Inhoud
Fysiotherapeutisch handelen ................................................................................................................... 4
Week 1 – Lifestyle en risicofactoren in de FT. Wat moeten en kunnen we ermee? ........................... 4
Week 2 – Perifeer arterieel vaatlijden (sPAV) Claudicatio intermittens.............................................. 8
Week 2 – Oedeemfysiotherapie ........................................................................................................ 13
Wat is oedeem ............................................................................................................................... 13
Hoe herken je oedeem ................................................................................................................... 16
Behandelmethoden........................................................................................................................ 16
Oedeem in het Chronic care model ............................................................................................... 18
Week 2 – Ouderen en beweging ........................................................................................................ 19
Geografische gegevens en kenmerken .......................................................................................... 19
Sarcopenie ...................................................................................................................................... 20
Vragenlijsten .................................................................................................................................. 20
Functionele veroudering ................................................................................................................ 20
Lichaamsbeweging ......................................................................................................................... 21
Polyfarmacie – dementie – Delier .................................................................................................. 22
Invloed beweging op bio-psychosociaal model bij de ouderen i.c.m. valrisico ............................. 24
Rol van de professional .................................................................................................................. 24
Interventies preventief/ prognostisch ........................................................................................... 25
Week 2 – Circulatiestoornissen .......................................................................................................... 26
Week 3 – Hartrevalidatie ................................................................................................................... 29
Onbeïnvloedbare risicofactoren .................................................................................................... 29
Beïnvloedbare risicofactoren ......................................................................................................... 29
Effecten van regelmatige inspanning bij patiënten met ischemisch hartlijden ............................ 31
Meetinstrumenten ......................................................................................................................... 31
Fysiotherapeutische diagnostiek ................................................................................................... 33
Week 3 – Diagnostiek cardiale inspanningsbeperking/ CPET ............................................................ 40
Week 4 – Poliklinische revalidatie...................................................................................................... 42
Week 4 – Hartfalen ............................................................................................................................ 46
Week 5 – COPD diagnostiek en inspanningsbeperking ..................................................................... 50
Week 5 – COPD training 1 .................................................................................................................. 56
Week 5 – COPD & training ................................................................................................................. 65
Week 6 – Mucusklaring en ontspanningstechnieken ........................................................................ 69
Mucusklaring .................................................................................................................................. 69
Technieken mucusklaring:.............................................................................................................. 71
1
, Ontspanningstechnieken ............................................................................................................... 75
Week 6 – Ontspanning ....................................................................................................................... 78
Week 6 – Health literacy – Gezondheidsvaardigheden ..................................................................... 80
Week 7 – Diabetes Mellitus ............................................................................................................... 84
Week 7 – Diabetes mellitus preventie en behandeling ..................................................................... 89
Week 7 – Gastcollege – Voeding en diabetes .................................................................................... 92
Week 7 – Lifestyle en technologie ..................................................................................................... 93
Gedragswetenschappen ......................................................................................................................... 95
Week 1 – Sociologie van chronische aandoeningen .......................................................................... 95
Week 4 – FH-PATH – Longziekten ...................................................................................................... 98
COPD............................................................................................................................................. 100
Astma ........................................................................................................................................... 104
Week 5 – Stress ................................................................................................................................ 107
Emoties ......................................................................................................................................... 110
Week 6 – Motivational interviewing ................................................................................................ 114
Medisch handelen ................................................................................................................................ 116
Week 1 – Algemene pathologische principes in de leefstijlcontext ................................................ 116
Week 2 – Interne geneeskundige principes ..................................................................................... 120
Week 3 – Cardiovasculaire principes ............................................................................................... 122
Week 4 – Pulmonale principes ......................................................................................................... 127
Week 5 – Farmacologische principes ............................................................................................... 131
Week 6 – oncologische principes ..................................................................................................... 138
Week 7 – diabetische principes ....................................................................................................... 148
Week 8 – Endocrinologische principes ............................................................................................ 154
Anatomie .............................................................................................................................................. 161
Week 1 – Circulatoir systeem........................................................................................................... 161
Klinisch redeneren................................................................................................................................ 167
Week 1.............................................................................................................................................. 167
Methodisch fysiotherapeutisch handelen ........................................................................................... 169
Week 2 – E-health ............................................................................................................................ 169
Week 2 – Meerdimensionaal belasting-belastbaarheidsmodel (MDBB)......................................... 169
Emmer metafoor: ......................................................................................................................... 169
Week 2 – Patient driven models of health care ............................................................................... 171
Fysiologie .............................................................................................................................................. 173
Week 7 – Fysieke inspanning & Comorbiditeit ................................................................................ 173
2
,3
, Fysiotherapeutisch handelen
Week 1 – Lifestyle en risicofactoren in de FT. Wat moeten en kunnen we ermee?
Meest voorkomende NCD’s (non-communicable diseases (niet overdraagbaar)/ chronische ziekten):
1. Cardio-vasculaire aandoeningen (o.a. beroerte)
2. Kanker
3. Chronische longaandoeningen (COPD en astma)
4. Diabetes mellitus
Leiden tot:
- 41 miljoen sterfgevallen wereldwijd
- = 71% van de wereldwijde sterfgevallen
Aantal mensen met chronische aandoening neemt alleen maar toe
- In 2040 hebben 54% van de Nederlanders minimaal 1 chronische aandoening
Veel wordt beïnvloed door de leefstijl:
- Bewegen
- Roken
- Alcohol
- Voeding
- Ontspanning
- Drugs
- (BRAVO-D)
Oorzaken chronische aandoeningen:
- 12.8% hoge bloeddruk
- 5.8% hoge bloedglucose waarde
- 5.5% fysieke inactiviteit
- 4.8% hoog cholesterol
- 2.9% te weinig inname van fruit en groenten
9 vrijwillige NCD doelstellingen 2025 van WHO:
4
Fysiotherapeutisch handelen ................................................................................................................... 4
Week 1 – Lifestyle en risicofactoren in de FT. Wat moeten en kunnen we ermee? ........................... 4
Week 2 – Perifeer arterieel vaatlijden (sPAV) Claudicatio intermittens.............................................. 8
Week 2 – Oedeemfysiotherapie ........................................................................................................ 13
Wat is oedeem ............................................................................................................................... 13
Hoe herken je oedeem ................................................................................................................... 16
Behandelmethoden........................................................................................................................ 16
Oedeem in het Chronic care model ............................................................................................... 18
Week 2 – Ouderen en beweging ........................................................................................................ 19
Geografische gegevens en kenmerken .......................................................................................... 19
Sarcopenie ...................................................................................................................................... 20
Vragenlijsten .................................................................................................................................. 20
Functionele veroudering ................................................................................................................ 20
Lichaamsbeweging ......................................................................................................................... 21
Polyfarmacie – dementie – Delier .................................................................................................. 22
Invloed beweging op bio-psychosociaal model bij de ouderen i.c.m. valrisico ............................. 24
Rol van de professional .................................................................................................................. 24
Interventies preventief/ prognostisch ........................................................................................... 25
Week 2 – Circulatiestoornissen .......................................................................................................... 26
Week 3 – Hartrevalidatie ................................................................................................................... 29
Onbeïnvloedbare risicofactoren .................................................................................................... 29
Beïnvloedbare risicofactoren ......................................................................................................... 29
Effecten van regelmatige inspanning bij patiënten met ischemisch hartlijden ............................ 31
Meetinstrumenten ......................................................................................................................... 31
Fysiotherapeutische diagnostiek ................................................................................................... 33
Week 3 – Diagnostiek cardiale inspanningsbeperking/ CPET ............................................................ 40
Week 4 – Poliklinische revalidatie...................................................................................................... 42
Week 4 – Hartfalen ............................................................................................................................ 46
Week 5 – COPD diagnostiek en inspanningsbeperking ..................................................................... 50
Week 5 – COPD training 1 .................................................................................................................. 56
Week 5 – COPD & training ................................................................................................................. 65
Week 6 – Mucusklaring en ontspanningstechnieken ........................................................................ 69
Mucusklaring .................................................................................................................................. 69
Technieken mucusklaring:.............................................................................................................. 71
1
, Ontspanningstechnieken ............................................................................................................... 75
Week 6 – Ontspanning ....................................................................................................................... 78
Week 6 – Health literacy – Gezondheidsvaardigheden ..................................................................... 80
Week 7 – Diabetes Mellitus ............................................................................................................... 84
Week 7 – Diabetes mellitus preventie en behandeling ..................................................................... 89
Week 7 – Gastcollege – Voeding en diabetes .................................................................................... 92
Week 7 – Lifestyle en technologie ..................................................................................................... 93
Gedragswetenschappen ......................................................................................................................... 95
Week 1 – Sociologie van chronische aandoeningen .......................................................................... 95
Week 4 – FH-PATH – Longziekten ...................................................................................................... 98
COPD............................................................................................................................................. 100
Astma ........................................................................................................................................... 104
Week 5 – Stress ................................................................................................................................ 107
Emoties ......................................................................................................................................... 110
Week 6 – Motivational interviewing ................................................................................................ 114
Medisch handelen ................................................................................................................................ 116
Week 1 – Algemene pathologische principes in de leefstijlcontext ................................................ 116
Week 2 – Interne geneeskundige principes ..................................................................................... 120
Week 3 – Cardiovasculaire principes ............................................................................................... 122
Week 4 – Pulmonale principes ......................................................................................................... 127
Week 5 – Farmacologische principes ............................................................................................... 131
Week 6 – oncologische principes ..................................................................................................... 138
Week 7 – diabetische principes ....................................................................................................... 148
Week 8 – Endocrinologische principes ............................................................................................ 154
Anatomie .............................................................................................................................................. 161
Week 1 – Circulatoir systeem........................................................................................................... 161
Klinisch redeneren................................................................................................................................ 167
Week 1.............................................................................................................................................. 167
Methodisch fysiotherapeutisch handelen ........................................................................................... 169
Week 2 – E-health ............................................................................................................................ 169
Week 2 – Meerdimensionaal belasting-belastbaarheidsmodel (MDBB)......................................... 169
Emmer metafoor: ......................................................................................................................... 169
Week 2 – Patient driven models of health care ............................................................................... 171
Fysiologie .............................................................................................................................................. 173
Week 7 – Fysieke inspanning & Comorbiditeit ................................................................................ 173
2
,3
, Fysiotherapeutisch handelen
Week 1 – Lifestyle en risicofactoren in de FT. Wat moeten en kunnen we ermee?
Meest voorkomende NCD’s (non-communicable diseases (niet overdraagbaar)/ chronische ziekten):
1. Cardio-vasculaire aandoeningen (o.a. beroerte)
2. Kanker
3. Chronische longaandoeningen (COPD en astma)
4. Diabetes mellitus
Leiden tot:
- 41 miljoen sterfgevallen wereldwijd
- = 71% van de wereldwijde sterfgevallen
Aantal mensen met chronische aandoening neemt alleen maar toe
- In 2040 hebben 54% van de Nederlanders minimaal 1 chronische aandoening
Veel wordt beïnvloed door de leefstijl:
- Bewegen
- Roken
- Alcohol
- Voeding
- Ontspanning
- Drugs
- (BRAVO-D)
Oorzaken chronische aandoeningen:
- 12.8% hoge bloeddruk
- 5.8% hoge bloedglucose waarde
- 5.5% fysieke inactiviteit
- 4.8% hoog cholesterol
- 2.9% te weinig inname van fruit en groenten
9 vrijwillige NCD doelstellingen 2025 van WHO:
4
