Bijlagen pleidooien
Inhoud
Protocol 1: Insuline en bloedglucose.....................................................................................................7
Diabetes Mellitus type 2........................................................................................................................9
Oorzaken...........................................................................................................................................9
Symptomen.......................................................................................................................................9
Opsporing..........................................................................................................................................9
Vaststellen.........................................................................................................................................9
Behandeling.......................................................................................................................................9
Hypoglycemie..................................................................................................................................10
Hyperclycemie.................................................................................................................................10
Soorten insuline...................................................................................................................................10
Insuline toedienen...............................................................................................................................11
Bloedglucose meten............................................................................................................................13
Cliënten met diabetes mellitus............................................................................................................15
Reflectie CanMEDS rollen....................................................................................................................15
Zorgverlener....................................................................................................................................15
Communicator.................................................................................................................................15
De reflectieve EBP-professional.......................................................................................................15
Organisator......................................................................................................................................15
De professional en kwaliteitsbevorderaar.......................................................................................15
De gezondheidsbevorderaar............................................................................................................16
Bijlagen................................................................................................................................................16
Bijlagen 1: subcutaan injecteren met insulinepen (versie 5) VILANS...............................................16
Bijlagen 2: Bloedglucosewaarde meten via vingerprik VILANS........................................................19
Bibliografie...........................................................................................................................................21
Protocol 2: Bloeddruk meten...............................................................................................................22
Wat is bloeddruk?................................................................................................................................30
Bovendruk.......................................................................................................................................30
Onderdruk.......................................................................................................................................30
Polsdruk...........................................................................................................................................30
Pulse................................................................................................................................................30
Tijdstip.............................................................................................................................................30
Hypertensie.........................................................................................................................................31
Primaire hypertensie.......................................................................................................................31
, Secundaire hypertensie...................................................................................................................31
Hypertensieve crisis.........................................................................................................................31
Zwangerschapshypertensie.............................................................................................................32
Wittejassenhypertensie...................................................................................................................32
Manieren om de bloeddruk te verlagen..........................................................................................32
Hypotensie...........................................................................................................................................33
Orthostatische hypotensie...............................................................................................................33
Manieren om de bloeddruk te verhogen.........................................................................................33
Bloeddruk meten.................................................................................................................................34
Koppeling casus...................................................................................................................................34
Reflectie CanMEDS rollen....................................................................................................................34
Zorgverlener....................................................................................................................................34
De reflectieve EBP professional.......................................................................................................35
Gezondheidsbevorderaar................................................................................................................35
Bijlage 1: Bloeddruk meten (Versie 4) VILANS.....................................................................................35
Bibliografie...........................................................................................................................................37
Ziektebeeld 1: Parkinson.....................................................................................................................39
1. Wat is Parkinson?............................................................................................................................46
Wat is de functie van dopamine?....................................................................................................46
2. Epidemiologie..................................................................................................................................46
3. Etiologie...........................................................................................................................................46
4. Symptomen......................................................................................................................................47
5. Diagnose Welke onderzoeken zijn nodig om tot een diagnose te komen?......................................47
6. Behandeling.....................................................................................................................................48
Medicatie.............................................................................................................................................48
Chirurgie..............................................................................................................................................48
Paramedisch........................................................................................................................................48
7. Prognose..........................................................................................................................................49
8. Complicaties....................................................................................................................................49
9. Aandachtspunten voor de verzorging en begeleiding......................................................................49
Casus....................................................................................................................................................49
Reflectie CanMEDS rollen....................................................................................................................50
Zorgverlener....................................................................................................................................50
De reflectieve EBP professional.......................................................................................................50
Bibliografie...........................................................................................................................................51
Ziektebeeld 2: CVA...............................................................................................................................52
,1. Wat is een CVA?...............................................................................................................................60
Verschillende soorten K90...................................................................................................................60
K90 Cerebrovasculair accident.........................................................................................................60
K90.01 subarachnoïdale bloeding....................................................................................................60
K90.02 intracerebrale bloeding.......................................................................................................60
K90.03 cerebraal infarct...................................................................................................................60
ICDP K90..............................................................................................................................................60
2. Epidemiologie..................................................................................................................................61
3. Oorzaken..........................................................................................................................................61
4. Symptomen Welke verschijnselen komen voor bij dit ziektebeeld?................................................62
5. Diagnose..........................................................................................................................................63
6. Behandeling.....................................................................................................................................63
7. Prognose..........................................................................................................................................64
8. Complicaties....................................................................................................................................64
Afasie door een CVA............................................................................................................................64
Casus....................................................................................................................................................65
Reflectie CanMEDS rollen....................................................................................................................66
Zorgverlener....................................................................................................................................66
Communicator.................................................................................................................................66
De reflectieve EBP professional.......................................................................................................66
Bibliografie...........................................................................................................................................66
Reflectie 1: wegraking cliënt................................................................................................................68
5G reflectie..........................................................................................................................................75
Gebeurtenis.....................................................................................................................................75
Gedachten.......................................................................................................................................76
Gevoelens........................................................................................................................................76
Gedrag.............................................................................................................................................76
Gevolg..............................................................................................................................................76
Wat is een wegraking?.........................................................................................................................76
Hoe wordt de diagnose gesteld?.........................................................................................................77
Wat moet je doen bij een wegraking?.................................................................................................77
Reflectie CanMEDS rollen....................................................................................................................77
Zorgverlener....................................................................................................................................77
De professional en kwaliteitsbevorderaar.......................................................................................77
Bibliografie...........................................................................................................................................77
Reflectie 2: Ochtendzorg.....................................................................................................................79
, 5 G reflectie.........................................................................................................................................87
Gebeurtenis.....................................................................................................................................87
Gedachte.........................................................................................................................................88
Gevoel..............................................................................................................................................88
Gedrag.............................................................................................................................................88
Gevolg..............................................................................................................................................89
Steunkousen aan doen met behulp van een glijzak.............................................................................89
Reflectie CanMEDS rollen....................................................................................................................89
Zorgverlener....................................................................................................................................89
Communicator.................................................................................................................................90
Samenwerkingspartner....................................................................................................................90
Reflectieve EBP professional............................................................................................................90
Organisator......................................................................................................................................90
Rapportages ONS.................................................................................................................................90
Mevrouw B......................................................................................................................................91
Mevrouw B......................................................................................................................................91
Mevrouw D......................................................................................................................................91
Mevrouw M.....................................................................................................................................91
Bibliografie...........................................................................................................................................91
Reflectie 3: Verwarring cliënt..............................................................................................................93
Situatie...........................................................................................................................................101
Taak...............................................................................................................................................102
Actie...............................................................................................................................................102
Resultaat........................................................................................................................................103
Reflectie.........................................................................................................................................104
Delirium.........................................................................................................................................104
Delirium Observatie Screening......................................................................................................104
Reflectie CanMEDS rollen..............................................................................................................105
Zorgverlener..............................................................................................................................105
Communicator...........................................................................................................................105
De reflectieve EBP professional.................................................................................................105
Gezondheidsbevorderaar..........................................................................................................105
Organisator................................................................................................................................105
De professional en kwaliteitsbevorderaar.................................................................................106
Bibliografie.........................................................................................................................................106
Reflectie 4: Creatieve reflectie...........................................................................................................108
Inhoud
Protocol 1: Insuline en bloedglucose.....................................................................................................7
Diabetes Mellitus type 2........................................................................................................................9
Oorzaken...........................................................................................................................................9
Symptomen.......................................................................................................................................9
Opsporing..........................................................................................................................................9
Vaststellen.........................................................................................................................................9
Behandeling.......................................................................................................................................9
Hypoglycemie..................................................................................................................................10
Hyperclycemie.................................................................................................................................10
Soorten insuline...................................................................................................................................10
Insuline toedienen...............................................................................................................................11
Bloedglucose meten............................................................................................................................13
Cliënten met diabetes mellitus............................................................................................................15
Reflectie CanMEDS rollen....................................................................................................................15
Zorgverlener....................................................................................................................................15
Communicator.................................................................................................................................15
De reflectieve EBP-professional.......................................................................................................15
Organisator......................................................................................................................................15
De professional en kwaliteitsbevorderaar.......................................................................................15
De gezondheidsbevorderaar............................................................................................................16
Bijlagen................................................................................................................................................16
Bijlagen 1: subcutaan injecteren met insulinepen (versie 5) VILANS...............................................16
Bijlagen 2: Bloedglucosewaarde meten via vingerprik VILANS........................................................19
Bibliografie...........................................................................................................................................21
Protocol 2: Bloeddruk meten...............................................................................................................22
Wat is bloeddruk?................................................................................................................................30
Bovendruk.......................................................................................................................................30
Onderdruk.......................................................................................................................................30
Polsdruk...........................................................................................................................................30
Pulse................................................................................................................................................30
Tijdstip.............................................................................................................................................30
Hypertensie.........................................................................................................................................31
Primaire hypertensie.......................................................................................................................31
, Secundaire hypertensie...................................................................................................................31
Hypertensieve crisis.........................................................................................................................31
Zwangerschapshypertensie.............................................................................................................32
Wittejassenhypertensie...................................................................................................................32
Manieren om de bloeddruk te verlagen..........................................................................................32
Hypotensie...........................................................................................................................................33
Orthostatische hypotensie...............................................................................................................33
Manieren om de bloeddruk te verhogen.........................................................................................33
Bloeddruk meten.................................................................................................................................34
Koppeling casus...................................................................................................................................34
Reflectie CanMEDS rollen....................................................................................................................34
Zorgverlener....................................................................................................................................34
De reflectieve EBP professional.......................................................................................................35
Gezondheidsbevorderaar................................................................................................................35
Bijlage 1: Bloeddruk meten (Versie 4) VILANS.....................................................................................35
Bibliografie...........................................................................................................................................37
Ziektebeeld 1: Parkinson.....................................................................................................................39
1. Wat is Parkinson?............................................................................................................................46
Wat is de functie van dopamine?....................................................................................................46
2. Epidemiologie..................................................................................................................................46
3. Etiologie...........................................................................................................................................46
4. Symptomen......................................................................................................................................47
5. Diagnose Welke onderzoeken zijn nodig om tot een diagnose te komen?......................................47
6. Behandeling.....................................................................................................................................48
Medicatie.............................................................................................................................................48
Chirurgie..............................................................................................................................................48
Paramedisch........................................................................................................................................48
7. Prognose..........................................................................................................................................49
8. Complicaties....................................................................................................................................49
9. Aandachtspunten voor de verzorging en begeleiding......................................................................49
Casus....................................................................................................................................................49
Reflectie CanMEDS rollen....................................................................................................................50
Zorgverlener....................................................................................................................................50
De reflectieve EBP professional.......................................................................................................50
Bibliografie...........................................................................................................................................51
Ziektebeeld 2: CVA...............................................................................................................................52
,1. Wat is een CVA?...............................................................................................................................60
Verschillende soorten K90...................................................................................................................60
K90 Cerebrovasculair accident.........................................................................................................60
K90.01 subarachnoïdale bloeding....................................................................................................60
K90.02 intracerebrale bloeding.......................................................................................................60
K90.03 cerebraal infarct...................................................................................................................60
ICDP K90..............................................................................................................................................60
2. Epidemiologie..................................................................................................................................61
3. Oorzaken..........................................................................................................................................61
4. Symptomen Welke verschijnselen komen voor bij dit ziektebeeld?................................................62
5. Diagnose..........................................................................................................................................63
6. Behandeling.....................................................................................................................................63
7. Prognose..........................................................................................................................................64
8. Complicaties....................................................................................................................................64
Afasie door een CVA............................................................................................................................64
Casus....................................................................................................................................................65
Reflectie CanMEDS rollen....................................................................................................................66
Zorgverlener....................................................................................................................................66
Communicator.................................................................................................................................66
De reflectieve EBP professional.......................................................................................................66
Bibliografie...........................................................................................................................................66
Reflectie 1: wegraking cliënt................................................................................................................68
5G reflectie..........................................................................................................................................75
Gebeurtenis.....................................................................................................................................75
Gedachten.......................................................................................................................................76
Gevoelens........................................................................................................................................76
Gedrag.............................................................................................................................................76
Gevolg..............................................................................................................................................76
Wat is een wegraking?.........................................................................................................................76
Hoe wordt de diagnose gesteld?.........................................................................................................77
Wat moet je doen bij een wegraking?.................................................................................................77
Reflectie CanMEDS rollen....................................................................................................................77
Zorgverlener....................................................................................................................................77
De professional en kwaliteitsbevorderaar.......................................................................................77
Bibliografie...........................................................................................................................................77
Reflectie 2: Ochtendzorg.....................................................................................................................79
, 5 G reflectie.........................................................................................................................................87
Gebeurtenis.....................................................................................................................................87
Gedachte.........................................................................................................................................88
Gevoel..............................................................................................................................................88
Gedrag.............................................................................................................................................88
Gevolg..............................................................................................................................................89
Steunkousen aan doen met behulp van een glijzak.............................................................................89
Reflectie CanMEDS rollen....................................................................................................................89
Zorgverlener....................................................................................................................................89
Communicator.................................................................................................................................90
Samenwerkingspartner....................................................................................................................90
Reflectieve EBP professional............................................................................................................90
Organisator......................................................................................................................................90
Rapportages ONS.................................................................................................................................90
Mevrouw B......................................................................................................................................91
Mevrouw B......................................................................................................................................91
Mevrouw D......................................................................................................................................91
Mevrouw M.....................................................................................................................................91
Bibliografie...........................................................................................................................................91
Reflectie 3: Verwarring cliënt..............................................................................................................93
Situatie...........................................................................................................................................101
Taak...............................................................................................................................................102
Actie...............................................................................................................................................102
Resultaat........................................................................................................................................103
Reflectie.........................................................................................................................................104
Delirium.........................................................................................................................................104
Delirium Observatie Screening......................................................................................................104
Reflectie CanMEDS rollen..............................................................................................................105
Zorgverlener..............................................................................................................................105
Communicator...........................................................................................................................105
De reflectieve EBP professional.................................................................................................105
Gezondheidsbevorderaar..........................................................................................................105
Organisator................................................................................................................................105
De professional en kwaliteitsbevorderaar.................................................................................106
Bibliografie.........................................................................................................................................106
Reflectie 4: Creatieve reflectie...........................................................................................................108
