Essay
Beargumenteren van Zorg PLP3-2024 (9,6 behaald!!)
Dit is het uitgewerkte verslag van de module Beargumenteren van Zorg, afgerond in PLP3 aan de Hanzehogeschool. Deze module is geschreven in 2024 op de Cardiologie afdeling in het Martini Ziekenhuis.
Op dit verslag is een 9,6 behaald en wordt gebruikt als voorbeeldverslag.
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Uploaded on
June 17, 2024
Number of pages
75
Written in
2023/2024
Type
Essay
Professor(s)
Unknown
Grade
9-10
Institution
Hanzehogeschool Groningen (Hanze)
Education
Academie Voor Verpleegkunde
Course
Module beargumenteren van zorg (HVVB21MBVZ)
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Beargumenteren van zorg
Naam:
Studentennummer:
Werkbegeleiders:
Cursuscode:
Afdeling: Verpleegafdeling Cardiologie
(1B), Martini Ziekenhuis
,INHOUDSOPGAVE
Inleiding............................................................................................3
1. Oriëntatie op de situatie.................................................................4
1.1 Casus............................................................................................................ 4
1.2 SBAR............................................................................................................. 5
Situation.......................................................................................................... 5
Background..................................................................................................... 5
Assessment..................................................................................................... 6
Recommendation.......................................................................................... 10
2. Klinische problematiek..................................................................12
2.1 Zorgthema’s............................................................................................... 12
Mentale functies............................................................................................ 12
Sensorische functies en pijn..........................................................................13
Stem en spraak............................................................................................. 13
Ademhaling .................................................................................................. 13
Circulatie ...................................................................................................... 14
Zuurstofvoorziening van het hart..................................................................15
Urogenitale functies...................................................................................... 16
Spijsverteringsfuncties..................................................................................17
Huid en afweerfuncties..................................................................................17
Bloedwaarden................................................................................................ 18
Neurologische functies..................................................................................19
Bewegingsapparaat....................................................................................... 19
Thermoregulatiesysteem...............................................................................19
Hormonaal stelsel.......................................................................................... 20
Activiteit en participatie................................................................................ 20
2.2 Prioritering.................................................................................................. 21
3. Aanvullend onderzoek...................................................................22
3.1 Anamnese................................................................................................... 22
Gezondheidspatronen van Gordon................................................................22
Zelfredzaamheidsradar................................................................................. 24
SCEGS............................................................................................................ 26
3.2 Laboratoriumonderzoek.............................................................................. 28
3.3 Lichamelijk onderzoek................................................................................ 32
3.4 Beeldvormend onderzoek...........................................................................33
ECG................................................................................................................ 33
, CAG............................................................................................................... 34
TTE................................................................................................................ 35
X-Thorax........................................................................................................ 36
4. Klinisch beleid..............................................................................37
4.1 Huidig beleid............................................................................................... 37
4.2 Verpleegkundige diagnoses........................................................................37
4.3 Verpleegkundige resultaten en interventies...............................................39
4.4 Evaluatie................................................................................................... 44
4.5 E-health.................................................................................................... 49
4.6 Doorverwijzen........................................................................................... 51
5. Klinisch verloop............................................................................53
5.1 Gewenst verloop......................................................................................... 53
5.2 Ongewenst verloop..................................................................................... 54
6. Nabeschouwing............................................................................55
6.1 VMS-thema’s............................................................................................... 55
6.2 Ethisch dilemma......................................................................................... 59
6.3 Nieuwe inzichten........................................................................................ 60
7. Communicatieve vaardigheden......................................................61
8. Casusbespreking..........................................................................63
9. Handelen in de praktijk.................................................................65
Literatuurlijst...................................................................................66
Bijlagen...........................................................................................71
Bijlage A: Complexiteit van zorg.......................................................................71
Bijlage B: Waarderingsformulier (Tussenevaluatie)..........................................74
Bijlage C: Waarderingsformulier (Eindevaluatie)..............................................77
Bijlage D: Reflectieverslag (Tussenevaluatie)...................................................80
Bijlage E: Reflectieverslag (Eindevaluatie)........................................................83
Bijlage F: Antiplagiaat verklaring......................................................................85