Portfolio
Deeltoets 2
Tessa Boere
1764174
GVE-2R1-PLB-20
GVE-2.PL2-17
Laura Verbeij
18-01-2021
Aantal woorden: 9234
Exclusief inhoudsopgave, tabellen, figuren, bronnen en bijlagen: 5988
Inhoudsopgave
1. Eindverslag CanMEDS.........................................................................................................................3
2. Klinisch redeneren en onderzoekend vermogen..............................................................................13
2.1 Casusbeschrijving........................................................................................................................13
, 2.2 Anamnese...................................................................................................................................13
2.2.1 Gezondheidspatronen van Gordon......................................................................................13
2.2.2 Screeningsinstrumenten......................................................................................................14
2.2.3 Shared decision making.......................................................................................................16
2.2.4 Drie belangrijkste probleemgebieden..................................................................................16
2.2.5 Zorgtraject...........................................................................................................................17
2.3 Diagnose.....................................................................................................................................18
2.3.1 Anatomie en functies...........................................................................................................18
2.3.2 Externe en persoonlijke factoren..........................................................................................19
2.3.3 Activiteiten en participatie...................................................................................................21
2.3.4 Verpleegkundige diagnoses.................................................................................................23
2.4 Resultaat.....................................................................................................................................24
2.5 Interventie..................................................................................................................................24
2.6 Evaluatie.....................................................................................................................................27
2.6.1 Evaluatie doelen...................................................................................................................27
2.6.2 Systematische overdracht....................................................................................................28
2.6.3 Aanvullingen zorgdossier.....................................................................................................29
2.7 Bronvermelding..........................................................................................................................30
2.8 Bijlagen.......................................................................................................................................36
2.8.1 Bijlage 1: Medicatieoverzicht...............................................................................................36
2.8.2 Bijlage 2: Anamnese volgens gezondheidspatronen van Gordon.........................................38
2.8.3 Bijlage 3: MUST scorelijst.....................................................................................................40
2.8.4 Bijlage 4: Katz-ADL scorelijst................................................................................................41
2.8.5 Bijlage 5: Stroomdiagram valrisicoscreening en valrisicobeoordeling.................................42
2.8.6 Bijlage 6: Delirium Observation Screening Scale..................................................................44
2.8.7 Bijlage 7: Bradenschaal........................................................................................................45
2.8.8 Bijlage 8: Numeric Rating Scale...........................................................................................46
2.8.9 Bijlage 9: Early Warning Scorekaart.....................................................................................47
2.8.10 Bijlage 10: Redeneerhulp orgaansystemen........................................................................48
2.8.11 Bijlage 11: Barthel Index....................................................................................................49
2.8.12 Bijlage 12: Diagnostische Eenzaamheidstest.....................................................................51
2.8.13 Bijlage 13: SF-12 vragenlijst...............................................................................................52
2.8.14 Bijlage 14: SBAR methode..................................................................................................53
3. Feedbackformulier werkbegeleiders................................................................................................54
2
,1. Eindverslag CanMEDS
3
, 4
Deeltoets 2
Tessa Boere
1764174
GVE-2R1-PLB-20
GVE-2.PL2-17
Laura Verbeij
18-01-2021
Aantal woorden: 9234
Exclusief inhoudsopgave, tabellen, figuren, bronnen en bijlagen: 5988
Inhoudsopgave
1. Eindverslag CanMEDS.........................................................................................................................3
2. Klinisch redeneren en onderzoekend vermogen..............................................................................13
2.1 Casusbeschrijving........................................................................................................................13
, 2.2 Anamnese...................................................................................................................................13
2.2.1 Gezondheidspatronen van Gordon......................................................................................13
2.2.2 Screeningsinstrumenten......................................................................................................14
2.2.3 Shared decision making.......................................................................................................16
2.2.4 Drie belangrijkste probleemgebieden..................................................................................16
2.2.5 Zorgtraject...........................................................................................................................17
2.3 Diagnose.....................................................................................................................................18
2.3.1 Anatomie en functies...........................................................................................................18
2.3.2 Externe en persoonlijke factoren..........................................................................................19
2.3.3 Activiteiten en participatie...................................................................................................21
2.3.4 Verpleegkundige diagnoses.................................................................................................23
2.4 Resultaat.....................................................................................................................................24
2.5 Interventie..................................................................................................................................24
2.6 Evaluatie.....................................................................................................................................27
2.6.1 Evaluatie doelen...................................................................................................................27
2.6.2 Systematische overdracht....................................................................................................28
2.6.3 Aanvullingen zorgdossier.....................................................................................................29
2.7 Bronvermelding..........................................................................................................................30
2.8 Bijlagen.......................................................................................................................................36
2.8.1 Bijlage 1: Medicatieoverzicht...............................................................................................36
2.8.2 Bijlage 2: Anamnese volgens gezondheidspatronen van Gordon.........................................38
2.8.3 Bijlage 3: MUST scorelijst.....................................................................................................40
2.8.4 Bijlage 4: Katz-ADL scorelijst................................................................................................41
2.8.5 Bijlage 5: Stroomdiagram valrisicoscreening en valrisicobeoordeling.................................42
2.8.6 Bijlage 6: Delirium Observation Screening Scale..................................................................44
2.8.7 Bijlage 7: Bradenschaal........................................................................................................45
2.8.8 Bijlage 8: Numeric Rating Scale...........................................................................................46
2.8.9 Bijlage 9: Early Warning Scorekaart.....................................................................................47
2.8.10 Bijlage 10: Redeneerhulp orgaansystemen........................................................................48
2.8.11 Bijlage 11: Barthel Index....................................................................................................49
2.8.12 Bijlage 12: Diagnostische Eenzaamheidstest.....................................................................51
2.8.13 Bijlage 13: SF-12 vragenlijst...............................................................................................52
2.8.14 Bijlage 14: SBAR methode..................................................................................................53
3. Feedbackformulier werkbegeleiders................................................................................................54
2
,1. Eindverslag CanMEDS
3
, 4
