Gedrag &
Blok 2.1 Communicatie
Hanze Hogeschool Groningen
Maaike ter Haar
416955
, Inhoudsopgave
College 1.................................................................................................................................................4
Uitgangspunten .................................................................................................................................4
Risicofactoren voor ontwikkelen profiel 3 .........................................................................................4
Vertragende factoren ...................................................................................................................4
Pijnmodel van Loeser .........................................................................................................................5
Ziektepercepties ................................................................................................................................5
3 veelvoorkomende gedachten over pijn ......................................................................................5
Implicaties Fysiotherapie ...................................................................................................................5
Ziektepercepties ................................................................................................................................5
Placebo/nocebo-effect ......................................................................................................................6
Hoe werkt dat: ...............................................................................................................................6
Onderliggende mechanisme placebo-effect ..................................................................................6
Beïnvloedende factoren placebo/nocebo-effect ...........................................................................6
Voorbeelden placebo-communicatie fysiotherapeut ....................................................................7
Voorbeelden nocebo-communicatie .............................................................................................7
College 2.................................................................................................................................................8
Gele vlaggen ......................................................................................................................................8
Onderzoeks- en meetinstrumenten ...................................................................................................9
4-DKL .............................................................................................................................................9
Start Back Tool ...............................................................................................................................9
SCEGS-Model .................................................................................................................................9
Oranje vlaggen .................................................................................................................................10
Onderscheid normaal/abnormaal functioneren ..........................................................................10
Voorbeelden oranje vlaggen ........................................................................................................10
Persoonlijkheidsstoornissen ........................................................................................................10
College 3..............................................................................................................................................11
Definitie pijn: IASP ...........................................................................................................................11
Verklaringen voor chronische pijn ...................................................................................................11
Chronische pijn: ...........................................................................................................................11
Karakteristieken van pijn vs. nociceptie .......................................................................................12
Pijn als resultaat van een leerproces ...............................................................................................12
Vormen van leren ........................................................................................................................12
Centrale sensitisatie.........................................................................................................................13
Neurofysiologie chronische pijn ...................................................................................................13
Sensitisatie ...................................................................................................................................13
Plasticiteit ........................................................................................................................................14
1
, Mogelijk pijnnetwerk .......................................................................................................................14
Herkennen van centrale sensitisatie ................................................................................................14
Overig ..........................................................................................................................................14
College 4...............................................................................................................................................15
Transtheoretisch model Proschaska & DiClemente ........................................................................15
Kijken of patiënt therapietrouw is: ..............................................................................................15
Versterken van therapietrouw .....................................................................................................16
Determinanten die adherence gunstig beïnvloeden ....................................................................16
Selye's general adaption syndrome .................................................................................................17
Acceptance en commitment therapie (ACT) ....................................................................................17
Cognitieve defusie .......................................................................................................................17
Mindfulness .................................................................................................................................17
Waarden ......................................................................................................................................17
College 5...............................................................................................................................................18
Pijn ..................................................................................................................................................18
Nociceptieve pijn: een symptoom ...............................................................................................18
Neuropatische pijn (bijv. bij een dwarslaesie) .............................................................................18
Sensitisatie .......................................................................................................................................18
Herkennen van centrale sensitisatie ...........................................................................................18
Wind-up fenomeen ..........................................................................................................................19
Centrale sensitisatie .........................................................................................................................19
Samenvatting: ..............................................................................................................................20
Wat te doen? ...............................................................................................................................20
Catastroferen ...................................................................................................................................20
Catastroferen als indicatie voor pijneducatie ..............................................................................20
Hypervigilantie als indicatie voor pijneducatie ............................................................................21
Coping ..............................................................................................................................................21
Gedrag .............................................................................................................................................21
Kinesiofobie .....................................................................................................................................21
Voordat je pijneducatie aanbiedt: ..............................................................................................21
Doel van pijneducatie ..................................................................................................................21
Pijneducatie in het gevolgmodel ..................................................................................................22
Overige psychologische indicaties voor pijneducatie ...................................................................22
Vormen pijneducatie ...................................................................................................................22
Effectiviteit van pijneducatie .......................................................................................................22
College 6...............................................................................................................................................23
Sensitisatie .......................................................................................................................................23
Sensitisatie model ........................................................................................................................23
2
Blok 2.1 Communicatie
Hanze Hogeschool Groningen
Maaike ter Haar
416955
, Inhoudsopgave
College 1.................................................................................................................................................4
Uitgangspunten .................................................................................................................................4
Risicofactoren voor ontwikkelen profiel 3 .........................................................................................4
Vertragende factoren ...................................................................................................................4
Pijnmodel van Loeser .........................................................................................................................5
Ziektepercepties ................................................................................................................................5
3 veelvoorkomende gedachten over pijn ......................................................................................5
Implicaties Fysiotherapie ...................................................................................................................5
Ziektepercepties ................................................................................................................................5
Placebo/nocebo-effect ......................................................................................................................6
Hoe werkt dat: ...............................................................................................................................6
Onderliggende mechanisme placebo-effect ..................................................................................6
Beïnvloedende factoren placebo/nocebo-effect ...........................................................................6
Voorbeelden placebo-communicatie fysiotherapeut ....................................................................7
Voorbeelden nocebo-communicatie .............................................................................................7
College 2.................................................................................................................................................8
Gele vlaggen ......................................................................................................................................8
Onderzoeks- en meetinstrumenten ...................................................................................................9
4-DKL .............................................................................................................................................9
Start Back Tool ...............................................................................................................................9
SCEGS-Model .................................................................................................................................9
Oranje vlaggen .................................................................................................................................10
Onderscheid normaal/abnormaal functioneren ..........................................................................10
Voorbeelden oranje vlaggen ........................................................................................................10
Persoonlijkheidsstoornissen ........................................................................................................10
College 3..............................................................................................................................................11
Definitie pijn: IASP ...........................................................................................................................11
Verklaringen voor chronische pijn ...................................................................................................11
Chronische pijn: ...........................................................................................................................11
Karakteristieken van pijn vs. nociceptie .......................................................................................12
Pijn als resultaat van een leerproces ...............................................................................................12
Vormen van leren ........................................................................................................................12
Centrale sensitisatie.........................................................................................................................13
Neurofysiologie chronische pijn ...................................................................................................13
Sensitisatie ...................................................................................................................................13
Plasticiteit ........................................................................................................................................14
1
, Mogelijk pijnnetwerk .......................................................................................................................14
Herkennen van centrale sensitisatie ................................................................................................14
Overig ..........................................................................................................................................14
College 4...............................................................................................................................................15
Transtheoretisch model Proschaska & DiClemente ........................................................................15
Kijken of patiënt therapietrouw is: ..............................................................................................15
Versterken van therapietrouw .....................................................................................................16
Determinanten die adherence gunstig beïnvloeden ....................................................................16
Selye's general adaption syndrome .................................................................................................17
Acceptance en commitment therapie (ACT) ....................................................................................17
Cognitieve defusie .......................................................................................................................17
Mindfulness .................................................................................................................................17
Waarden ......................................................................................................................................17
College 5...............................................................................................................................................18
Pijn ..................................................................................................................................................18
Nociceptieve pijn: een symptoom ...............................................................................................18
Neuropatische pijn (bijv. bij een dwarslaesie) .............................................................................18
Sensitisatie .......................................................................................................................................18
Herkennen van centrale sensitisatie ...........................................................................................18
Wind-up fenomeen ..........................................................................................................................19
Centrale sensitisatie .........................................................................................................................19
Samenvatting: ..............................................................................................................................20
Wat te doen? ...............................................................................................................................20
Catastroferen ...................................................................................................................................20
Catastroferen als indicatie voor pijneducatie ..............................................................................20
Hypervigilantie als indicatie voor pijneducatie ............................................................................21
Coping ..............................................................................................................................................21
Gedrag .............................................................................................................................................21
Kinesiofobie .....................................................................................................................................21
Voordat je pijneducatie aanbiedt: ..............................................................................................21
Doel van pijneducatie ..................................................................................................................21
Pijneducatie in het gevolgmodel ..................................................................................................22
Overige psychologische indicaties voor pijneducatie ...................................................................22
Vormen pijneducatie ...................................................................................................................22
Effectiviteit van pijneducatie .......................................................................................................22
College 6...............................................................................................................................................23
Sensitisatie .......................................................................................................................................23
Sensitisatie model ........................................................................................................................23
2
