STAGEPORTFOLIO
Praktijkleren 3
Naam docent
Groepsnummer
inleverdatum
Naam student
studentnummer
studentmail
,Inhoudsopgave
Onderdeel 1 Evaluatieformulier CanMEDS-rollen..................................................................................4
Onderdeel 2 Klinisch redeneren.............................................................................................................5
Hoofdstuk 1 Klinisch beeld.....................................................................................................................7
1.1 Situation.......................................................................................................................................7
1.2 Background...................................................................................................................................7
Anamnese.......................................................................................................................................8
1.3 Assessment...................................................................................................................................8
Early Warning Signs-score (EWS)....................................................................................................8
Sedatiescore...................................................................................................................................9
Numeric Pain Rating Scale (NPRS)..................................................................................................9
Rotterdam Elderly Pain Observation Scale (REPOS)........................................................................9
Bristol Stoelgangsschaal (BSS)......................................................................................................10
Glasgow Coma Scale (GCS)...........................................................................................................10
Laboratoriumonderzoek...............................................................................................................10
Urgentie........................................................................................................................................10
1.4 Recommendation.......................................................................................................................11
Hoofdstuk 2 Probleemanalyse..............................................................................................................14
2.1 Orgaansystemen.........................................................................................................................14
Respiratoir systeem......................................................................................................................14
Cardiovasculair systeem...............................................................................................................14
Neurologisch systeem / brein.......................................................................................................14
Thermoregulatie systeem.............................................................................................................14
2.2 Problematiek..............................................................................................................................14
Psychosociale problematiek.........................................................................................................14
Functionele problematiek.............................................................................................................14
Hoofdstuk 3 Aanvullend onderzoek en diagnose.................................................................................16
Hoofdstuk 4 Klinisch beleid..................................................................................................................17
4.1 Verpleegkundige diagnoses, doelen en interventies..................................................................17
4.2 Shared decision making..............................................................................................................18
Hoofdstuk 5 Klinisch verloop................................................................................................................19
5.1 Ziekteverloop..............................................................................................................................19
5.2 Zelfmanagement.........................................................................................................................20
5.3 Inventarisatie zorg......................................................................................................................20
1
,Hoofdstuk 6 Evaluatie...........................................................................................................................21
6.1 Doelen........................................................................................................................................21
6.2 Reflectie......................................................................................................................................21
Bibliografie...........................................................................................................................................22
Bijlagen.................................................................................................................................................26
Bijlage 1 SBAR-methode...................................................................................................................26
Bijlage 2 AMPLE methode.................................................................................................................27
Bijlage 3 Medicatielijst......................................................................................................................28
Bijlage 4 Voorgeschiedenis...............................................................................................................29
Bijlage 5 Early Warning Signs-score..................................................................................................30
Bijlage 6 Sedatiescore.......................................................................................................................31
Bijlage 7 Numeric Pain Rating Scale..................................................................................................32
Bijlage 8 Rotterdam Elderly Pain Observation Scale.........................................................................33
Bijlage 9 Bristol Stoelgangschaal.......................................................................................................34
Bijlage 10 Glasgow Coma Scale.........................................................................................................35
Bijlage 11 Laboratoriumonderzoek...................................................................................................36
Bijlage 12 ABCDE-methodiek............................................................................................................37
Bijlage 13 Anamnese volgens …........................................................................................................38
Bijlage 14 Screening ondervoeding bij patiënten van 18 jaar en ouder (kliniek)..............................42
Bijlage 15 Valrisicoscreening bij patiënten van 18 jaar en ouder (kliniek)........................................43
Bijlage 16 Feedbackformulier mentoren..........................................................................................44
Onderdeel 3 Onderzoekend vermogen................................................................................................45
Hoofdstuk 1 Samenvatting...................................................................................................................48
Hoofdstuk 2 Probleemanalyse..............................................................................................................50
2.1 Doel- en vraagstelling.................................................................................................................50
Hoofdstuk 3 Onderzoeksmethode........................................................................................................52
3.1 Zoektermen................................................................................................................................52
3.2 Databanken................................................................................................................................52
3.3 In- en exclusiecriteria..................................................................................................................52
3.4 Zoekresultaten............................................................................................................................53
Verantwoording...........................................................................................................................54
3.5 Analyse.......................................................................................................................................54
Artikel 1........................................................................................................................................54
Artikel 2........................................................................................................................................54
Artikel 3........................................................................................................................................55
Artikel 4........................................................................................................................................55
2
, Hoofdstuk 4 Data-analyse en Rapportage............................................................................................56
4.1 Resultaten...................................................................................................................................56
Artikel 1........................................................................................................................................56
Artikel 2........................................................................................................................................56
Artikel 3........................................................................................................................................56
Artikel 4........................................................................................................................................57
4.2 Discussie.....................................................................................................................................57
Sterke en zwakke aspecten...........................................................................................................57
Implicaties voor de praktijk..........................................................................................................58
4.3 Conclusie....................................................................................................................................58
4.4 Advies.........................................................................................................................................58
Bibliografie...........................................................................................................................................60
Bijlagen.................................................................................................................................................61
Bijlage 1 HU beoordelingslijst wetenschappelijke publicaties..........................................................61
Artikel 1........................................................................................................................................61
Artikel 2........................................................................................................................................63
Artikel 3........................................................................................................................................65
Artikel 4........................................................................................................................................67
Bijlage 2 Feedbackformulier mentoren............................................................................................69
3
Praktijkleren 3
Naam docent
Groepsnummer
inleverdatum
Naam student
studentnummer
studentmail
,Inhoudsopgave
Onderdeel 1 Evaluatieformulier CanMEDS-rollen..................................................................................4
Onderdeel 2 Klinisch redeneren.............................................................................................................5
Hoofdstuk 1 Klinisch beeld.....................................................................................................................7
1.1 Situation.......................................................................................................................................7
1.2 Background...................................................................................................................................7
Anamnese.......................................................................................................................................8
1.3 Assessment...................................................................................................................................8
Early Warning Signs-score (EWS)....................................................................................................8
Sedatiescore...................................................................................................................................9
Numeric Pain Rating Scale (NPRS)..................................................................................................9
Rotterdam Elderly Pain Observation Scale (REPOS)........................................................................9
Bristol Stoelgangsschaal (BSS)......................................................................................................10
Glasgow Coma Scale (GCS)...........................................................................................................10
Laboratoriumonderzoek...............................................................................................................10
Urgentie........................................................................................................................................10
1.4 Recommendation.......................................................................................................................11
Hoofdstuk 2 Probleemanalyse..............................................................................................................14
2.1 Orgaansystemen.........................................................................................................................14
Respiratoir systeem......................................................................................................................14
Cardiovasculair systeem...............................................................................................................14
Neurologisch systeem / brein.......................................................................................................14
Thermoregulatie systeem.............................................................................................................14
2.2 Problematiek..............................................................................................................................14
Psychosociale problematiek.........................................................................................................14
Functionele problematiek.............................................................................................................14
Hoofdstuk 3 Aanvullend onderzoek en diagnose.................................................................................16
Hoofdstuk 4 Klinisch beleid..................................................................................................................17
4.1 Verpleegkundige diagnoses, doelen en interventies..................................................................17
4.2 Shared decision making..............................................................................................................18
Hoofdstuk 5 Klinisch verloop................................................................................................................19
5.1 Ziekteverloop..............................................................................................................................19
5.2 Zelfmanagement.........................................................................................................................20
5.3 Inventarisatie zorg......................................................................................................................20
1
,Hoofdstuk 6 Evaluatie...........................................................................................................................21
6.1 Doelen........................................................................................................................................21
6.2 Reflectie......................................................................................................................................21
Bibliografie...........................................................................................................................................22
Bijlagen.................................................................................................................................................26
Bijlage 1 SBAR-methode...................................................................................................................26
Bijlage 2 AMPLE methode.................................................................................................................27
Bijlage 3 Medicatielijst......................................................................................................................28
Bijlage 4 Voorgeschiedenis...............................................................................................................29
Bijlage 5 Early Warning Signs-score..................................................................................................30
Bijlage 6 Sedatiescore.......................................................................................................................31
Bijlage 7 Numeric Pain Rating Scale..................................................................................................32
Bijlage 8 Rotterdam Elderly Pain Observation Scale.........................................................................33
Bijlage 9 Bristol Stoelgangschaal.......................................................................................................34
Bijlage 10 Glasgow Coma Scale.........................................................................................................35
Bijlage 11 Laboratoriumonderzoek...................................................................................................36
Bijlage 12 ABCDE-methodiek............................................................................................................37
Bijlage 13 Anamnese volgens …........................................................................................................38
Bijlage 14 Screening ondervoeding bij patiënten van 18 jaar en ouder (kliniek)..............................42
Bijlage 15 Valrisicoscreening bij patiënten van 18 jaar en ouder (kliniek)........................................43
Bijlage 16 Feedbackformulier mentoren..........................................................................................44
Onderdeel 3 Onderzoekend vermogen................................................................................................45
Hoofdstuk 1 Samenvatting...................................................................................................................48
Hoofdstuk 2 Probleemanalyse..............................................................................................................50
2.1 Doel- en vraagstelling.................................................................................................................50
Hoofdstuk 3 Onderzoeksmethode........................................................................................................52
3.1 Zoektermen................................................................................................................................52
3.2 Databanken................................................................................................................................52
3.3 In- en exclusiecriteria..................................................................................................................52
3.4 Zoekresultaten............................................................................................................................53
Verantwoording...........................................................................................................................54
3.5 Analyse.......................................................................................................................................54
Artikel 1........................................................................................................................................54
Artikel 2........................................................................................................................................54
Artikel 3........................................................................................................................................55
Artikel 4........................................................................................................................................55
2
, Hoofdstuk 4 Data-analyse en Rapportage............................................................................................56
4.1 Resultaten...................................................................................................................................56
Artikel 1........................................................................................................................................56
Artikel 2........................................................................................................................................56
Artikel 3........................................................................................................................................56
Artikel 4........................................................................................................................................57
4.2 Discussie.....................................................................................................................................57
Sterke en zwakke aspecten...........................................................................................................57
Implicaties voor de praktijk..........................................................................................................58
4.3 Conclusie....................................................................................................................................58
4.4 Advies.........................................................................................................................................58
Bibliografie...........................................................................................................................................60
Bijlagen.................................................................................................................................................61
Bijlage 1 HU beoordelingslijst wetenschappelijke publicaties..........................................................61
Artikel 1........................................................................................................................................61
Artikel 2........................................................................................................................................63
Artikel 3........................................................................................................................................65
Artikel 4........................................................................................................................................67
Bijlage 2 Feedbackformulier mentoren............................................................................................69
3
