PL3
Ella
Studentnummer
GVE-3.PL3-16
Stage docent
Werkbegeleider
18 januari 2021
,Woordje vooraf
In dit document leest u mijn stageportfolio van PL3 2020. Deze derdejaars stage heb ik gelopen op de
kraamafdeling E3 in het WKZ.
Dit stageportfolio bestaat uit twee opdrachten, klinisch redeneren en onderzoekend vermogen (CAT).
Ik wens u veel leesplezier!
Inhoudsopgave
2
,Woordje vooraf......................................................................................................................................2
Uitwerking opdracht klinisch redeneren................................................................................................5
Stap 1: Probleemoriëntatie/ klinisch beeld........................................................................................5
1.1 Situation...................................................................................................................................5
1.2 Background...............................................................................................................................5
1.3 Assessment...............................................................................................................................6
1.4 Recommendation.....................................................................................................................8
Stap 2: Probleemanalyse....................................................................................................................8
2.1 Orgaansystemen.......................................................................................................................9
Stap 3: Aanvullend onderzoek en diagnose......................................................................................11
3.1 Aanvullend onderzoek............................................................................................................11
3.2 Medische diagnose.................................................................................................................13
3.3 Verpleegkundige diagnoses....................................................................................................13
Stap 4: Klinisch beleid.......................................................................................................................14
4.1 Medische behandeling............................................................................................................14
4.2 Interventies verpleegproblemen............................................................................................15
4.3 Betrokken zorgverleners.........................................................................................................17
4.4 Shared decision making..........................................................................................................17
Stap 5: Klinisch verloop.....................................................................................................................18
Stap 6: Evaluatie...............................................................................................................................20
Literatuurlijst....................................................................................................................................21
Uitwerking opdracht Onderzoekend vermogen (CAT)..........................................................................24
Samenvatting....................................................................................................................................25
Inleiding............................................................................................................................................27
Methode...........................................................................................................................................29
Resultaten........................................................................................................................................33
Feeding Neonates by Cup: A Systematic Review of the Literature...............................................33
Avoidance of bottles during the establishment of breast feeds in preterm infants.....................33
Cup feeding versus other forms of supplemental enteral feeding for newborn infants unable to
fully breastfeed.............................................................................................................................34
Randomized clinical trial of pacifier use and bottle-feeding or cupfeeding and their effect on
breastfeeding................................................................................................................................34
Discussie...........................................................................................................................................36
Conclusie..........................................................................................................................................37
Aanbevelingen..................................................................................................................................37
Literatuurlijst....................................................................................................................................37
3
, Bijlage 1. Zoekstring databanken......................................................................................................39
Bijlage 2. HU Beoordelingslijst Feeding neonates by cup: a systematic review of the literature......40
Bijlage 3. HU Beoordelingslijst Avoidance of bottles during the establishment of breast feeds in
preterm infants.................................................................................................................................44
Bijlage 4. HU Beoordelingslijst Cup feeding versus other forms of supplemental enteral feeding for
newborn infants unable to fully breastfeed.....................................................................................48
Bijlage 5. HU Beoordelingslijst Randomized clinical trial of pacifier use and bottle-feeding or
cupfeeding and their effect on breastfeeding..................................................................................52
4