2023
Complexiteit & chroniciteit
Interview en adviesplan bij neuromyelitis optica
Naam student: --
Studentnummer: 17*****
Leerjaar: 2023
Klas: GFY-D-3B-23 / GFY-D-3Ba-23
Cususcode: GIBS-CC.DL-22
Leerteambegeleider: Nienke Smorenburg
,Inhoudsopgave
1. Inleiding........................................................................................................................................... 3
2. Samenvatting van het interview .................................................................................................... 4
3. Model positieve gezondheid .......................................................................................................... 5
3.1 Lichaamsfuncties ..................................................................................................................... 7
3.2 mentaal welbevinden .............................................................................................................. 8
3.3 zingeving .................................................................................................................................. 8
3.4 kwaliteit van leven ................................................................................................................... 9
3.5 meedoen ................................................................................................................................. 9
3.6 dagelijks functioneren ............................................................................................................. 9
3.7 conclusie ................................................................................................................................ 10
4. Neuromyelitis optica..................................................................................................................... 11
4.2 Het verschil tussen MS en NMO ............................................................................................. 11
4.3 behandeling ............................................................................................................................ 11
4.4 klinische verschijnselen ........................................................................................................... 11
5. Klinisch redeneren: HOAC II......................................................................................................... 12
5.1 initiële hypothesen ................................................................................................................ 12
5.2 RPS formulier .......................................................................................................................... 13
5.3 Bijgestelde hypothesen ........................................................................................................... 14
5.3.1 Onderzoeksplan van initiële bevestigde hypothesen ........................................................... 16
5.3.2 Toegevoegde hypothesen: .................................................................................................... 17
5.4 Lijst van PIPS ............................................................................................................................ 19
5.5 Hulpvragen ............................................................................................................................... 19
6. Lijst van NPIPS ............................................................................................................................... 20
6.1 NPIPS volgens student ............................................................................................................ 20
6.2 NPIPS volgens de behandelend fysiotherapeut ..................................................................... 20
6.3 Aangepast RPS-formulier ....................................................................................................... 21
6.4 Hypotheses op basis van NPIPS en verwachtte problemen .................................................... 22
7 Hypothesen per hulpvraag; waarom het probleem reeds bestaat. ............................................ 22
8 Verwachtte problemen zonder interventie .................................................................................. 25
9 Behandeldoelen opstellen per hulpvraag .................................................................................... 26
10 Adviesplan ................................................................................................................................. 28
10.3 dagelijks functioneren ........................................................................................................... 28
10.4 kwaliteit van leven ................................................................................................................. 31
10.5 feedback advies ..................................................................................................................... 33
11 Reflectieverslagen ..................................................................................................................... 33
1
, 11.3 Zelfreflectie ............................................................................................................................ 33
11.4 methodiekreflectie ................................................................................................................ 36
12 Literatuurlijst ............................................................................................................................. 39
13 Bijlagen ...................................................................................................................................... 42
13.1 toestemmingsformulier ....................................................................................................... 42
13.2 Fatique Serverity Scale .......................................................................................................... 44
13.3 MSIS-29 vragenlijst ................................................................................................................ 46
13.4 Adviesplan; de onderdelen welke zijn weggelaten ............................................................... 48
13.5 Vereenvoudigd adviesplan .................................................................................................... 50
13.6 Niet rennen maar plannen, vermoeidheid in balans ............................................................. 58
2
Complexiteit & chroniciteit
Interview en adviesplan bij neuromyelitis optica
Naam student: --
Studentnummer: 17*****
Leerjaar: 2023
Klas: GFY-D-3B-23 / GFY-D-3Ba-23
Cususcode: GIBS-CC.DL-22
Leerteambegeleider: Nienke Smorenburg
,Inhoudsopgave
1. Inleiding........................................................................................................................................... 3
2. Samenvatting van het interview .................................................................................................... 4
3. Model positieve gezondheid .......................................................................................................... 5
3.1 Lichaamsfuncties ..................................................................................................................... 7
3.2 mentaal welbevinden .............................................................................................................. 8
3.3 zingeving .................................................................................................................................. 8
3.4 kwaliteit van leven ................................................................................................................... 9
3.5 meedoen ................................................................................................................................. 9
3.6 dagelijks functioneren ............................................................................................................. 9
3.7 conclusie ................................................................................................................................ 10
4. Neuromyelitis optica..................................................................................................................... 11
4.2 Het verschil tussen MS en NMO ............................................................................................. 11
4.3 behandeling ............................................................................................................................ 11
4.4 klinische verschijnselen ........................................................................................................... 11
5. Klinisch redeneren: HOAC II......................................................................................................... 12
5.1 initiële hypothesen ................................................................................................................ 12
5.2 RPS formulier .......................................................................................................................... 13
5.3 Bijgestelde hypothesen ........................................................................................................... 14
5.3.1 Onderzoeksplan van initiële bevestigde hypothesen ........................................................... 16
5.3.2 Toegevoegde hypothesen: .................................................................................................... 17
5.4 Lijst van PIPS ............................................................................................................................ 19
5.5 Hulpvragen ............................................................................................................................... 19
6. Lijst van NPIPS ............................................................................................................................... 20
6.1 NPIPS volgens student ............................................................................................................ 20
6.2 NPIPS volgens de behandelend fysiotherapeut ..................................................................... 20
6.3 Aangepast RPS-formulier ....................................................................................................... 21
6.4 Hypotheses op basis van NPIPS en verwachtte problemen .................................................... 22
7 Hypothesen per hulpvraag; waarom het probleem reeds bestaat. ............................................ 22
8 Verwachtte problemen zonder interventie .................................................................................. 25
9 Behandeldoelen opstellen per hulpvraag .................................................................................... 26
10 Adviesplan ................................................................................................................................. 28
10.3 dagelijks functioneren ........................................................................................................... 28
10.4 kwaliteit van leven ................................................................................................................. 31
10.5 feedback advies ..................................................................................................................... 33
11 Reflectieverslagen ..................................................................................................................... 33
1
, 11.3 Zelfreflectie ............................................................................................................................ 33
11.4 methodiekreflectie ................................................................................................................ 36
12 Literatuurlijst ............................................................................................................................. 39
13 Bijlagen ...................................................................................................................................... 42
13.1 toestemmingsformulier ....................................................................................................... 42
13.2 Fatique Serverity Scale .......................................................................................................... 44
13.3 MSIS-29 vragenlijst ................................................................................................................ 46
13.4 Adviesplan; de onderdelen welke zijn weggelaten ............................................................... 48
13.5 Vereenvoudigd adviesplan .................................................................................................... 50
13.6 Niet rennen maar plannen, vermoeidheid in balans ............................................................. 58
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