Klinisch redeneren in de palliatieve zorg
EVL 8.1
Studentnaam
Studentnummer
Werkplek
Opleiding Verpleegkunde deeltijd
Titel EVL Klinisch redeneren in de palliatieve zorg
Code EVL GWPAL81D21
Groepscode
Aantal woorden
Datum van inleveren 20-01-2025
Versie
Leerwerkbegeleider
Leerteambegeleider
,Voorwoord
2
,Inhoudsopgave
Voorwoord.............................................................................................................................................2
Leeswijzer..............................................................................................................................................5
Inleiding.................................................................................................................................................6
1 Palliatieve zorg....................................................................................................................................7
1.1 Wat is palliatieve zorg..................................................................................................................7
1.2 Stadia van palliatieve zorg...........................................................................................................7
2 Casuïstiekbeschrijving.........................................................................................................................9
2.1 De casus.......................................................................................................................................9
2.2 Medische kennis..........................................................................................................................9
2.3 Ziekteverloop en levensverwachting.........................................................................................10
2.4 Rol van de wijkverpleegkundige i.o............................................................................................11
2.5 Markering palliatieve fase..........................................................................................................12
2.6 Advance care planning (ACP).....................................................................................................12
2.7 Kwaliteit van leven.....................................................................................................................13
2.8 Wet- en regelgeving...................................................................................................................13
2.9 Financiering palliatieve zorg thuis..............................................................................................14
2.10 Complementaire zorg..............................................................................................................14
2.11 Interdisciplinaire samenwerking.............................................................................................14
3 Analyse van de situatie op de vier domeinen...................................................................................18
3.1 Kwaliteitskader palliatieve zorg en meetinstrumenten.............................................................18
3.2 Lichamelijk domein....................................................................................................................18
3.3 Psychisch domein.......................................................................................................................19
3.4 Sociaal domein...........................................................................................................................19
3.5 Spiritueel domein.......................................................................................................................19
4 Stappen van het palliatief redeneren...............................................................................................21
4.1 Verpleegkundigen diagnosen.....................................................................................................21
4.2 Zorgplan meneer .......................................................................................................................22
5 Reflectie op het leerproces...............................................................................................................32
Bronnenlijst.........................................................................................................................................33
Bijlage A – Anamnese volgens de 11 gezondheidspatronen van Gordon............................................38
Bijlage B – Palliative Performance Scale..............................................................................................40
Bijlage C – RADPAC-PD.........................................................................................................................43
Bijlage D – Lastmeter...........................................................................................................................44
Bijlage E – Hospital Anxiety and Depression Scale...............................................................................45
Bijlage F – Care Giver Strain Index.......................................................................................................48
3
, Bijlage G – Ecogram.............................................................................................................................50
Bijlage H – SOFA model........................................................................................................................51
Bijlage I – Diamantpraatkaart..............................................................................................................52
Bijlage J – Stappenplan ‘Samen beslissen met ouderen’.....................................................................55
Bijlage K – Feedbackformulier leerwerkbegeleider.............................................................................59
4
EVL 8.1
Studentnaam
Studentnummer
Werkplek
Opleiding Verpleegkunde deeltijd
Titel EVL Klinisch redeneren in de palliatieve zorg
Code EVL GWPAL81D21
Groepscode
Aantal woorden
Datum van inleveren 20-01-2025
Versie
Leerwerkbegeleider
Leerteambegeleider
,Voorwoord
2
,Inhoudsopgave
Voorwoord.............................................................................................................................................2
Leeswijzer..............................................................................................................................................5
Inleiding.................................................................................................................................................6
1 Palliatieve zorg....................................................................................................................................7
1.1 Wat is palliatieve zorg..................................................................................................................7
1.2 Stadia van palliatieve zorg...........................................................................................................7
2 Casuïstiekbeschrijving.........................................................................................................................9
2.1 De casus.......................................................................................................................................9
2.2 Medische kennis..........................................................................................................................9
2.3 Ziekteverloop en levensverwachting.........................................................................................10
2.4 Rol van de wijkverpleegkundige i.o............................................................................................11
2.5 Markering palliatieve fase..........................................................................................................12
2.6 Advance care planning (ACP).....................................................................................................12
2.7 Kwaliteit van leven.....................................................................................................................13
2.8 Wet- en regelgeving...................................................................................................................13
2.9 Financiering palliatieve zorg thuis..............................................................................................14
2.10 Complementaire zorg..............................................................................................................14
2.11 Interdisciplinaire samenwerking.............................................................................................14
3 Analyse van de situatie op de vier domeinen...................................................................................18
3.1 Kwaliteitskader palliatieve zorg en meetinstrumenten.............................................................18
3.2 Lichamelijk domein....................................................................................................................18
3.3 Psychisch domein.......................................................................................................................19
3.4 Sociaal domein...........................................................................................................................19
3.5 Spiritueel domein.......................................................................................................................19
4 Stappen van het palliatief redeneren...............................................................................................21
4.1 Verpleegkundigen diagnosen.....................................................................................................21
4.2 Zorgplan meneer .......................................................................................................................22
5 Reflectie op het leerproces...............................................................................................................32
Bronnenlijst.........................................................................................................................................33
Bijlage A – Anamnese volgens de 11 gezondheidspatronen van Gordon............................................38
Bijlage B – Palliative Performance Scale..............................................................................................40
Bijlage C – RADPAC-PD.........................................................................................................................43
Bijlage D – Lastmeter...........................................................................................................................44
Bijlage E – Hospital Anxiety and Depression Scale...............................................................................45
Bijlage F – Care Giver Strain Index.......................................................................................................48
3
, Bijlage G – Ecogram.............................................................................................................................50
Bijlage H – SOFA model........................................................................................................................51
Bijlage I – Diamantpraatkaart..............................................................................................................52
Bijlage J – Stappenplan ‘Samen beslissen met ouderen’.....................................................................55
Bijlage K – Feedbackformulier leerwerkbegeleider.............................................................................59
4
