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Samenvatting Ergotherapie Theorie 2D - Semester 2

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Hoorcollege 11/12/13/14. Parkinson. Zorgtechnologie. Dementie. Diversiteit.

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Ergotherapie, T2D


HOOR- EN WERKCOLLEGE 11 PARKINSON

Wat is Parkinson:
- Ontdekt door James Parkinson
- Je dopamine gehalte daalt
- Het is een neurodegeneratieve aandoening

Kenmerkende stoornissen:
1. Bewegingsstoornissen
 Hypokinesie verminderd aantal bewegingen
 Bradykinesie trage/langzame uitvoering
 Rigiditeit spierstijfheid
 Tremoren trillen
 Gestoorde houdingsreflexen
2. Stoornissen in het autonome zenuwstelsel
 Meer speeksel
 Obstipatie (verstoppingen)
 Slaapproblemen
3. Cognitieve stoornissen
 Vertraagde info verwerking
 Problemen met planning
4. Psychische stoornissen
 Depressie
 Hallucinaties
 Angststoornissen

Indeling Hoenh en Yahr scale:
Beginstadium 1,5 2 2,5 3 4 5 Eindstadium.

Beperkingen bij Parkinson:
- Motorische beperkingen transfers / reiken / ect
- Psychische beperkingen leervermogen aangetast / verbaal en non-verbaal / ect
- Sociale beperkingen speeksel / stemvolume / ect

Richtlijn Parkinson: evidence based ergotherapie richtlijn
- Verbeteren van kwaliteit en eenduidigheid van ergotherapeutische zorg voor cliënten met de ziekte van
Parkinson en hun mantelzorgers.
- De rol van de ergotherapeut wordt binnen een multidisciplinair team duidelijk gemaakt.
- Er wordt richting gegeven aan het onderzoek.

Parkinsonnet:
= Landelijk netwerk van zorgverleners die gespecialiseerd zijn in het behandelen en begeleiden van
parkinsonpatiënten.

Diagnostiek van Parkinson:
- In kaart brengen van de hulpvraag cliënt en mantelzorger
 COPM / OPHI II / Activiteitenanalyse / Observatie ADL / ect
- Probleemdefiniëring
- Opstellen van plan van aanpak




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