Beargumenter
en van zorg
24-12-2020
Praktijkleerplaats
…………………
NAAM
STUDENTNUMMER:
DOCENT:
STAGEBEGELEIDER:
LOCATIE
CURSUSCODE HVVB18MBVZ (VT)
, Inhoud
1. Inleiding..............................................................................................................................................1
2. Het verpleegkundig proces.................................................................................................................3
2.1 Anamnese.....................................................................................................................................3
2.2 Casus.............................................................................................................................................6
2.3 Anamnese vanuit Nij Smellinghe ziekenhuis.................................................................................6
2.4 Opnamereden...............................................................................................................................6
2.5 Anamnese met revalidatie arts.....................................................................................................7
2.6 Metingen (EWS score)..................................................................................................................8
2.7 Ontlastingspatroon.......................................................................................................................8
2.8 Bladderscan..................................................................................................................................9
2.9 DOS score...................................................................................................................................10
2.10 Medicatie..................................................................................................................................10
3. ICF-model.........................................................................................................................................13
4. Ecogram............................................................................................................................................15
5. Verpleegkundige diagnoses..............................................................................................................16
5.1 Actuele verpleegkundige diagnoses...........................................................................................16
5.2 Prioritering..................................................................................................................................18
5.2.1 Piramide van Maslow..............................................................................................................19
5.2.2 Redeneerweb..........................................................................................................................19
5.3 Verbanden diagnosen.................................................................................................................21
7. Resultaten, interventies, uitvoering en evaluatie.............................................................................25
7.1 Verpleegkundig proces...............................................................................................................25
7.2 Aanvulling evaluatie....................................................................................................................36
8. Communicatie..................................................................................................................................38
8.1 Benaderingsplan.........................................................................................................................38
8.2 ICT-mogelijkheden......................................................................................................................41
9. Zelfredzaamheidsradar.....................................................................................................................42
10. Klinisch redeneren..........................................................................................................................46
Bibliografie...........................................................................................................................................48
Bijlage 2: Waarderingsformulier.......................................................................................................51
Bijlage 3: Antiplagiaatverklaring.......................................................................................................54
1. Inleiding
1
en van zorg
24-12-2020
Praktijkleerplaats
…………………
NAAM
STUDENTNUMMER:
DOCENT:
STAGEBEGELEIDER:
LOCATIE
CURSUSCODE HVVB18MBVZ (VT)
, Inhoud
1. Inleiding..............................................................................................................................................1
2. Het verpleegkundig proces.................................................................................................................3
2.1 Anamnese.....................................................................................................................................3
2.2 Casus.............................................................................................................................................6
2.3 Anamnese vanuit Nij Smellinghe ziekenhuis.................................................................................6
2.4 Opnamereden...............................................................................................................................6
2.5 Anamnese met revalidatie arts.....................................................................................................7
2.6 Metingen (EWS score)..................................................................................................................8
2.7 Ontlastingspatroon.......................................................................................................................8
2.8 Bladderscan..................................................................................................................................9
2.9 DOS score...................................................................................................................................10
2.10 Medicatie..................................................................................................................................10
3. ICF-model.........................................................................................................................................13
4. Ecogram............................................................................................................................................15
5. Verpleegkundige diagnoses..............................................................................................................16
5.1 Actuele verpleegkundige diagnoses...........................................................................................16
5.2 Prioritering..................................................................................................................................18
5.2.1 Piramide van Maslow..............................................................................................................19
5.2.2 Redeneerweb..........................................................................................................................19
5.3 Verbanden diagnosen.................................................................................................................21
7. Resultaten, interventies, uitvoering en evaluatie.............................................................................25
7.1 Verpleegkundig proces...............................................................................................................25
7.2 Aanvulling evaluatie....................................................................................................................36
8. Communicatie..................................................................................................................................38
8.1 Benaderingsplan.........................................................................................................................38
8.2 ICT-mogelijkheden......................................................................................................................41
9. Zelfredzaamheidsradar.....................................................................................................................42
10. Klinisch redeneren..........................................................................................................................46
Bibliografie...........................................................................................................................................48
Bijlage 2: Waarderingsformulier.......................................................................................................51
Bijlage 3: Antiplagiaatverklaring.......................................................................................................54
1. Inleiding
1
