Stageportfolio
Klinisch redeneren & Onderzoekend vermogen
Naam:
Docent:
Praktijkleren 1
Aantal woorden:
, STAGEPORTFOLIO
Inhoudsopgave
KLINISCH REDENEREN.................................................................................................................................... 5
ANAMNESE.................................................................................................................................................... 5
De eerste indruk...................................................................................................................................................5
Het ziektebeeld.....................................................................................................................................................8
Dementie: Lewy Body......................................................................................................................................8
Parkinson.........................................................................................................................................................8
Incontinentie....................................................................................................................................................9
Diabetes Mellitus type 2..................................................................................................................................9
Hypertensie....................................................................................................................................................10
De belevingswereld............................................................................................................................................11
Inschatting maken van de gezondheid...............................................................................................................12
Gezondheidssituatie...........................................................................................................................................15
DIAGNOSE .................................................................................................................................................. 16
Aanknopingspunten voor het verlenen van zorg...............................................................................................16
Verpleegkundige diagnose 1: Risico op vallen (Carpenito, risico op letsel, 2018)........................................16
Verpleegkundige diagnose 2: Incontinentie (Carpenito, incontinentie, 2018).............................................16
Verpleegkundige diagnose 3: Risico op huiddefect (Carpenito, risico op huiddefect, 2018).......................16
Verpleegkundige diagnose 4: Risico op cystitis (Carpendito, risico op infecties, 2018)...............................17
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................17
Evaluatie diagnoses............................................................................................................................................17
Risico op cystitis:............................................................................................................................................17
Risico op huiddefect:.....................................................................................................................................17
Risico op vallen:.............................................................................................................................................18
Risico op ondervoeding:................................................................................................................................18
Incontinentie:.................................................................................................................................................18
RESULTAAT.................................................................................................................................................. 19
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................19
Resultaten evalueren.........................................................................................................................................19
INTERVENTIE................................................................................................................................................ 20
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................22
Feedback van werkbegeleider op interventies:..................................................................................................22
UITVOERING................................................................................................................................................ 23
Verpleegkundige diagnose 3: Risico op huiddefect.......................................................................................24
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................24
EVALUATIE................................................................................................................................................... 25
ONDERZOEKEND VERMOGEN....................................................................................................................... 26
Stap 1: Probleemanalyse....................................................................................................................................26
Casus..............................................................................................................................................................26
2
, STAGEPORTFOLIO
Probleemstelling............................................................................................................................................26
Doelstelling....................................................................................................................................................27
Vraagstelling:.................................................................................................................................................27
Stap 2: Onderzoeksmethode..............................................................................................................................28
Zoekplan........................................................................................................................................................28
Tijdsplanning..................................................................................................................................................29
Stap 3: Dataverzameling....................................................................................................................................30
Artikel 1:.........................................................................................................................................................30
The Effects of Exercise on Balance in Persons with Parkinson's Disease: A Systematic Review Across the
Disability Spectrum........................................................................................................................................30
Artikel 2:.............................................................................................................................................................33
Effects of Exercise on Falls, Balance and Gait Ability in Parkinson’s Disease: A Meta Analysis....................33
Stap 4: Data-analyse..........................................................................................................................................36
Samenvatting artikel 1: The Effects of Exercise on Balance in Persons with Parkinson’s Disease: A
Systematic Review Across the Disability Spectrum.......................................................................................36
Samenvatting artikel 2: Effects of Exercise on Falls, Balance and Gait Ability in Parkinson’s Disease: A Meta
Analysis..........................................................................................................................................................36
Stap 5: Rapportage............................................................................................................................................38
Conclusie........................................................................................................................................................38
Mijn advies.....................................................................................................................................................38
Oefeningen....................................................................................................................................................38
Feedback van werkbegeleider op interventie van onderzoekend vermogen:..............................................39
Advies veranderd na gesprek?......................................................................................................................39
Evaluatieformulier CanMEDS-rollen PL1...................................................................................................... 40
Zorgverlener.......................................................................................................................................................41
Communicator....................................................................................................................................................43
Samenwerkingspartner......................................................................................................................................43
Reflectieve EBP-Professional..............................................................................................................................44
Gezondheidsbevorderaar...................................................................................................................................45
Organisator........................................................................................................................................................46
Professional en kwaliteitsbevorderaar...............................................................................................................47
Bibliografie.................................................................................................................................................. 49
Inleiding
Voor mijn praktijkleren heb ik een stageportfolio gemaakt. In dit stage portfolio
bevinden zich de volgende opdrachten:
- Klinisch redeneren:
Hierbij is er een zorgvrager gekozen en worden de eigen observaties gekoppeld aan
medische kennis. Dit wordt gedaan volgens de 6 stappen die beschreven zijn in de
opdracht.
- Onderzoekend vermogen:
Bij onderzoekend vermogen is er aan de hand van een casus een probleem-, vraag-
en doelstelling opgemaakt. Deze stellingen worden beantwoord door middel van
twee wetenschappelijke artikelen.
3
, STAGEPORTFOLIO
- Canmeds formulier:
Mijn praktijkleren is beoordeeld via het Canmeds formulier. Hierbij wordt er gebruik
gemaakt van de 6 rollen die volgens het Canmeds formulier de zorgverlener
beschrijven.
4
Klinisch redeneren & Onderzoekend vermogen
Naam:
Docent:
Praktijkleren 1
Aantal woorden:
, STAGEPORTFOLIO
Inhoudsopgave
KLINISCH REDENEREN.................................................................................................................................... 5
ANAMNESE.................................................................................................................................................... 5
De eerste indruk...................................................................................................................................................5
Het ziektebeeld.....................................................................................................................................................8
Dementie: Lewy Body......................................................................................................................................8
Parkinson.........................................................................................................................................................8
Incontinentie....................................................................................................................................................9
Diabetes Mellitus type 2..................................................................................................................................9
Hypertensie....................................................................................................................................................10
De belevingswereld............................................................................................................................................11
Inschatting maken van de gezondheid...............................................................................................................12
Gezondheidssituatie...........................................................................................................................................15
DIAGNOSE .................................................................................................................................................. 16
Aanknopingspunten voor het verlenen van zorg...............................................................................................16
Verpleegkundige diagnose 1: Risico op vallen (Carpenito, risico op letsel, 2018)........................................16
Verpleegkundige diagnose 2: Incontinentie (Carpenito, incontinentie, 2018).............................................16
Verpleegkundige diagnose 3: Risico op huiddefect (Carpenito, risico op huiddefect, 2018).......................16
Verpleegkundige diagnose 4: Risico op cystitis (Carpendito, risico op infecties, 2018)...............................17
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................17
Evaluatie diagnoses............................................................................................................................................17
Risico op cystitis:............................................................................................................................................17
Risico op huiddefect:.....................................................................................................................................17
Risico op vallen:.............................................................................................................................................18
Risico op ondervoeding:................................................................................................................................18
Incontinentie:.................................................................................................................................................18
RESULTAAT.................................................................................................................................................. 19
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................19
Resultaten evalueren.........................................................................................................................................19
INTERVENTIE................................................................................................................................................ 20
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................22
Feedback van werkbegeleider op interventies:..................................................................................................22
UITVOERING................................................................................................................................................ 23
Verpleegkundige diagnose 3: Risico op huiddefect.......................................................................................24
Verpleegkundige diagnose 5: Risico op ondervoeding......................................................................................24
EVALUATIE................................................................................................................................................... 25
ONDERZOEKEND VERMOGEN....................................................................................................................... 26
Stap 1: Probleemanalyse....................................................................................................................................26
Casus..............................................................................................................................................................26
2
, STAGEPORTFOLIO
Probleemstelling............................................................................................................................................26
Doelstelling....................................................................................................................................................27
Vraagstelling:.................................................................................................................................................27
Stap 2: Onderzoeksmethode..............................................................................................................................28
Zoekplan........................................................................................................................................................28
Tijdsplanning..................................................................................................................................................29
Stap 3: Dataverzameling....................................................................................................................................30
Artikel 1:.........................................................................................................................................................30
The Effects of Exercise on Balance in Persons with Parkinson's Disease: A Systematic Review Across the
Disability Spectrum........................................................................................................................................30
Artikel 2:.............................................................................................................................................................33
Effects of Exercise on Falls, Balance and Gait Ability in Parkinson’s Disease: A Meta Analysis....................33
Stap 4: Data-analyse..........................................................................................................................................36
Samenvatting artikel 1: The Effects of Exercise on Balance in Persons with Parkinson’s Disease: A
Systematic Review Across the Disability Spectrum.......................................................................................36
Samenvatting artikel 2: Effects of Exercise on Falls, Balance and Gait Ability in Parkinson’s Disease: A Meta
Analysis..........................................................................................................................................................36
Stap 5: Rapportage............................................................................................................................................38
Conclusie........................................................................................................................................................38
Mijn advies.....................................................................................................................................................38
Oefeningen....................................................................................................................................................38
Feedback van werkbegeleider op interventie van onderzoekend vermogen:..............................................39
Advies veranderd na gesprek?......................................................................................................................39
Evaluatieformulier CanMEDS-rollen PL1...................................................................................................... 40
Zorgverlener.......................................................................................................................................................41
Communicator....................................................................................................................................................43
Samenwerkingspartner......................................................................................................................................43
Reflectieve EBP-Professional..............................................................................................................................44
Gezondheidsbevorderaar...................................................................................................................................45
Organisator........................................................................................................................................................46
Professional en kwaliteitsbevorderaar...............................................................................................................47
Bibliografie.................................................................................................................................................. 49
Inleiding
Voor mijn praktijkleren heb ik een stageportfolio gemaakt. In dit stage portfolio
bevinden zich de volgende opdrachten:
- Klinisch redeneren:
Hierbij is er een zorgvrager gekozen en worden de eigen observaties gekoppeld aan
medische kennis. Dit wordt gedaan volgens de 6 stappen die beschreven zijn in de
opdracht.
- Onderzoekend vermogen:
Bij onderzoekend vermogen is er aan de hand van een casus een probleem-, vraag-
en doelstelling opgemaakt. Deze stellingen worden beantwoord door middel van
twee wetenschappelijke artikelen.
3
, STAGEPORTFOLIO
- Canmeds formulier:
Mijn praktijkleren is beoordeeld via het Canmeds formulier. Hierbij wordt er gebruik
gemaakt van de 6 rollen die volgens het Canmeds formulier de zorgverlener
beschrijven.
4
