Keuzecursus Ageing
Screening, geriatrisch assessment & levensloop
Naam: Kim Hekkert
Studentnummer:
Mailadres:
Studiegroepscode: GKO-AGEING-A
Cursuscode: Ageing VGG (GKO-AGEING-18_2022)
Docenten:
Aantal woorden: 6587
Inleverdatum: 10 november 2022
,Inhoudsopgave
Voorwoord .............................................................................................................................................. 3
Casus........................................................................................................................................................ 4
Fysiek domein ...................................................................................................................................... 4
Sociale domein .................................................................................................................................... 5
Psychische domein .............................................................................................................................. 5
Levensgeschiedenis ............................................................................................................................. 5
Stap 1 Kwetsbaarheid.............................................................................................................................. 6
Stap 2 Vroegsignalering/screening.......................................................................................................... 7
Stap 3 Prioritering geriatrische problemen ........................................................................................... 13
Stap 4 Uitwerking drie geriatrische syndromen .................................................................................... 14
4.1 Geriatrisch syndroom vallen ....................................................................................................... 14
Definitie en prevalentie ................................................................................................................. 14
Anatomie en functies .................................................................................................................... 15
Externe- en persoonlijke factoren ................................................................................................. 16
4.2 Geriatrisch syndroom slaapstoornissen ...................................................................................... 17
Definitie en prevalentie ................................................................................................................. 17
Anatomie en functies .................................................................................................................... 17
Externe- en persoonlijke factoren ................................................................................................. 18
4.3 Geriatrisch syndroom eenzaamheid ........................................................................................... 19
Definitie en prevalentie ................................................................................................................. 19
Anatomie en functies .................................................................................................................... 19
Externe- en persoonlijke factoren ................................................................................................. 20
4.4 Assessment en Diagnostiek ......................................................................................................... 21
4.5 Activiteiten en participatie .......................................................................................................... 22
Levensloopinterview en samenvatting ................................................................................................. 24
Jeugd.................................................................................................................................................. 24
Volwassen leven ................................................................................................................................ 24
Ouder worden ................................................................................................................................... 24
Levenslijn ............................................................................................................................................... 25
Levenslijngrafiek ................................................................................................................................ 25
Life event ........................................................................................................................................... 26
Uitwerking drie gerontologische modellen ........................................................................................... 27
Disengagement-theorie..................................................................................................................... 27
SOC-theorie ....................................................................................................................................... 27
1
, Socio-emotionele selectiviteitstheorie ............................................................................................. 27
Stap 5 Zorgbehandelplan ...................................................................................................................... 29
Mening cliënt......................................................................................................................................... 36
Verhoogd valrisico ............................................................................................................................. 36
Slapeloosheid .................................................................................................................................... 36
Eenzaamheid ..................................................................................................................................... 36
Gewrichtspijn .................................................................................................................................... 36
Toekomst ............................................................................................................................................... 37
Lichamelijk functioneren ................................................................................................................... 37
Psychisch functioneren...................................................................................................................... 37
Cognitief functioneren ...................................................................................................................... 37
Sociaal functioneren .......................................................................................................................... 37
Literatuurlijst ......................................................................................................................................... 38
Bijlagen .................................................................................................................................................. 41
Bijlage 1 Screeningsinstrument ‘Behoefte als kompas, de oudere aan het roer’ ............................. 41
Bijlage 2 Diagnostisch assessment .................................................................................................... 49
2.1 Falls Efficacy Scale International (FES-I) .................................................................................. 49
2.2 Evaluatie valrisico .................................................................................................................... 50
2.3 Short Physical Performance Battery (SPPB) ............................................................................ 53
2.4 Orthostasemeting .................................................................................................................... 56
2.5 Slaapanamnese........................................................................................................................ 57
2.6 Pittsburg Sleep Quality Index (PSQI) ....................................................................................... 60
2.7 De eenzaamheidsschaal van De Jong Gierveld en Kamphuis .................................................. 64
2.8 Geriatric Depression Scale 15 (GDS-15) .................................................................................. 65
Bijlage 3 De topiclijst ......................................................................................................................... 67
Bijlage 4 Getranscribeerd levensloopinterview inclusief opmerkingen............................................ 69
2
Screening, geriatrisch assessment & levensloop
Naam: Kim Hekkert
Studentnummer:
Mailadres:
Studiegroepscode: GKO-AGEING-A
Cursuscode: Ageing VGG (GKO-AGEING-18_2022)
Docenten:
Aantal woorden: 6587
Inleverdatum: 10 november 2022
,Inhoudsopgave
Voorwoord .............................................................................................................................................. 3
Casus........................................................................................................................................................ 4
Fysiek domein ...................................................................................................................................... 4
Sociale domein .................................................................................................................................... 5
Psychische domein .............................................................................................................................. 5
Levensgeschiedenis ............................................................................................................................. 5
Stap 1 Kwetsbaarheid.............................................................................................................................. 6
Stap 2 Vroegsignalering/screening.......................................................................................................... 7
Stap 3 Prioritering geriatrische problemen ........................................................................................... 13
Stap 4 Uitwerking drie geriatrische syndromen .................................................................................... 14
4.1 Geriatrisch syndroom vallen ....................................................................................................... 14
Definitie en prevalentie ................................................................................................................. 14
Anatomie en functies .................................................................................................................... 15
Externe- en persoonlijke factoren ................................................................................................. 16
4.2 Geriatrisch syndroom slaapstoornissen ...................................................................................... 17
Definitie en prevalentie ................................................................................................................. 17
Anatomie en functies .................................................................................................................... 17
Externe- en persoonlijke factoren ................................................................................................. 18
4.3 Geriatrisch syndroom eenzaamheid ........................................................................................... 19
Definitie en prevalentie ................................................................................................................. 19
Anatomie en functies .................................................................................................................... 19
Externe- en persoonlijke factoren ................................................................................................. 20
4.4 Assessment en Diagnostiek ......................................................................................................... 21
4.5 Activiteiten en participatie .......................................................................................................... 22
Levensloopinterview en samenvatting ................................................................................................. 24
Jeugd.................................................................................................................................................. 24
Volwassen leven ................................................................................................................................ 24
Ouder worden ................................................................................................................................... 24
Levenslijn ............................................................................................................................................... 25
Levenslijngrafiek ................................................................................................................................ 25
Life event ........................................................................................................................................... 26
Uitwerking drie gerontologische modellen ........................................................................................... 27
Disengagement-theorie..................................................................................................................... 27
SOC-theorie ....................................................................................................................................... 27
1
, Socio-emotionele selectiviteitstheorie ............................................................................................. 27
Stap 5 Zorgbehandelplan ...................................................................................................................... 29
Mening cliënt......................................................................................................................................... 36
Verhoogd valrisico ............................................................................................................................. 36
Slapeloosheid .................................................................................................................................... 36
Eenzaamheid ..................................................................................................................................... 36
Gewrichtspijn .................................................................................................................................... 36
Toekomst ............................................................................................................................................... 37
Lichamelijk functioneren ................................................................................................................... 37
Psychisch functioneren...................................................................................................................... 37
Cognitief functioneren ...................................................................................................................... 37
Sociaal functioneren .......................................................................................................................... 37
Literatuurlijst ......................................................................................................................................... 38
Bijlagen .................................................................................................................................................. 41
Bijlage 1 Screeningsinstrument ‘Behoefte als kompas, de oudere aan het roer’ ............................. 41
Bijlage 2 Diagnostisch assessment .................................................................................................... 49
2.1 Falls Efficacy Scale International (FES-I) .................................................................................. 49
2.2 Evaluatie valrisico .................................................................................................................... 50
2.3 Short Physical Performance Battery (SPPB) ............................................................................ 53
2.4 Orthostasemeting .................................................................................................................... 56
2.5 Slaapanamnese........................................................................................................................ 57
2.6 Pittsburg Sleep Quality Index (PSQI) ....................................................................................... 60
2.7 De eenzaamheidsschaal van De Jong Gierveld en Kamphuis .................................................. 64
2.8 Geriatric Depression Scale 15 (GDS-15) .................................................................................. 65
Bijlage 3 De topiclijst ......................................................................................................................... 67
Bijlage 4 Getranscribeerd levensloopinterview inclusief opmerkingen............................................ 69
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