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Summary

Samenvatting Patiënt verslag format

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Written in
2017/2018

Super handig voor patiëntverslag in Blok C/D Hogeschool Utrecht. Overzichtelijke uitwerking van de hoofdstukken en layout van het verslag aan de hand van de Hubl website.

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Course

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Titel Patiëntverslag




Naam :
Studentennummer :
Stagebegeleider :
Stage adres :
Inlever datum :

, Inhoudsopgave

1. Informate over aandoening / probleem
1.1. Problemen van aandoening gerelateerd aan houding/beweging
1.2. Beloop van problemen
2. Klinisch redeneren
2.1. Registrateformulier fysiotherapeutsch proces (diagnostsche en therapeutsche fase) (met
handtekening stagebegeleider)
2.2. Kritsche reflecte op hypothesen, onderooeksplan en/of testen/meetnstrumenten
2.3. Kritsche reflecte op behandeldoelen, behandelplan en/of intervente(parameters)
3. Onderbouwing van toegepaste intervente(s)
3.1. Theoretsche verklaring van werking intervente(s) bij aandoening/probleem
3.2. Zoekstrategie naar RCTs over toegepaste intervente(s)
3.3. Beschrijving van RCT over toegepaste intervente
4. Evaluate van behandeling
4.1. Uitvoering van metngen en meetmomenten
4.2. Resultaten en interpretate van metng(en)
4.3. Kritsche reflecte op evaluateve meetnstrumenten, uitvoering van metngen en behaalde
resultaten
5. Literatuurlijst
6. Bijlage
6.1. A Feedback
6.2. B RCT




2

,1. Informatie over aandoening prolleem
1.1. Problemen van aandoening gerelateerd aan houding/beweging


..




1.2. Beloop van problemen



3

,..




2. Klinisch redeneren
2.1. Registrateformulier fysiotherapeutssh proses


4

, Casus
.

Datum
.

Wijze van aanmelding (verwijsdiagnose)
.

Reden van komst initiële hulpvraag
.

Medische informatie
.


Anamnese
Status praesens
..


Voorgeschiedenis
..

Hypotheses
1. .
2. .
3. .
4. .




Onderzoeksplan

Hypothes Onderzoeksdoelstellingen Onderzoeksmiddelen Evidentie
e nr. (diagnostisch) (opinion, experience, evidence)
1

5

,2
3
4




Fysiotherapeutische diagnose
..




6

,A. Weergave onderzoekslevindgen
Reden van komst initiële hulpvraag
..


Ontstaansmoment ontstaanswijze van de klacht
..


Beloop van de klacht
..


Prognose van de aandoening
..


PPA-formulier
..




7

, Medische diagnose & Hulpvraag ( in termen van beweging)

Client/ familie perseptes
van problemen en
beperkingen




Functies & Anatomische eigenschappen Beweegfuncties Activiteiten & Participatie

Fysiotherapeutsshe
bevindingen




Contextuele factoren
Persoonlijke factoren Omgevingsfactoren

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Uploaded on
June 5, 2018
Number of pages
19
Written in
2017/2018
Type
SUMMARY

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