,STAGEPORTFOLIO
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,Inhoud
Competenteontwikkeling geëvalueerd door de student ………………………………………………….. 3
Klinisch redeneren……………………………………………………………………………………………… 9
Critcal Appraissal of a topic…………………………………………………………………………………..2
EINDevaluate Competenteontwikkeling geëvalueerd door de student.............................................................6
Vakinhoudelijk handelen (voortgang themakaarten)...............................................................................6
Tabel 1 schematsch overzicht KBS’EN..............................................................................................................6
TABEL 2 SCHEMATISCH OVERZICHT OPDRACHTEN..........................................................................................8
Communicatie met patiënten en naasten (Communicator).....................................................................8
Samenwerking (intra-, inter en multidisciplinair) (Samenwerkingspartner).............................................9
Kennis en wetenschap (Reflectieve EBP-Professional)........................................................................10
Maatschappelijk handelen (gezondheidsbevorderaar).........................................................................10
Organisatielidmaatschap/professionaliteit (organisator, professional en kwaliteitsbevorderaar)..........11
Inleiding................................................................................................................................................ 14
Stap 1 Oriëntatie op de situatie/klinisch beeld.....................................................................................15
Introducte..........................................................................................................................................................15
Ernst van de situate............................................................................................................................................16
Stap 2 Klinische probleemstelling......................................................................................................... 16
Wat zijn de orgaansystemen die betrokken zijn?...............................................................................................17
Problematek op psychisch spiritueel en sociaal gebied....................................................................................18
stap 3: Aanvullend onderzoek en diagnose.......................................................................................... 19
Overige meetnstrumenten.................................................................................................................................19
Diferentaal diagnoses........................................................................................................................................19
(1) Hypercapnie...............................................................................................................................................19
(2) Decompensato Cordis...............................................................................................................................20
(3) Long carcinoom..........................................................................................................................................21
Stap 4: Klinisch beleid......................................................................................................................... 22
Interventes.........................................................................................................................................................22
Angst................................................................................................................................................................23
Respiratoire insufciënte...............................................................................................................................23
Mobiliteit.........................................................................................................................................................24
Stap 5: Klinisch verloop........................................................................................................................ 24
Te verwachten klinische verloop van de ziekte op korte- en langetermijn........................................................24
(eventuele) complicates.....................................................................................................................................25
Bewaken van de zorgresultaten..........................................................................................................................26
Gevolgen van de ziekte voor het psychische psychosociale en spirituele functoneren...................................27
Interventes ter bevordering van het zelfmanagement......................................................................................27
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, Stap 6: Evaluatie................................................................................................................................... 27
Bibliografie............................................................................................................................................ 28
samenvatng...................................................................................................................................................30
Probleemanalyse.............................................................................................................................................31
Onderzoeksmethode.......................................................................................................................................32
Resultaten.......................................................................................................................................................34
Discussie..........................................................................................................................................................36
Conclusie.........................................................................................................................................................37
advies...............................................................................................................................................................38
Literatuurlijst...................................................................................................................................................39
Bijlage 1................................................................................................................................................ 40
Bijlage 2 SBAR(R)................................................................................................................................ 41
SBAR....................................................................................................................................................................41
S (SITUATION)..................................................................................................................................................41
B (BACKGROUND)............................................................................................................................................42
A (Assessment)................................................................................................................................................42
R (Recommendaton)......................................................................................................................................42
R (Repeat)........................................................................................................................................................42
Bijlage 3 ABCDE Methodiek................................................................................................................. 42
ABCDE Methodiek...............................................................................................................................................42
A – Airway Onderzoek: controle vrijmaken en vrijhouden van de luchtweg................................................42
B – breathing: controleren en ondersteunen van de ademhaling en monitoren van de kwaliteit van de
ademhaling......................................................................................................................................................43
C – Circulaton: controleren ondersteunen en monitoren van de kwaliteit van de circulate......................43
D – disability: controleren ondersteunen en monitoren van de kwaliteit van het bewustzijn.....................43
E – Environment: controleren ondersteunen en monitoren van de omgeving van de patënt....................43
Bijlage 4 Tabel 3,4,5............................................................................................................................. 44
Overige meetnstrumenten.................................................................................................................................44
Bijlage 5 Hospital Anxiety and depression scale...................................................................................46
bijlage 6 MBS...................................................................................................................................................49
Bijlage 7 VAS....................................................................................................................................................50
Bijlage 8 MRCD................................................................................................................................................51
Bijlage 9 BDI.....................................................................................................................................................52
Bijlage 10 OCD.................................................................................................................................................57
Bijlage 11 SOBQ...............................................................................................................................................58
Bijlage 12 CRQ.................................................................................................................................................59
Bijlage 13 beoordeling wetenschappelijk onderzoekspublicate artkel 1......................................................60
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