E4 Chronisch ziek zijn
en specifieke
patiëntgroepen
SAMENVATTING
Lieke Schönberger
,Inhoud
Interprofessionele zorg ........................................................................................................................... 4
Multi disciplinair overleg (MDO) ......................................................................................................... 4
Gender ..................................................................................................................................................... 5
Gender en pijn ..................................................................................................................................... 5
Gender en farmacotherapie ................................................................................................................ 5
Gender en alcohol ............................................................................................................................... 6
Gender en multimorbiditeit ................................................................................................................ 6
Chronische ziekte .................................................................................................................................... 6
Multimorbiditeit .................................................................................................................................. 8
Polyfarmacie ........................................................................................................................................ 8
Ouderen........................................................................................................................................... 9
Kwetsbaarheid ......................................................................................................................................... 9
Gezondheidsvaardigheden .................................................................................................................. 9
Ouderen............................................................................................................................................. 10
Geriatrische syndromen/geriatric giants....................................................................................... 10
Kwetsbaarheid ............................................................................................................................... 12
Delier ............................................................................................................................................. 13
Vallen ............................................................................................................................................. 14
Kinderen ............................................................................................................................................ 15
Perinatale asfyxie .......................................................................................................................... 15
Ademhalingsproblemen ................................................................................................................ 16
Icterus neonatorum ....................................................................................................................... 17
Neonatale hypoglycaemie ............................................................................................................. 18
Thermoregulatie ............................................................................................................................ 19
Perinatale infecties ........................................................................................................................ 19
De vroeggeborene ......................................................................................................................... 19
Dwang en drang in de zorg .................................................................................................................... 20
Wet Bijzondere Opnemingen in Psychiatrische Ziekenhuizen (BOPZ) .............................................. 20
Wet op Geneeskundige Behandelingsovereenkomst (WGBO) ......................................................... 21
Autonomie ......................................................................................................................................... 21
Professionele autonomie .............................................................................................................. 21
Verzorgingstehuizen ...................................................................................................................... 22
Beschermende maatregelen ......................................................................................................... 22
,Chronische pijn ...................................................................................................................................... 23
Acute pijn........................................................................................................................................... 23
Nociceptoren ..................................................................................................................................... 23
Psychologie van pijn .......................................................................................................................... 24
Operante theorie ........................................................................................................................... 24
Sociale theorie ............................................................................................................................... 24
Theorieën rond cognitieve processen ........................................................................................... 24
Psychologische pijnmodellen ........................................................................................................ 25
Pijnprofielen .................................................................................................................................. 26
Lagerugpijn ........................................................................................................................................ 26
Revalidatie ......................................................................................................................................... 28
Behandeling ....................................................................................................................................... 28
Gedragstherapie ............................................................................................................................ 29
Medicamenteuze behandeling ...................................................................................................... 29
Zenuwblokkade ............................................................................................................................. 30
SOLK....................................................................................................................................................... 30
Behandeling ....................................................................................................................................... 31
Verslaving .............................................................................................................................................. 31
Stoornissen in het gebruik van een middel ....................................................................................... 31
Tabak ................................................................................................................................................. 32
Alcohol ............................................................................................................................................... 33
Cannabis ............................................................................................................................................ 34
Cocaïne .............................................................................................................................................. 34
Extacy ................................................................................................................................................ 35
Gokstoornis ....................................................................................................................................... 36
Behandeling ....................................................................................................................................... 37
, Interprofessionele zorg
Interprofessionele zorg is niet hetzelfde als multidisciplinaire zorg. Bij multidisciplinaire zorg zijn er
verschillende kanten die allemaal apart van elkaar met dezelfde patiënt werken. Bij
interprofessionele zorg is er een samenwerking tussen verschillende professionals die samen met
dezelfde patiënt werken.
Multi disciplinair overleg (MDO)
en specifieke
patiëntgroepen
SAMENVATTING
Lieke Schönberger
,Inhoud
Interprofessionele zorg ........................................................................................................................... 4
Multi disciplinair overleg (MDO) ......................................................................................................... 4
Gender ..................................................................................................................................................... 5
Gender en pijn ..................................................................................................................................... 5
Gender en farmacotherapie ................................................................................................................ 5
Gender en alcohol ............................................................................................................................... 6
Gender en multimorbiditeit ................................................................................................................ 6
Chronische ziekte .................................................................................................................................... 6
Multimorbiditeit .................................................................................................................................. 8
Polyfarmacie ........................................................................................................................................ 8
Ouderen........................................................................................................................................... 9
Kwetsbaarheid ......................................................................................................................................... 9
Gezondheidsvaardigheden .................................................................................................................. 9
Ouderen............................................................................................................................................. 10
Geriatrische syndromen/geriatric giants....................................................................................... 10
Kwetsbaarheid ............................................................................................................................... 12
Delier ............................................................................................................................................. 13
Vallen ............................................................................................................................................. 14
Kinderen ............................................................................................................................................ 15
Perinatale asfyxie .......................................................................................................................... 15
Ademhalingsproblemen ................................................................................................................ 16
Icterus neonatorum ....................................................................................................................... 17
Neonatale hypoglycaemie ............................................................................................................. 18
Thermoregulatie ............................................................................................................................ 19
Perinatale infecties ........................................................................................................................ 19
De vroeggeborene ......................................................................................................................... 19
Dwang en drang in de zorg .................................................................................................................... 20
Wet Bijzondere Opnemingen in Psychiatrische Ziekenhuizen (BOPZ) .............................................. 20
Wet op Geneeskundige Behandelingsovereenkomst (WGBO) ......................................................... 21
Autonomie ......................................................................................................................................... 21
Professionele autonomie .............................................................................................................. 21
Verzorgingstehuizen ...................................................................................................................... 22
Beschermende maatregelen ......................................................................................................... 22
,Chronische pijn ...................................................................................................................................... 23
Acute pijn........................................................................................................................................... 23
Nociceptoren ..................................................................................................................................... 23
Psychologie van pijn .......................................................................................................................... 24
Operante theorie ........................................................................................................................... 24
Sociale theorie ............................................................................................................................... 24
Theorieën rond cognitieve processen ........................................................................................... 24
Psychologische pijnmodellen ........................................................................................................ 25
Pijnprofielen .................................................................................................................................. 26
Lagerugpijn ........................................................................................................................................ 26
Revalidatie ......................................................................................................................................... 28
Behandeling ....................................................................................................................................... 28
Gedragstherapie ............................................................................................................................ 29
Medicamenteuze behandeling ...................................................................................................... 29
Zenuwblokkade ............................................................................................................................. 30
SOLK....................................................................................................................................................... 30
Behandeling ....................................................................................................................................... 31
Verslaving .............................................................................................................................................. 31
Stoornissen in het gebruik van een middel ....................................................................................... 31
Tabak ................................................................................................................................................. 32
Alcohol ............................................................................................................................................... 33
Cannabis ............................................................................................................................................ 34
Cocaïne .............................................................................................................................................. 34
Extacy ................................................................................................................................................ 35
Gokstoornis ....................................................................................................................................... 36
Behandeling ....................................................................................................................................... 37
, Interprofessionele zorg
Interprofessionele zorg is niet hetzelfde als multidisciplinaire zorg. Bij multidisciplinaire zorg zijn er
verschillende kanten die allemaal apart van elkaar met dezelfde patiënt werken. Bij
interprofessionele zorg is er een samenwerking tussen verschillende professionals die samen met
dezelfde patiënt werken.
Multi disciplinair overleg (MDO)