................................................................................................................................... 16
Psychiatrische crisis ........................................................................................................................... 16
Beoordeling van een psychiatrische crisis ..................................................................................... 16
Behandeling van een psychiatrische crisis .................................................................................... 17
Terugdringen van dwang en drang................................................................................................ 17
2
, Werkgroep 1
Herstel-gerichte zorg
Het intense, persoonlijke en unieke proces waarin een patiënt leert omgaan met de kwetsbaarheid
beperking en ontwrichting die psychische klachten met zich meebrengen, om zo goed mogelijk te
kunnen functioneren en participeren met zo min mogelijk professionele hulp.
Van ziekte naar herstel
• Positieve gezondheid
• Herstelondersteunende zorg
o Klinisch herstel
o Functioneel herstel
o Maatschappelijk herstel
o Persoonlijk herstel
Kenmerken van herstelgerichte zorg door professionals
• heeft een attitude van hoop en optimisme;
• is present (aandachtig aanwezig);
• gebruikt zijn professionele referentiekader op een terughoudende en bescheiden wijze;
• maakt ruimte voor, ondersteunt het maken van en sluit aan bij het eigen verhaal van de
patiënt;
• herkent en stimuleert het benutten van eigen kracht van de patiënt (empowerment) zowel
individueel als collectief;
• erkent, benut en stimuleert de ontwikkeling van ervaringskennis van de patiënt;
• erkent, benut en stimuleert de ondersteuning van de patiënt door belangrijke anderen;
• is gericht op het verlichten van lijden en het vergroten van eigen regie/autonomie.
Fases in het herstelproces
1. Vroege voortekenen
2. Overmand door de aandoening
3. Worstelen met de aandoening
4. Leven met de aandoening
5. Leven voorbij de aandoening
3
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