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Stageportfolio praktijkleren 3. Cijfer 6,6

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Dit document is een portfolio geschreven tijdens praktijkleren 3. Het document bevat de opdrachten Onderzoekend vermogen en Klinisch redeneren. HBO-V Hogeschool Utrecht. Cijfer 6,6.

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Uploaded on
February 12, 2023
Number of pages
72
Written in
2021/2022
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Portofolio PL3
Klinisch redeneren




Aantal woorden: 3370

,Inhoud
Probleemoriëntatie............................................................................................................................................. 4
Introductie zorgvrager...............................................................................................................................................4
Veranderde situatie....................................................................................................................................................4
Situation.................................................................................................................................................................4
Background............................................................................................................................................................4
Assessment............................................................................................................................................................6
Differentiaaldiagnoses.............................................................................................................................................10

Probleemanalyse............................................................................................................................................... 11
Disfunctionele orgaansystemen...............................................................................................................................11
Psychische, sociale, functionele en spirituele problemen........................................................................................12

Aanvullend onderzoek en diagnose................................................................................................................... 13
Aanvullend onderzoek..............................................................................................................................................13
CT-abdomen........................................................................................................................................................13
X-thorax...............................................................................................................................................................13
Lijnkweek uitslag.................................................................................................................................................13
Lab uitslag............................................................................................................................................................13
Drainkweek uitslag..............................................................................................................................................14
Urinekweek uitslag..............................................................................................................................................14
Verpleegkundige diagnoses.....................................................................................................................................15
Multidisciplinair diagnoses..................................................................................................................................15
Verpleegkundige diagnoses.................................................................................................................................15
Somatisch............................................................................................................................................................15

Klinisch beleid................................................................................................................................................... 15
Prioritering...............................................................................................................................................................17

Klinisch verloop................................................................................................................................................. 18
Korte termijn............................................................................................................................................................18
Langer termijn..........................................................................................................................................................18

Evaluatie........................................................................................................................................................... 19
Zorgproces...............................................................................................................................................................19
Elektronisch dossier..................................................................................................................................................19

Bibliografie....................................................................................................................................................... 20


1

,Bijlagen............................................................................................................................................................. 22
Bijlage 1. Medicatie overzicht..................................................................................................................................22
Bijlage 2. Barthel index............................................................................................................................................24
Bijlage 3. Visual Analogue Scale (VAS).....................................................................................................................28
Bijlage 4. Hospital Anxiety and Depression Scale....................................................................................................29

Inhoudsopgave................................................................................................................................................... 2

Samenvatting...................................................................................................................................................... 3

Inleiding.............................................................................................................................................................. 6

Methode............................................................................................................................................................. 7
In- en exclusiecriteria.................................................................................................................................................7
Zoektermen................................................................................................................................................................7

Zoekstrategie...................................................................................................................................................... 9

Zoekactie.......................................................................................................................................................... 12

Resultaten......................................................................................................................................................... 13
Artikel 1: How Much Do Hospitalized Adults Move? A Systematic Review and Meta-Analysis..............................13
Artikel 2: Physical, motivational and environmental factors influencing physical activity promotion during
hospitalization: Older patients’ perspective............................................................................................................13
Artikel 3: Tasks and responsibilities in physical activity promotion of older patients during hospitalization: A
nurse perspective.....................................................................................................................................................14
Artikel 4: Can a brief behavioural change intervention encourage hospital patients with low psysical activity
levels to engage and initiate a change in physical activity behaviour?...................................................................15

Discussie........................................................................................................................................................... 17

Conclusie.......................................................................................................................................................... 17

Advies............................................................................................................................................................... 18

Bibliografie....................................................................................................................................................... 19

Bijlagen............................................................................................................................................................. 20
Bijlage 1. Beoordelingslijst artikel 1.........................................................................................................................20
Bijlage 2. Beoordelingslijst artikel 2.........................................................................................................................24
Bijlage 3. Beoordelingslijst artikel 3.........................................................................................................................28
Bijlage 4. Beoordelingslijst artikel 4.........................................................................................................................32




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