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Verpleegkundig proces GGZ

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Project gemaakt over Nonnie Gore. We hebben hiervoor een 8,5 gekregen.

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  • September 30, 2024
  • 46
  • 2023/2024
  • Essay
  • Unknown
  • 8-9
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Namen studenten: Loïs Vinke en Femke Stolk
Studentnummers: 698299 & 698014
Klas: AMVPKVT2F-2
Cohort: 2022-2026
Opleiding en school: HBO-Verpleegkunde, Hogeschool Inholland Amsterdam
Docent: Eric Boer

1

,Voorwoord
Wij hebben de afgelopen periode les gehad in het verpleegkundig proces, waarbij het de bedoeling
was dat wij samen een begeleidingsplan zouden opstellen voor onze patiënt. Dit hebben wij ook
gedaan. Onze patiënt was Nonnie Gore, zij heeft een bipolaire-I-stoornis. Om dit begeleidingsplan op
te stellen, hebben wij eerst het basisplan gemaakt. Hieronder vallen de anamnese, de analyse van het
functioneren, de PESSEN, de korte termijn doelen en de interventies die hierbij horen. Verder hebben
wij aan de hand van de drie maandrapportages ons basisplan aangepast om zo goed mogelijk aan te
sluiten bij de situatie van Nonnie. Ook vind je van elke maandrapportage een korte samenvatting van
wat er met Nonnie is gebeurd en de uitwerking van de vragen gestelde vragen tijdens de
maandrapportages. Als laatste hebben wij twee wetenschappelijke artikelen gezocht en onderbouwd
met de EPB om zo een van onze interventies te onderbouwen. Dit alles hebben wij in een mooi
verslag verwerkt wat hieronder te lezen is.
Wij wensen u veel plezier met het lezen en beoordelen van ons begeleidingsplan.




1. Begeleidingsplan .............................................................................................................................. 4
1.1 Analyse van het functioneren van de cliënt en zijn systeem ......................................................... 4
1.1.1 Wat hebben we veranderd? .................................................................................................... 6
2

, 1.2 Anamnese ....................................................................................................................................... 7
1.2.1 Wat hebben we veranderd? .................................................................................................... 8
1.3 Shared decision making.................................................................................................................. 8
2. PESS 1 ............................................................................................................................................... 9
2.1 Doelen: ........................................................................................................................................... 9
2.2 Interventies: ................................................................................................................................. 10
2.3 Wat hebben we veranderd? ......................................................................................................... 11
3. PESS 2 ............................................................................................................................................. 11
3.1 Doelen: ......................................................................................................................................... 12
3.2 Interventies: ................................................................................................................................. 12
3.3 Wat hebben we toegevoegd? ...................................................................................................... 13
4. PESS 3 ............................................................................................................................................. 13
4.1 Doelen: ......................................................................................................................................... 13
4.2 Interventies: ................................................................................................................................. 14
4.3 Wat hebben we toegevoegd? ...................................................................................................... 15
5. PESS 4 ............................................................................................................................................. 15
5.1 Doelen: ......................................................................................................................................... 15
5.2 Interventies: ................................................................................................................................. 15
5.3 Wat hebben we veranderd? ......................................................................................................... 16
6. Lange termijn doel.......................................................................................................................... 16
7. Overkoepelde veranderingen: ........................................................................................................ 17
8 Zijn er doelen behaald? .................................................................................................................. 19
9 Matrix van Eisenhower ................................................................................................................... 19
10 Evidence Based Practice ................................................................................................................. 21
11. Signaleringsplan ............................................................................................................................... 22
11. 1 In een manische episode: .......................................................................................................... 22
11.2 In een depressieve episode: ....................................................................................................... 24
12. Zorgoverdracht ................................................................................................................................. 25
13. Maandrapportage 1: ........................................................................................................................ 27
14. Maandrapportage 2: ........................................................................................................................ 29
15. Maandrapportages 3 ........................................................................................................................ 31
16. Literatuurlijst .................................................................................................................................... 33
17. Bijlagen: ............................................................................................................................................ 38
17.1 Notulen maandrapportage 2&3 ................................................................................................. 38
17.2 De 5 stappen van EBP ................................................................................................................. 39
17.3 Cochrane Lijst 1 .......................................................................................................................... 41

3

, 17.4 Cochrane lijst 2: .......................................................................................................................... 43
18. Litratuurlijst bijlage........................................................................................................................... 45




1. Begeleidingsplan
1.1 Analyse van het functioneren van de cliënt en zijn systeem




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