LP5 Tentamen KT1, 5, 6 en 7
Inhoudsopgave
KT 1 Klinisch redeneren.................................................................................................................................. 4
Palliatieve zorg.....................................................................................................................................................5
Stadia palliatieve zorg..........................................................................................................................................5
Fasen palliatieve zorg...........................................................................................................................................5
Ziekgerichte- en symptoomgerichte palliatie.......................................................................................................6
Surprise question..................................................................................................................................................6
Meest voorkomende symptomen in de palliatieve fase......................................................................................7
Klinisch redeneren................................................................................................................................................7
Verschil curatieve en palliatieve zorg...................................................................................................................8
Dimensies palliatieve zorg....................................................................................................................................8
Thema’s palliatieve zorg......................................................................................................................................8
Slaapproblemen...................................................................................................................................................9
Vermoeidheid bij kanker....................................................................................................................................10
Soorten pijn........................................................................................................................................................11
Pijnverwerking....................................................................................................................................................12
Model van Loeser...............................................................................................................................................12
Meetinstrumenten pijn.......................................................................................................................................12
Interventies pijn..................................................................................................................................................13
Pijnmedicatie......................................................................................................................................................14
Psychische en sociale invloeden op pijn.............................................................................................................14
Symptomen en syndromen.................................................................................................................................15
Symptoommanagement....................................................................................................................................15
Spirituele zorg.....................................................................................................................................................15
Definitie spiritualiteit.....................................................................................................................................16
Ars moriendi model............................................................................................................................................16
Exacerbatie.........................................................................................................................................................18
Preventie en symptomen..............................................................................................................................18
Signaleren en interventies.............................................................................................................................19
Klinisch redeneren bij dyspneu...........................................................................................................................21
Obstipatie in de palliatieve fase.........................................................................................................................23
Anorexie en gewichtsverlies in de palliatieve fase.............................................................................................25
F- en G-culturen..................................................................................................................................................26
Voorbeelden F- en G-culturen.......................................................................................................................28
Evaluatie.............................................................................................................................................................28
Overdracht.........................................................................................................................................................29
,Spirituele zorgbehoeften....................................................................................................................................29
Klinisch redeneren bij vermoeidheid..................................................................................................................31
Definitie en uitingsvormen vermoeidheid.....................................................................................................31
Vroeg-signalering en probleemherkenning...................................................................................................31
Interventies en testvragen.............................................................................................................................32
Palliatief redeneren............................................................................................................................................33
Zelfmanagement................................................................................................................................................34
Casemanagement palliatieve zorg.....................................................................................................................35
Zorgvoorzieningen palliatieve zorg....................................................................................................................35
Ketenzorg...........................................................................................................................................................35
CVA en TIA..........................................................................................................................................................36
De acute fase CVA..........................................................................................................................................37
De revalidatie fase.........................................................................................................................................37
De chronische fase.........................................................................................................................................38
Preventie van een CVA/TIA............................................................................................................................39
LTA.................................................................................................................................................................40
LESA................................................................................................................................................................40
Mobiliteitstekort t.g.v. CVA................................................................................................................................40
Kwetsbaarheid bij ouderen................................................................................................................................42
Risico-inschatting en vroeg-signalering.........................................................................................................42
Van screening naar interventie.....................................................................................................................43
Syndroom...........................................................................................................................................................43
Drie D’s van de psychogeriatrie..........................................................................................................................44
Delier in de palliatieve fase................................................................................................................................44
Pathologie van dementie...................................................................................................................................44
Casemanagement dementie..............................................................................................................................46
Kwetsbaarheid bij ouderen...........................................................................................................................46
Dementiezorg................................................................................................................................................46
Casemanagement..........................................................................................................................................47
De CM professional........................................................................................................................................48
Portretten van mantelzorgers............................................................................................................................48
Mantelzorg.....................................................................................................................................................48
Palliatieve zorg bij dementie..............................................................................................................................49
Meetinstrumenten........................................................................................................................................49
Lijden bij dementie........................................................................................................................................49
Wilsbekwaamheid..............................................................................................................................................50
Overbelasting van de mantelzorger...................................................................................................................51
Technologie bij dementie thuis..........................................................................................................................52
Advance care planning (ACP).............................................................................................................................53
Timing ACP.....................................................................................................................................................54
Rol verpleegkundige bij ACP..........................................................................................................................54
Wilsverklaring....................................................................................................................................................54
Niet-reanimatiebeleid en abstinerend beleid.....................................................................................................55
STED....................................................................................................................................................................56
Palliatieve sedatie..............................................................................................................................................57
, Euthanasie en hulp bij zelfdoding......................................................................................................................59
Spiritualiteit in relatie tot het Jodendom...........................................................................................................60
Verpleegkundig leiderschap...............................................................................................................................61
Opname verpleeghuis dementie........................................................................................................................62
Stervensfase.......................................................................................................................................................63
Zorg in de stervensfase..................................................................................................................................63
Verpleegkundige interventies in de stervensfase.........................................................................................64
Zorgpad Stervensfase.........................................................................................................................................64
Rouw en verlies..................................................................................................................................................66
Rol professionals............................................................................................................................................68
Complementaire zorg.........................................................................................................................................69
Verstoord energieveld...................................................................................................................................69
Etherische oliën.............................................................................................................................................69
Massage.........................................................................................................................................................71
Ontspanningsoefeningen...............................................................................................................................72
Luisteren naar muziek...................................................................................................................................73
Spiritualiteit in relatie tot het Christendom.......................................................................................................74
Spiritualiteit in relatie tot de islam.....................................................................................................................76
KT1 AFP....................................................................................................................................................... 77
De celdeling: mitose en meiose..........................................................................................................................78
Carcinoom..........................................................................................................................................................79
Metaplasia.....................................................................................................................................................79
Dysplasia........................................................................................................................................................79
Neoplasia.......................................................................................................................................................80
Benigne tumoren...........................................................................................................................................80
Maligne tumoren...........................................................................................................................................80
Stadia van carcinoom en metastaseren........................................................................................................80
TNM-classificatie................................................................................................................................................81
Oorzaken en preventie carcinoom................................................................................................................82
Etiologische factoren/risicofactoren.............................................................................................................82
Premaligne afwijking.....................................................................................................................................82
Colorectaalcarcinoom........................................................................................................................................84
Symptomen colorectaalcarcinoom................................................................................................................86
Diagnostiek en behandeling colorectaalcarcinoom......................................................................................87
Zenuwstelsel.......................................................................................................................................................88
CVA.................................................................................................................................................................89
Dementie.......................................................................................................................................................90
Kwabben.............................................................................................................................................................91
Hersenbloedingen..............................................................................................................................................92
TIA......................................................................................................................................................................93
KT 6 Verpleegtechnisch handelen................................................................................................................. 93
Venapunctie.......................................................................................................................................................93
Infusie: subcutane infuusbehandeling...............................................................................................................95
Subcutane infuusplaatsen.............................................................................................................................96
Verzorgen insteekopening.............................................................................................................................96
Veiligheidsaspecten.......................................................................................................................................97
, Complicaties...................................................................................................................................................97
Infusie: perifere canule.......................................................................................................................................97
Infuusplaatsen perifeer infuus.......................................................................................................................97
Controle en vervangen infuus en canule.......................................................................................................97
Complicaties...................................................................................................................................................98
Infusie: centraal veneuze katheter.....................................................................................................................98
PICC................................................................................................................................................................99
Port-a-cath.....................................................................................................................................................99
Hickman-katheter..........................................................................................................................................99
Indicaties centraal veneuze infusie...............................................................................................................99
Infuusplaatsen centraal veneuze katheter..................................................................................................100
Veiligheidsaspecten.....................................................................................................................................100
Complicaties CVK.........................................................................................................................................100
KT7 Neurorevalidatie................................................................................................................................. 101
Kwabben en functies........................................................................................................................................102
Hemisfeer.........................................................................................................................................................102
Afasie................................................................................................................................................................102
Apraxie.............................................................................................................................................................102
Agnosie.............................................................................................................................................................102
Neglect.............................................................................................................................................................102
Executieve functiestoornissen..........................................................................................................................102
Ongemakken neuro revalidatie........................................................................................................................103
Neurologische verschijnselen...........................................................................................................................103
Psychologische verschijnselen..........................................................................................................................103
Infarct/bloeding linker hersenhelft..................................................................................................................103
Infarct/bloeding rechter hersenhelft................................................................................................................103
KT 1 Klinisch redeneren
Leerdoelen week 1:
Wat is palliatieve zorg
Stadia palliatieve zorg
Inhoudsopgave
KT 1 Klinisch redeneren.................................................................................................................................. 4
Palliatieve zorg.....................................................................................................................................................5
Stadia palliatieve zorg..........................................................................................................................................5
Fasen palliatieve zorg...........................................................................................................................................5
Ziekgerichte- en symptoomgerichte palliatie.......................................................................................................6
Surprise question..................................................................................................................................................6
Meest voorkomende symptomen in de palliatieve fase......................................................................................7
Klinisch redeneren................................................................................................................................................7
Verschil curatieve en palliatieve zorg...................................................................................................................8
Dimensies palliatieve zorg....................................................................................................................................8
Thema’s palliatieve zorg......................................................................................................................................8
Slaapproblemen...................................................................................................................................................9
Vermoeidheid bij kanker....................................................................................................................................10
Soorten pijn........................................................................................................................................................11
Pijnverwerking....................................................................................................................................................12
Model van Loeser...............................................................................................................................................12
Meetinstrumenten pijn.......................................................................................................................................12
Interventies pijn..................................................................................................................................................13
Pijnmedicatie......................................................................................................................................................14
Psychische en sociale invloeden op pijn.............................................................................................................14
Symptomen en syndromen.................................................................................................................................15
Symptoommanagement....................................................................................................................................15
Spirituele zorg.....................................................................................................................................................15
Definitie spiritualiteit.....................................................................................................................................16
Ars moriendi model............................................................................................................................................16
Exacerbatie.........................................................................................................................................................18
Preventie en symptomen..............................................................................................................................18
Signaleren en interventies.............................................................................................................................19
Klinisch redeneren bij dyspneu...........................................................................................................................21
Obstipatie in de palliatieve fase.........................................................................................................................23
Anorexie en gewichtsverlies in de palliatieve fase.............................................................................................25
F- en G-culturen..................................................................................................................................................26
Voorbeelden F- en G-culturen.......................................................................................................................28
Evaluatie.............................................................................................................................................................28
Overdracht.........................................................................................................................................................29
,Spirituele zorgbehoeften....................................................................................................................................29
Klinisch redeneren bij vermoeidheid..................................................................................................................31
Definitie en uitingsvormen vermoeidheid.....................................................................................................31
Vroeg-signalering en probleemherkenning...................................................................................................31
Interventies en testvragen.............................................................................................................................32
Palliatief redeneren............................................................................................................................................33
Zelfmanagement................................................................................................................................................34
Casemanagement palliatieve zorg.....................................................................................................................35
Zorgvoorzieningen palliatieve zorg....................................................................................................................35
Ketenzorg...........................................................................................................................................................35
CVA en TIA..........................................................................................................................................................36
De acute fase CVA..........................................................................................................................................37
De revalidatie fase.........................................................................................................................................37
De chronische fase.........................................................................................................................................38
Preventie van een CVA/TIA............................................................................................................................39
LTA.................................................................................................................................................................40
LESA................................................................................................................................................................40
Mobiliteitstekort t.g.v. CVA................................................................................................................................40
Kwetsbaarheid bij ouderen................................................................................................................................42
Risico-inschatting en vroeg-signalering.........................................................................................................42
Van screening naar interventie.....................................................................................................................43
Syndroom...........................................................................................................................................................43
Drie D’s van de psychogeriatrie..........................................................................................................................44
Delier in de palliatieve fase................................................................................................................................44
Pathologie van dementie...................................................................................................................................44
Casemanagement dementie..............................................................................................................................46
Kwetsbaarheid bij ouderen...........................................................................................................................46
Dementiezorg................................................................................................................................................46
Casemanagement..........................................................................................................................................47
De CM professional........................................................................................................................................48
Portretten van mantelzorgers............................................................................................................................48
Mantelzorg.....................................................................................................................................................48
Palliatieve zorg bij dementie..............................................................................................................................49
Meetinstrumenten........................................................................................................................................49
Lijden bij dementie........................................................................................................................................49
Wilsbekwaamheid..............................................................................................................................................50
Overbelasting van de mantelzorger...................................................................................................................51
Technologie bij dementie thuis..........................................................................................................................52
Advance care planning (ACP).............................................................................................................................53
Timing ACP.....................................................................................................................................................54
Rol verpleegkundige bij ACP..........................................................................................................................54
Wilsverklaring....................................................................................................................................................54
Niet-reanimatiebeleid en abstinerend beleid.....................................................................................................55
STED....................................................................................................................................................................56
Palliatieve sedatie..............................................................................................................................................57
, Euthanasie en hulp bij zelfdoding......................................................................................................................59
Spiritualiteit in relatie tot het Jodendom...........................................................................................................60
Verpleegkundig leiderschap...............................................................................................................................61
Opname verpleeghuis dementie........................................................................................................................62
Stervensfase.......................................................................................................................................................63
Zorg in de stervensfase..................................................................................................................................63
Verpleegkundige interventies in de stervensfase.........................................................................................64
Zorgpad Stervensfase.........................................................................................................................................64
Rouw en verlies..................................................................................................................................................66
Rol professionals............................................................................................................................................68
Complementaire zorg.........................................................................................................................................69
Verstoord energieveld...................................................................................................................................69
Etherische oliën.............................................................................................................................................69
Massage.........................................................................................................................................................71
Ontspanningsoefeningen...............................................................................................................................72
Luisteren naar muziek...................................................................................................................................73
Spiritualiteit in relatie tot het Christendom.......................................................................................................74
Spiritualiteit in relatie tot de islam.....................................................................................................................76
KT1 AFP....................................................................................................................................................... 77
De celdeling: mitose en meiose..........................................................................................................................78
Carcinoom..........................................................................................................................................................79
Metaplasia.....................................................................................................................................................79
Dysplasia........................................................................................................................................................79
Neoplasia.......................................................................................................................................................80
Benigne tumoren...........................................................................................................................................80
Maligne tumoren...........................................................................................................................................80
Stadia van carcinoom en metastaseren........................................................................................................80
TNM-classificatie................................................................................................................................................81
Oorzaken en preventie carcinoom................................................................................................................82
Etiologische factoren/risicofactoren.............................................................................................................82
Premaligne afwijking.....................................................................................................................................82
Colorectaalcarcinoom........................................................................................................................................84
Symptomen colorectaalcarcinoom................................................................................................................86
Diagnostiek en behandeling colorectaalcarcinoom......................................................................................87
Zenuwstelsel.......................................................................................................................................................88
CVA.................................................................................................................................................................89
Dementie.......................................................................................................................................................90
Kwabben.............................................................................................................................................................91
Hersenbloedingen..............................................................................................................................................92
TIA......................................................................................................................................................................93
KT 6 Verpleegtechnisch handelen................................................................................................................. 93
Venapunctie.......................................................................................................................................................93
Infusie: subcutane infuusbehandeling...............................................................................................................95
Subcutane infuusplaatsen.............................................................................................................................96
Verzorgen insteekopening.............................................................................................................................96
Veiligheidsaspecten.......................................................................................................................................97
, Complicaties...................................................................................................................................................97
Infusie: perifere canule.......................................................................................................................................97
Infuusplaatsen perifeer infuus.......................................................................................................................97
Controle en vervangen infuus en canule.......................................................................................................97
Complicaties...................................................................................................................................................98
Infusie: centraal veneuze katheter.....................................................................................................................98
PICC................................................................................................................................................................99
Port-a-cath.....................................................................................................................................................99
Hickman-katheter..........................................................................................................................................99
Indicaties centraal veneuze infusie...............................................................................................................99
Infuusplaatsen centraal veneuze katheter..................................................................................................100
Veiligheidsaspecten.....................................................................................................................................100
Complicaties CVK.........................................................................................................................................100
KT7 Neurorevalidatie................................................................................................................................. 101
Kwabben en functies........................................................................................................................................102
Hemisfeer.........................................................................................................................................................102
Afasie................................................................................................................................................................102
Apraxie.............................................................................................................................................................102
Agnosie.............................................................................................................................................................102
Neglect.............................................................................................................................................................102
Executieve functiestoornissen..........................................................................................................................102
Ongemakken neuro revalidatie........................................................................................................................103
Neurologische verschijnselen...........................................................................................................................103
Psychologische verschijnselen..........................................................................................................................103
Infarct/bloeding linker hersenhelft..................................................................................................................103
Infarct/bloeding rechter hersenhelft................................................................................................................103
KT 1 Klinisch redeneren
Leerdoelen week 1:
Wat is palliatieve zorg
Stadia palliatieve zorg
