Everyday medical complaints and preventive care: study assistance, study summaries and student internships abroad

from improving study skills to studying abroad and job openings to personal experiences

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Everyday medical complaints and preventive care

INTRO   SUMMARIES AND STUDY ASSISTANCE   ACTIVITIES AND TIPS   ORGANIZATIONS   SPOTLIGHT   SEARCH

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Table of contents:

Everyday medical complaints and preventive care: study and knowledge
  • What are everyday medical complaints, and what is preventative care?
  • Why study everyday medical complaints, and where is the best place to study, intern, or work abroad?
  • Why study preventative care, and where is the best place to study, intern, or work abroad?
Everyday medical complaints and preventive care: summaries and study assistance
  • What are the best textbooks for medicine and health care summarized?
  • What are the best scientific articles for medicine and health care summarized?
Everyday medical complaints and preventive care: summaries per related study field
Everyday medical complaints and preventive care: study and work skills
  • How to improve your study skills in the field of preventative care and everyday medical complaints?
  • Which skills are related to the field of preventative care and everyday medical complaints?
Everyday medical complaints and preventive care: study abroad, intern abroad, and work abroad
  • Which activities, internships, and vacancies abroad are related to the field of preventative care and everyday medical complaints?
  • Which organizations offer internships and activities in the field of preventative care and everyday medical complaints?
Everyday medical complaints and preventive care: shared experiences
  • What are the related spotlight blogs and contributions of other WorldSupporters?
Everyday medical complaints and preventive care: shared content
  • All shared content related to preventative care and everyday medical complaints: jobs, tips, summaries, organizations, and blogs
  • Search all shared content

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What is everyday medical complaints, why would you study it, and where is the best place to study, intern or work abroad?

What is everyday medical complaints, why would you study it, and where is the best place to study, intern or work abroad?

What is everyday medical complaints?

  • Everyday medical complaints focuses on common, non-emergency health problems that people bring to primary care, community clinics, urgent care services, and increasingly digital consultation settings.
  • The field connects medical knowledge with communication, clinical judgement, cultural awareness, and practical decision-making in situations where symptoms are often familiar but not always simple.
  • In an international context, everyday medical complaints is closely linked to how health systems are organized, how people access care, and how prevention, triage, and referral pathways function across societies.

What are the main reasons for being active in the field of medical complaints?

  • The field gives a broad view of how primary care responds to frequent health concerns, from respiratory infections and skin problems to pain, stress, and chronic conditions.
  • It offers insight into the first point of contact between people and health systems, where careful listening and early recognition often shape later care.
  • International study or internship experience can show how everyday symptoms are interpreted differently across cultures, languages, health beliefs, and care traditions.
  • The discipline is relevant in contexts where prevention, health education, and continuity of care are as important as diagnosis and treatment.
  • Work in this field commonly involves balancing medical evidence, patient expectations, available resources, and the need to recognize warning signs in time.

What skills do you need to participate in medical complaints?

  • To analyse: everyday complaints often begin with incomplete information, so the field requires careful interpretation of symptoms, history, context, and possible causes.
  • To communicate: clear explanations help people understand what is likely, what can be done, and when symptoms require further attention.
  • To be empathic: common complaints can still be painful, worrying, or disruptive, and good care depends on taking patient concerns seriously.
  • To be aware of your surroundings: primary care is shaped by family situations, local health beliefs, social conditions, and the practical limits of each care setting.
  • To have integrity: the field involves confidentiality, honest communication, responsible referral, and careful judgement when symptoms are uncertain.
  • To collaborate: everyday medical care often involves nurses, physicians, pharmacists, mental health workers, specialists, and community organizations.

What motivates people to study or work in everyday medical complaints?

  • Be and feel helpful: the field often attracts people who value practical support in situations that affect daily comfort, work, family life, and wellbeing.
  • Be and feel empathetic: everyday care requires attention to how people describe symptoms, uncertainty, fear, and the social meaning of illness.
  • Be and feel involved: primary care is close to community life, making the field relevant for people interested in health beyond hospitals and specialist departments.
  • Be and feel meaningful with a sense of purpose: small clinical decisions, reassurance, prevention, and timely referral can have a significant effect on people’s everyday lives.
  • Be and feel experienced: the discipline develops through repeated exposure to real cases, varied symptoms, and the complexity of ordinary health concerns.

What are the best countries and locations to study, intern or work in everyday medical complaints abroad?

Where can you find work experience and vacancies for jobs, internships, and voluntary work in everyday medical complaints abroad?

What are things to consider when studying or working abroad in everyday medical complaints?

  • Clinical responsibilities differ by country, profession, study level, and institution; observation, assistance, and direct patient contact may be regulated in different ways.
  • Language and cultural interpretation matter strongly, because patients often describe pain, fatigue, stress, and discomfort through local expressions and personal expectations.
  • Ethical practice requires attention to privacy, informed consent, professional boundaries, referral procedures, and the limits of one’s role in a care setting.
  • Local patterns of illness, vaccination, chronic disease, medication access, and health insurance can change how everyday complaints are assessed and managed.
  • Good preparation includes understanding red flags, basic infection prevention, communication norms, and when to seek supervision rather than act independently.

Further depth: what is everyday medical complaints as a discipline?

What are the main features of everyday medical complaints?

Everyday medical complaints is a practical field within primary care. It deals with health concerns that are common, usually non-emergency, but still require careful judgement because ordinary symptoms can sometimes point to more serious conditions.

  • A broad medical foundation is needed, because complaints may involve the respiratory system, skin, digestion, movement, mental health, reproductive health, or long-term disease.
  • Communication is central: patients need space to explain symptoms, and clinicians need to explain uncertainty, likely causes, treatment options, and follow-up clearly.
  • Clinical reasoning links symptoms, medical history, examination findings, risk factors, and context into a working diagnosis or a decision to investigate further.
  • Patient-centered care is important because the same complaint can have different meanings depending on age, culture, work, family situation, previous illness, and personal concern.

What are important sub-areas of everyday medical complaints?

The field covers a wide range of recurring problems seen in first-contact care. These sub-areas often overlap, and many consultations involve more than one body system or life context.

  • Infectious conditions such as colds, influenza-like illness, ear infections, urinary tract infections, and other common community infections.
  • Musculoskeletal complaints such as back pain, joint pain, sprains, strains, and movement-related discomfort.
  • Skin and allergy-related problems such as rashes, acne, eczema, irritation, and allergic reactions.
  • Mental health concerns such as anxiety, depression, stress, sleep problems, and medically unexplained symptoms.
  • Chronic disease management, including follow-up and everyday support for conditions such as diabetes, hypertension, and asthma.
  • Women’s and men’s health, including menstrual concerns, contraception, pregnancy-related care, prostate symptoms, and sexual health questions.
  • Preventive care, including vaccination, screening, lifestyle counselling, risk assessment,
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What is preventive care, why would you study it, and where is the best place to study, intern or work abroad?

What is preventive care, why would you study it, and where is the best place to study, intern or work abroad?

What is preventitive care?

  • Preventitive care is a study field concerned with keeping people, communities, and health systems healthier before illness becomes severe or widespread.
  • The field connects medicine, public health, psychology, education, policy, and social organization, because prevention depends on both individual choices and collective conditions.
  • In an international context, preventitive care often examines how culture, access, income, environment, and public trust influence health behaviour and the use of health services.

What are the main reasons for being active in the field of preventitive care?

  • The field is relevant in societies where chronic disease, ageing populations, infectious disease risks, and unequal access to healthcare place pressure on health systems.
  • Preventitive care offers a practical way to study how early action, screening, vaccination, education, and community programmes can reduce avoidable illness.
  • The discipline often attracts people who are interested in the relationship between personal behaviour, social conditions, and long-term public health outcomes.
  • International study or internships can show how prevention differs between urban and rural settings, high-income and lower-income regions, and centralized and community-based systems.
  • The field gives insight into how healthcare organizations, schools, workplaces, governments, and civil society groups cooperate around health promotion.

What skills do you need to participate in preventitive care?

  • To analyse: preventitive care often requires interpreting patterns in risk, behaviour, access, and health outcomes before deciding which intervention is appropriate.
  • To communicate: the field depends on clear explanation of health information, especially when working with people from different languages, beliefs, or educational backgrounds.
  • To be empathic: prevention is more effective when social pressures, fear, stigma, and daily realities are understood rather than ignored.
  • To collaborate: work commonly involves cooperation between medical staff, public health teams, schools, local authorities, researchers, and community organizations.
  • To plan: screening campaigns, education programmes, vaccination schedules, and follow-up systems require careful timing and coordination.
  • To have integrity: the field works with sensitive health information and must balance public benefit with privacy, consent, and fairness.

What motivates people to study or work in preventitive care?

  • Be and feel meaningful with a sense of purpose: preventitive care is often chosen by people who want to contribute to health before problems become harder to treat.
  • Be and feel helpful: the field offers many forms of practical support, from health education to outreach, screening, and community guidance.
  • Be and feel involved: prevention often takes place close to everyday life, in neighbourhoods, schools, clinics, workplaces, and local organizations.
  • Be and feel connected: the field shows how health is shaped by families, communities, institutions, and wider social systems.
  • Be and feel experienced: international exposure can deepen understanding of how prevention works differently across cultures and healthcare structures.

What are the best countries and locations to study, intern or work in preventitive care abroad?

Where can you find work experience and vacancies for jobs, internships, and voluntary work in preventitive care abroad?

What are things to consider when studying or working abroad in preventitive care?

  • Health advice and preventive behaviour are strongly shaped by trust, culture, religion, family structures, and previous experiences with healthcare systems.
  • Ethical practice matters: privacy, consent, local professional boundaries, and the limits of one’s role should be clear before working with health information or vulnerable groups.
  • Preventive programmes can look simple from the outside, but their success often depends on logistics, continuity, language, funding, and whether people can realistically act on the advice given.

Further depth: what is preventitive care as a discipline?

What are the main features of preventitive care?

Preventitive care is not a single medical specialty. It is a way of thinking across healthcare, public health, education, and community work that focuses on reducing risk and supporting well-being before serious illness develops.

  • It has a proactive character: attention is placed on early action, risk reduction, and health maintenance rather than only on treatment after disease appears.
  • It has a population perspective: the field studies the health needs of groups and communities, not only the symptoms of individual patients.
  • It uses education and empowerment: people are supported with information, resources, and practical conditions that make healthier choices more possible.

What are important sub-areas of preventitive care?

The field covers several forms of prevention, from biomedical protection to lifestyle support and early intervention. These areas often overlap in daily practice.

  • Vaccination programmes protect individuals and communities against infectious diseases and require public trust, access, and organized delivery.
  • Screening programmes aim to identify diseases such as cancer, diabetes, and cardiovascular conditions at an earlier and more treatable stage.
  • Healthy lifestyle promotion focuses on nutrition, physical activity, sleep, substance use, and the everyday environments that influence these behaviours.
  • Mental health prevention includes stress management, early recognition of problems, emotional well-being, and timely support before difficulties escalate.
  • Chronic disease prevention and management seek to reduce complications and help people live more steadily with long-term health conditions.

What are key concepts of preventitive care?

  • Risk factors: characteristics or circumstances that increase the likelihood of illness, such as age, environment, behaviour, family history, or social conditions.
  • Preventive interventions: practical measures such as vaccination, screening, lifestyle changes, counselling, medication, or community programmes that reduce health risks.
  • Cost-effectiveness: the study of whether early action can reduce later medical costs, avoid complications, and use limited healthcare resources responsibly.
  • Health equity: the principle that preventive care should be accessible across social, economic, cultural, and geographic differences.
  • Behavioural change: the study of how people adopt, maintain, or resist health-related habits, and how support can be designed realistically.

Who are influential figures in preventitive care?

  • Hippocrates is often associated with early ideas about hygiene, diet, balance, and the prevention of illness through daily habits.
  • Louis Pasteur helped transform understanding of infectious disease through germ theory, which became central to vaccination, sanitation, and modern public
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Summaries & study assistance

Summaries: the best textbooks for medicine and health care summarized

Summaries: the best textbooks for medicine and health care summarized

Summaries and study assistance for medicine and health care

What is this page about?

Where to go next?

What to read below?

  • Read on for the highlighted studies and pages
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Summaries: the best scientific articles for medicine and health care summarized

Summaries: the best scientific articles for medicine and health care summarized

Article summaries medicine and health care

What is this page about?

  • Type: summaries of scientific articles and academic papers
  • Language: English
  • Access: public

Where to go next?

Read ahead for the summaries per article

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Summaries: home page for medicine and healthcare

Summaries: home page for medicine and healthcare

Notes, summaries, study assistance and exams for medicine and health care

What is this page about?

Where to go next?

What to read below?

  • Read on for the highlighted studies and pages
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Summaries: home page

Home page for the use of summaries on WorldSupporter

What is this page about?

  • Contents: information about using and finding summaries of study books, scientific articles, academic concepts and practice exams on WorldSupporter
  • Study areas: Business, Education, Health, Psychology, Law, Nature, Society and more
  • Languages: English, Dutch
  • Access: Public

Where to go next?

What to find below?

  • Summaries per study and study field
  • Summaries per type and form
    • How to use and find summaries, study notes en practice exams on JoHo WorldSupporter?
    • How and why would you use summaries?
    • Finding summaries practice exams on JoHo WorldSupporter
    • Quicklinks to fields of study for summaries and study assistance
  • Main theme pages for learn and study
  • FAQ: questions and answers about summaries
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Skills & Competences

Related competences, skills and values
Study skills

Study skills

Study skills

To be empathic

To be empathic

To be empathic

Discover or develop competencies, qualities, traits and signals

To analyse

To analyse

To analyse

Discover or develop competencies, qualities, traits and signals

To be stress resistant
Skills: suggestions and summaries on academic skills

Suggestions and summaries of Worldsupporters on academic skill improvement

 

Book summary of Critical Thinking - Moore & Parker - 12th edition

Book summary of Critical Thinking - Moore & Parker - 12th edition

What is critical thinking? - Chapter 1

[TOC]

What is the importance of critical thinking?

For us humans, there is an importance in critical thinking because it aids us in making good decisions. Often we do not realise how irrational our decisions can be, and this is where critical thinking comes in. Critical thinking basically means thinking about our thinking. We make use of logic and reason to determine whether or not a claim is true, if the reasoning behind it is sound and if we can draw a correlation or connection. It is not necessarily about coming up with claim as much as evaluating the correctness of claims that have been made and try to form a proper conclusion.

To achieve this, we evaluate our thinking on the basis of rationality. When we understand how critical thinking works, we can use this knowledge to be critical in multiple subjects and situations in our daily lives. It is, however, important to understand that criticising other people’s claims and ideas does not mean that we want to attack other people, only that we are trying to find the logic in them. Also, criticising other people in not always a case of critical thinking. People can criticise in the most illogical and unreasonable ways, without considering whether or not their claims are true or their reasoning sound.

When we come to a conclusion at the end of a reasoning, we call that a belief. Beliefs are prepositional and can be either true or false. Beliefs can be compared to a judgement or an opinion. When a belief is stated in a declarative way, that is when we start calling it a claim or statement. Claims are things that we can think critically about.

What are important elements of critical thinking?

Within critical thinking, there are three important parts: claims, issues and arguments. These parts can be analysed once they have been determined in conversation or writing.

Claims

Claims are things that we write or declare, to bring across information. With claims we often deal with statements, opinions or beliefs. Claims can be true

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Glossary of Academic Skills for the Social and Psychological Sciences

Glossary of Academic Skills for the Social and Psychological Sciences

Chapter 1: Literature

 

Literature review A detailed overview of the significant literature available about your chosen topic, providing a discussion and critical evaluation, and using clear argument to contextualise and justify your research. (p. 4)

Peer review The process of evaluating an article by experts to ensure the article meets quality criteria before being accepted for publication. (p. 9)

Textbooks Written specifically for audiences such as students or professionals. Material usually presented in an ordered and relatively accessible form. Often draw on a wide range of sources including peer-reviewed academic journal articles. Useful, particularly as an introductory source to get an overview of your research topic and find out who are the recognised experts. (p. 10)

Peer-reviewed academic journal articles Provide detailed reports of research. Articles written by experts in the field and evaluated by other academics (peer reviewers) to assess quality and suitability. Pay rigorous attention to detail and verification of information. Usually contains extensive list of references. Before publication, have usually been revise in response to comments. This is the most useful type for your literature review. Not all academic journal articles are peer-reviewed. (p. 10)

Non-refereed academic journal articles Articles may provide detailed reports of research. Articles selected by an editor or editorial board with subject knowledge. Relevance and usefulness varies considerably. Beware of possible bias. (p. 10)

Professional and trade journal articles Articles written for members of professional or trade organisations, so related to their needs. Consist of a mix of news items and more detailed accounts of a practical nature. Articles rarely based on research, although some provide summaries of research. Can provide useful insights into practice, although may be biased. Need to be used with considerable caution. (p. 10)

Newspaper articles Articles written for members of public, most newspapers addressing a particular market segment. News presented is filtered dependent on events, priority being given to headline-grabbing stories that are likely to appeal to the readers. Good source of topical events and developments. May contain bias in reporting and coverage. (p. 10)

Conference proceedings Articles consist of selected papers presented at a conference, often published as a book or special edition of a journal. Usually peer-reviewed. Increasingly available online. Sometimes difficult to find. Very useful if the theme of the conference matches your research. (p. 10)

Reports Reports on specific topics written by academics and various organisations, including market research organisations and government departments. Beware of possible bias. May not have gone through same review process as peer-reviewed academic journal articles, but those from established organisations are often of high quality. Often difficult to access or expensive to purchase. Can be a useful source of information when

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Stats for students: Simple steps for passing your statistics courses

Stats for students: Simple steps for passing your statistics courses

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How to triumph over the theory of statistics (without understanding everything)?

Stats of students

  • The first years that you follow statistics, it is often a case of taking knowledge for granted and simply trying to pass the courses. Don't worry if you don't understand everything right away: in later years it will fall into place, and you will see the importance of the theory you had to know before.
  • The book you need to study may be difficult to understand at first. Be patient: later in your studies, the effort you put in now will pay off.
  • Be a Gestalt Scientist! In other words, recognize that the whole of statistics is greater than the sum of its parts. It is very easy to get hung up on nit-picking details and fail to see the forest because of the trees
  • Tip: Precise use of language is important in research. Try to reproduce the theory verbatim (i.e. learn by heart) where possible. With that, you don't have to understand it yet, you show that you've been working on it, you can't go wrong by using the wrong word and you practice for later reporting of research.
  • Tip: Keep study material, handouts, sheets, and other publications from your teacher for future reference.

How to score points with formulas of statistics (without learning them all)?

  • The direct relationship between data and results consists of mathematical formulas. These follow their own logic, are written in their own language, and can therefore be complex to comprehend.
  • If you don't understand the math behind statistics, you don't understand statistics. This does not have to be a problem, because statistics is an applied science from which you can also get excellent results without understanding. None of your teachers will understand all the statistical formulas.
  • Please note: you will probably have to know and understand a number of formulas, so that you can demonstrate that you know the principle of how statistics work. Which formulas you need to know differs from subject to subject and lecturer to lecturer, but in general these are relatively simple formulas that occur frequently, and your lecturer will likely tell you (often several times) that you should know this formula.
  • Tip: if you want to recognize statistical symbols, you can use: Recognizing commonly used statistical symbols
  • Tip: have fun with LaTeX! LaTeX code gives us a simple way to write out mathematical formulas and make them look professional. Play with LaTeX. With that, you can include used formulas in your own papers and you learn to understand how a formula is built up – which greatly benefits your understanding and remembering that formula. See also (in Dutch): How to create formulas like a pro on JoHo WorldSupporter?
  • Tip: Are you interested in a career in sciences or programming? Then take your formulas seriously and go through them again after your course.

How to practice your statistics (with minimal effort)?

How to select your data?

  • Your teacher will regularly use a dataset for lessons during the first years of your studying. It is instructive (and can be a lot of fun) to set up your own research for once with real data that is also used by other researchers.
  • Tip: scientific articles often indicate which datasets have been used for the research. There is a good chance that those datasets are valid. Sometimes there are also studies that determine which datasets are more valid for the topic you want to study than others. Make use of datasets other researchers point out.
  • Tip: Do you want an interesting research result? You can use the same method and question, but use an alternative dataset, and/or alternative variables, and/or alternative location, and/or alternative time span. This allows you to validate or falsify the results of earlier research.
  • Tip: for datasets you can look at Discovering datasets for statistical research

How to operationalize clearly and smartly?

  • For the operationalization, it is usually sufficient to indicate the following three things:
    • What is the concept you want to study?
    • Which variable does that concept represent?
    • Which indicators do you select for those variables?
  • It is smart to argue that a variable is valid, or why you choose that indicator.
  • For example, if you want to know whether someone is currently a father or mother (concept), you can search the variables for how many children the respondent has (variable) and then select on the indicators greater than 0, or is not 0 (indicators). Where possible, use the terms 'concept', 'variable', 'indicator' and 'valid' in your communication. For example, as follows: “The variable [variable name] is a valid measure of the concept [concept name] (if applicable: source). The value [description of the value] is an indicator of [what you want to measure].” (ie.: The variable "Number of children" is a valid measure of the concept of parenthood. A value greater than 0 is an indicator of whether someone is currently a father or mother.)

How to run analyses and draw your conclusions?

  • The choice of your analyses depends, among other things, on what your research goal is, which methods are often used in the existing literature, and practical issues and limitations.
  • The more you learn, the more independently you can choose research methods that suit your research goal. In the beginning, follow the lecturer – at the end of your studies you will have a toolbox with which you can vary in your research yourself.
  • Try to link up as much as possible with research methods that are used in the existing literature, because otherwise you could be comparing apples with oranges. Deviating can sometimes lead to interesting results, but discuss this with your teacher first.
  • For as long as you need, keep a step-by-step plan at hand on how you can best run your analysis and achieve results. For every analysis you run, there is a step-by-step explanation of how to perform it; if you do not find it in your study literature, it can often be found quickly on the internet.
  • Tip: Practice a lot with statistics, so that you can show results quickly. You cannot learn statistics by just reading about it.
  • Tip: The measurement level of the variables you use (ratio, interval, ordinal, nominal) largely determines the research method you can use. Show your audience that you recognize this.
  • Tip: conclusions from statistical analyses will never be certain, but at the most likely. There is usually a standard formulation for each research method with which you can express the conclusions from that analysis and at the same time indicate that it is not certain. Use that standard wording when communicating about results from your analysis.
  • Tip: see explanation for various analyses: Introduction to statistics
Study Guide for summaries with Academic Writing Skills by Van der Molen a.o.

Study Guide for summaries with Academic Writing Skills by Van der Molen a.o.

Study Guide with summaries and study assistance for:

  • Booktitle: Academic Writing Skills
  • Authors: Van der Molen; Ackermann; Osseweijer; Schmidt; van der Wal; de Boer; Polak
  • Edition: 3rd

Summaries expected September 24th

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Summary of Writing Psychology Research Reports by Starreveld - 1st edition - Exclusive
Summary of What is this thing called Science by Chalmers: 4th edition

Summary of What is this thing called Science by Chalmers: 4th edition

Does knowledge consist of facts that have come from experience? - Chapter 1

What is the common sense view of science?

In the first four chapters of this book, the statement "science is derived from facts" is critically analyzed. Throughout the book, this statement's meaning changes slightly. Facts are statements about the world that can be sensed. Facts are neither personal opinions nor speculative ideas. If the world is perceived accurately and without prejudice, the facts that are established are, therefore, a reliable and objective basis for science. Scientific knowledge is reliable and objective if the facts guide conclusive reasoning to laws and theories that make up the basis for scientific knowledge. Before the 17th century, science was primarily based on authorities such as the Bible and Aristotle. Due to people like Galileo, this idea changed in the 17th century. People started to see observation as the basis of science.

Empirists (such as Berkeley, Locke, and Hume) and positivists held the idea that we can see facts as indisputably correct through observation. It follows from this reasoning that knowledge derived from this is objective and reliable. However, it is doubtful that science is based on observable facts. The problem that arises following the statement that science can be deduced from the facts relates to:

  1. The nature of the 'facts' and the way in which scientists have access to those facts;
  2. The way in which laws and theories can be derived from the facts, once we know those facts.

Some believe that facts are at the basis of science because they have the following assumptions:

  • Facts are directly accessible through the senses to all unbiased observers;
  • Facts precede the theory and are independent of it;
  • Facts are
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What is the study field and working area of professional skills in pedagogics?

What is the study field and working area of professional skills in pedagogics?

Professional skills in pedagogy encompass the knowledge, abilities, and attitudes that educators and educational professionals need to effectively work with children, young people, and adults. These skills are essential for guiding learning processes, creating safe and stimulating learning environments, and ensuring the optimal development of individuals.

What are the main features of professional skills in pedagogics?

  • Scientific Foundation: Skills are based on research in learning, development, and effective teaching practices.
  • Reflection and Critical Thinking: Educators can reflect on their practice, critically evaluate their work, and continuously develop their knowledge and skills.
  • Communication and Collaboration: Effective communication with students, parents, colleagues, and others is crucial. Collaboration is key to creating optimal learning environments.
  • Diversity Awareness: Recognizing and valuing differences, educators can work effectively with learners from diverse backgrounds, cultures, and needs.
  • Ethics and Professionalism: Educators act in accordance with ethical principles and professional codes of conduct.

What are the most important sub-areas of professional skills in pedagogics?

  • Instructional Science: Teaching skills, lesson planning, assessment methods, learning processes.
  • Developmental Psychology: Cognitive, social, emotional, and physical development of children and young people.
  • Educational Sciences: Educational styles, parental involvement, managing challenging behaviors.
  • Classroom Management: Creating safe and stimulating environments, classroom management techniques.
  • Special Education: Supporting learners with special educational needs.

What are the most important concepts of professional skills in pedagogics?

  • Learning: How people learn in different ways and how to optimize learning processes.
  • Development: The stages of physical, cognitive, social, and emotional development.
  • Education: The principles and practices of effective teaching.
  • Inclusion: Creating learning environments where all students feel welcome, valued, and challenged.

Who are the most influential figures of professional skills in pedagogics?

  • John Dewey: American philosopher and educator, advocated for experiential learning.
  • Jean Piaget: Swiss psychologist, known for his theory of cognitive development.
  • Lev Vygotsky: Russian psychologist, emphasized the role of social interaction in learning.
  • Paulo Freire: Brazilian educator, proponent of critical pedagogy.
  • Maria Montessori: Italian physician and educator, developer of the Montessori method.

Why is professional skills in pedagogics important?

Professional skills in pedagogy are crucial for:

  • Promoting the optimal development of children, young people, and adults.
  • Guiding effective learning processes.
  • Creating safe and stimulating learning environments.
  • Addressing diversity and inclusion.
  • Acting ethically and professionally.

What are applications of professional skills in pedagogics in practice?

Pedagogical professionals with strong skills work in diverse settings, including:

  • Schools: Teachers, lecturers, educational support staff.
  • Early Childhood Education: Educators, childcare providers.
  • Youth Work: Youth workers, youth coaches.
  • Special Education: Educational support staff, pedagogues.
  • Other Educational Settings: Trainers, instructional designers, curriculum developers.
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Study & Intern Abroad

Doing a medical internship abroad: what is it, why would you do it, and where is the best place to go?

Doing a medical internship abroad: what is it, why would you do it, and where is the best place to go?

What is working in a medical internship abroad like?

  • A medical internship or clinical placement abroad offers the opportunity to gain practical experience within a different healthcare system, a different culture, and sometimes under very different circumstances than is customary in your own country.
  • During a medical internship, you work in a hospital, clinic, care facility, or research environment. Depending on your field of study, this may involve medicine, nursing, physiotherapy, midwifery, medical research, or other care-oriented studies.
  • Clinical interns and medical trainees often shadow a ward doctor, specialist, or head nurse. As the internship progresses, you are usually given more responsibility and work increasingly independently, but almost always under supervision.
  • In many institutions, you participate in daily care processes such as handovers, ward rounds, and multidisciplinary consultations. At the same time, you learn to perform medical and nursing procedures and gain insight into how care is organized in another country.
  • The country where you intern also influences what you learn. In some regions, for example, the emphasis is more on tropical diseases, while in others it is on basic care, public health, or social care.
Common activities during a medical internship or clinical placement are
  • Participating in morning and afternoon handovers.
  • Shadowing doctors during ward rounds.
  • Attending multidisciplinary team meetings (MDO).
  • Taking a medical history and performing a physical examination.
  • Assisting with medical or nursing procedures.
  • Presenting patient cases.
  • Contributing to patient records and reports.
Activities as a nursing intern are
  • Personal care of patients.
  • Wound care.
  • Administering medication or injections.
  • Observing patients and identifying changes.
  • Performing technical nursing procedures such as inserting a catheter, IV, or feeding tube.
  • Preparing medical equipment and rooms.
  • Administrative and reporting tasks.
Broad care duties are often
  • In some internships, particularly within elderly care, rehabilitation, or community health, the work may extend beyond just medical procedures. You may then also:
  • support patients and their families during illness or recovery.
  • providing explanations and advice regarding health and treatment.
  • contributing to the social well-being of patients.
  • assisting with practical or household tasks within healthcare institutions.

What are the reasons for doing a medical internship abroad?

  • To grow professionally in an international context: working in a different healthcare system strengthens adaptability and clinical insight.
  • To become aware of the environment: differences in resources, protocols, and culture increase understanding of global healthcare.
  • To develop creativity: in some countries, resources are more limited and more improvisation is required.
  • To strengthen analytical skills: comparing healthcare systems stimulates critical thinking.
  • To be involved in global health issues: experience in diverse healthcare contexts broadens perspective.
  • To collaborate in multidisciplinary teams: international cooperation forms an important part of the internship.

What skills and motivations do you need to work as medical intern abroad?

  • Being professional: diligence and responsibility are essential in medical environments.
  • Communication: depending on the country, knowledge of the local language is often important for communicating with patients and colleagues.
  • Collaboration: healthcare is always teamwork between doctors, nurses, and other specialists.
  • Awareness: insight into cultural differences and care structures helps to work effectively.
  • Flexibility: adapting to different work structures, resources, and protocols is necessary.
  • Working independently: taking initiative is important, especially when supervision is limited.

What are the best countries and locations to do a medical internship abroad?

What are the risks medical internships abroad, and are you insured against those risks? 

What are the risks of working in medical internships abroad, and what happens with some regularity:
  • that protective equipment may not always be of sufficient quality or even available.
  • that someone may be exposed to infectious diseases such as hepatitis, tuberculosis, or tropical infections.
  • that someone may contract a local disease and require medical care.
  • that a less safe work environment may arise due to infrastructure, health risks, political instability, or local customs.
  • that work pressure may be high due to long hours, emotionally challenging situations, and limited support.
  • that the costs of medical care or evacuation to another country can be high.
  • Medical liability may also play a role: errors or misunderstandings in healthcare can lead to substantial claims for damages or legal consequences in some countries.
  • When you work in the medical sector, you may be exposed to greater financial or legal risks as soon as you start performing your work under your own responsibility. It is advisable, as far as possible, to also inquire to what extent your local employer is adequately insured for accidents, technical errors, or misjudgments. Of course, this is not always the case, nor can it be always ascertained in advance. Take this into account as much as possible when deciding whether to perform certain risky tasks.
Are you insured while doing medical internship abroad?
  • There may be several reasons why you need separate insurance when working abroad.
  • Local employers generally offer limited or no supplementary insurance.
  • During work, internships, or volunteering abroad where you receive compensation or a salary, your own health insurance coverage in your home country may lapse. See the pages on: insuring paid work, internships, or volunteering abroad.
  • See also: insurance for working in the medical sector for paid work, for internships and for volunteer work abroad.
Organizations: for providing healthcare and working in medical care abroad

Organizations: for providing healthcare and working in medical care abroad

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Activities, internships, paid work, services or volunteer work in healthcare

Providing healthcare and working in medical care abroad: by position

For job roles and duties related to activities, internships and jobs abroad, see:

Providing healthcare and working in medical care abroad: favorite countries and destinations

Working as a doctor or health care specialist abroad
Medical internships and medical work experience abroad
What is insurance for studying abroad, and why should you take out specialized travel insurance for your education abroad?

What is insurance for studying abroad?

  • Insurance for studying abroad means that you take out insurance that continues to provide coverage during your studies, your education, and your related activities abroad.
  • Insurance for studying abroad is also referred to as study insurance. This study insurance is specifically for when you go abroad for a long period of time to take courses, study, or conduct research abroad.

Why should you take out specialized travel insurance for a study abroad?

  • Study insurance is specifically designed for studying abroad, whereas regular travel insurance policies may offer coverage on paper but handle this situation differently in practice.
  • Study insurance offers coverage for longer stays than regular (vacation) travel insurance.
  • Study insurance is also suitable for many types of activities, ranging from various sports to hiking at high altitudes.
  • Study insurance continues to provide coverage if you start working during your trip, whether planned or unplanned. If you have not taken out insurance before departure that allows you to work, there is no guarantee that you will be able to take out insurance abroad that provides coverage.
  • Study insurance continues to provide coverage if your own country's health insurance no longer provides coverage.
  • Student insurance also covers your healthcare costs above the rates in your own country; with regular insurance, you have to pay the extra costs yourself.
  • Student insurance can also continue to provide coverage if (study) visa issuers impose additional requirements on how you insure yourself, for example if you are going to the US and applying for a J-1 visa.
  • Student insurance continues to provide coverage if you are staying abroad for a longer period of time and want to visit your own country in between.

What is important to insure when you are going to study abroad?

  • That you have insurance that is valid in the country or countries where you are going to travel and work.
  • That you are adequately insured for the sports and activities you are going to participate in during your period abroad
  • That you are insured for emergency assistance and early return if something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you insure your luggage and take sufficient precautions against theft or damage.
  • That you are well insured against personal liability.
  • That you are well insured in case of accidents.
  • That you only insure yourself for legal assistance if there is an immediate reason to do so, unless coverage is already automatically included in the insurance.
  • That you pay close attention to choosing the right coverage when performing work alongside your studies.

Check out more about international insurances

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Skills: suggestions, summaries and tips of Worldsupporters on values and skills improvement

Suggestions, summaries and tips of WorldSupporters related to competencies and skills improvement

 

 

What are the 13 conditions for balance and fulfillment in study, work and private life

What are the 13 conditions for balance and fulfillment in study, work and private life

Image

What are the 13 preconditions for balance and fulfillment in study, work and private life

  1. Help yourself by helping others
  2. Create perspective by opening new doors
  3. Don't give up but care about something
  4. Use your empathic skills
  5. Stay with yourself and leave that herd behind you
  6. Focus on your journey and not your destination
  7. Actively deal with your negative emotions
  8. Appreciate and celebrate your small successes
  9. Let others walk their own path
  10. Establish and maintain social contacts
  11. Feel unlimited and not limited
  12. Discover your qualities, take advantage of your opportunities and avoid cliffs
  13. Seek fulfillment in study, work, travel and the world around you

Signed en researched by

  • The JoHo WorldSupporter team

 

Glossary of Academic Skills for the Social and Psychological Sciences

Glossary of Academic Skills for the Social and Psychological Sciences

Chapter 1: Literature

 

Literature review A detailed overview of the significant literature available about your chosen topic, providing a discussion and critical evaluation, and using clear argument to contextualise and justify your research. (p. 4)

Peer review The process of evaluating an article by experts to ensure the article meets quality criteria before being accepted for publication. (p. 9)

Textbooks Written specifically for audiences such as students or professionals. Material usually presented in an ordered and relatively accessible form. Often draw on a wide range of sources including peer-reviewed academic journal articles. Useful, particularly as an introductory source to get an overview of your research topic and find out who are the recognised experts. (p. 10)

Peer-reviewed academic journal articles Provide detailed reports of research. Articles written by experts in the field and evaluated by other academics (peer reviewers) to assess quality and suitability. Pay rigorous attention to detail and verification of information. Usually contains extensive list of references. Before publication, have usually been revise in response to comments. This is the most useful type for your literature review. Not all academic journal articles are peer-reviewed. (p. 10)

Non-refereed academic journal articles Articles may provide detailed reports of research. Articles selected by an editor or editorial board with subject knowledge. Relevance and usefulness varies considerably. Beware of possible bias. (p. 10)

Professional and trade journal articles Articles written for members of professional or trade organisations, so related to their needs. Consist of a mix of news items and more detailed accounts of a practical nature. Articles rarely based on research, although some provide summaries of research. Can provide useful insights into practice, although may be biased. Need to be used with considerable caution. (p. 10)

Newspaper articles Articles written for members of public, most newspapers addressing a particular market segment. News presented is filtered dependent on events, priority being given to headline-grabbing stories that are likely to appeal to the readers. Good source of topical events and developments. May contain bias in reporting and coverage. (p. 10)

Conference proceedings Articles consist of selected papers presented at a conference, often published as a book or special edition of a journal. Usually peer-reviewed. Increasingly available online. Sometimes difficult to find. Very useful if the theme of the conference matches your research. (p. 10)

Reports Reports on specific topics written by academics and various organisations, including market research organisations and government departments. Beware of possible bias. May not have gone through same review process as peer-reviewed academic journal articles, but those from established organisations are often of high quality. Often difficult to access or expensive to purchase. Can be a useful source of information when

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Leadership competencies for implementing planned organizational change - Battilana, Gilmartin, Sengul, Pache & Alexander - 2010 - Artikel

Leadership competencies for implementing planned organizational change - Battilana, Gilmartin, Sengul, Pache & Alexander - 2010 - Artikel

De meeste leiderschapsstudies houden zich niet bezig met de complexiteit van intra-organisatorische processen, waaronder veranderingsimplementatie processen, die verschillende activiteiten met zich mee brengen. In deze studie wordt er beweerd dat het waarschijnlijk is dat managers verschillende activiteiten benadrukken in de geplande organisatieverandering implementatie, afhankelijk van de mix van hun leiderschapscompetenties.

Effectief leiderschap en de bekrachtiging van geplande organisatieverandering

In deze studie wordt het taak-georiënteerde en persoons-georiënteerde model gebruikt. Taak-georiënteerde vaardigheden zijn gerelateerd aan organisatie structuur, ontwerp en controle en het vaststellen van routines om organisatiedoelen en doelstellingen te halen. Persoons-georiënteerde vaardigheden omvat gedrag dat collaboratieve interactie tussen organisatiewerknemers stimuleert, een ondersteunend sociaal klimaat vaststelt en managementpraktijken stimuleert die gelijke behandeling van werknemers verzekert.

Effectiviteit van de twee verschillende soorten vereist verschillende, maar gerelateerde groepen bekwaamheden. Effectiviteit van taak-georiënteerd gedrag staat of valt met het vermogen om taakeisen duidelijk te maken en taken te structureren rondom de missie en doelen van de organisatie. Effectiviteit van persoons-georiënteerd gedrag berust op het vermogen om rekening te houden met anderen als ook het rekening houden met je eigen emoties en die van anderen. Afhankelijk van de mix van deze leiderschapscompetenties wordt er een verschillende nadruk gelegd op de activiteiten die nodig zijn bij het implementeren van organisatieverandering.

Deze activiteiten bestaan uit communiceren, mobiliseren en evalueren. Communiceren: activiteiten die leiders uitvoeren om de noodzaak van verandering uit te leggen en hun visie te delen met de werknemers. Mobiliseren: acties die leiders uitvoeren om support van collega’s te krijgen en de inwerkingtreding van nieuwe werkroutines te aanvaarden. Evalueren: maatstaven die leiders gebruiken om de impact van de implementatie te volgen en vast te stellen en veranderingen te institutionaliseren.

Communiceren van de noodzaak van organisatieverandering

Leiders die veranderingen doorvoeren moeten de noodzaak van deze verandering communiceren met hun werknemers. De werknemers moeten begrijpen waarom gedrag en routines moeten worden veranderd.

Hypothese 1a: leiders die meer persoons-georiënteerd zijn, zijn beter in het communiceren van de noodzaak van verandering dan andere leiders.

Hypothese 1b: leiders die meer taak-georiënteerd zijn, zijn minder goed in het communiceren van de noodzaak van verandering dan andere leiders.

Mobiliseren van anderen om verandering te accepteren

Tijdens implementatie moeten leiders hun werknemers mobiliseren om de veranderingen te accepteren en toe te passen in hun dagelijkse routines. Mobiliseren is moeilijk doordat er verschillende persoonlijke en beroepsdoelen zijn, en dus verschillende opvattingen over de verandering. Mobiliseren brengt zowel taak als persoons-georiënteerde vaardigheden met zich mee.

Hypothese 2a: leiders die meer persoons-georiënteerd zijn, zijn beter in staat werknemers te mobiliseren dan andere leiders.

Hypothese 2b: leiders die meer taak-georiënteerd zijn, zijn beter in staat werknemers te mobiliseren dan andere leiders.

Evalueren van de implementatie van de verandering

Leiders moeten evalueren in hoeverre organisatieleden routines, werkwijzen en gedrag uitvoeren dat

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How do stress, coping, adaptation and health affect personality? - Chapter 18 - Exclusive

How do stress, coping, adaptation and health affect personality? - Chapter 18 - Exclusive

Health psychology focuses on the influence of psychological and behavioral factors on health, often in combination with the environment. Stress is central to this.

What models of personality are there?

What is the interactional model?

The interactional model suggests that personality factors determine the impact of events, because they determine how someone deals with the situation. Personality would thus influence coping. How someone deals with an event determines the degree of stress caused by that event. However, a limitation of this model is that stable coping strategies have never been found.

What is the transactional model?

The transactional model does things differently. According to this model, personality has three potential effects:

  1. Personality can influence coping.
  2. Personality can affect how the person interprets an event.
  3. Personality can influence the event itself.

It is not the event that causes stress here, but rather how it is dealt with. This model is called transactional because of the person's influence on the event and the person's appreciation. There is mutual influence.

What is the health and behavior model?

A third model is the health and behavior model. This assumes that personality does not directly influence the degree of stress or illness, but that it indirectly influences stress or illness through certain behaviors, such as unsafe sex or overeating. The less healthy someone is, the greater the chance of experiencing more stress.

What is the disease and behavior model?

Another model is the disease and behavior model. In this model, disease is explained as the presence of an objectively measurable abnormal physiological process, such as fever, high blood pressure, or a tumor. Abnormal or sick behavior is about the way people behave when they think they are sick. Personality determines the degree of sick behavior, whether or not in combination with a real illness.

According to the predispositional model, associations exist between personality and illness because of a third variable that affects both, namely predisposition. The predisposition can exist for stable individual personality differences and for specific illnesses.

What is stress?

Stress is a subjective feeling that is the result of uncontrollable and threatening events (stressors). These are often extreme situations with unpleasant consequences that cannot be influenced. Stress can be divided into low sources of stress in daily life (daily hassles) and important life events (major life events). Major life events are associated with intensity, conflict and uncontrollability. Positive things can also be very stressful, for example a marriage, a move or a promotion. People with a lot of stress in their lives have many psychological and physiological symptoms. Possible responses to stress may include palpitations, increased blood pressure, sweaty hands and feet, and

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Boeksamenvatting bij de 1e druk van Recepten voor een Goed Gesprek van Esch e.a.
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Samenvatting Diagnostiek van alledaagse klachten (De Jong & De Vries)

Samenvatting Diagnostiek van alledaagse klachten (De Jong & De Vries)

HOOFDSTUK 1 Toename in gewicht

Gewichtstoename wordt vaak eerder bij mensen die reeds overgewicht hebben als klacht ervaren dan bij magere mensen. Gewichtstoename kan in principe door zowel vet- en spierweefsel, als door water komen. Echter, bij adipeuze mensen is dit meestal vetweefsel.
Door middel van het BMI wordt de bevolking in 5 gewichtscategorieën ingedeeld; <18,5 (ondergewicht), 18,5-25 (normaal), 25-30 (overgewicht), 30-40 (obesitas) en >40 (morbide obesitas). Overgewicht (en obesitas) zelf is een risicofactor voor hart en vaatziekten (HVZ), maar overgewicht gaat meestal gepaard met hypertensie, hyperlipedemie en/of insulineresistente welke alle drie weer risicofactoren zijn voor HVZ. Dit wordt ook wel het metabool syndroom genoemd. Vooral voor mensen van jonge en middelbare leeftijd geld dit risico.

De verdeling van vet (intra-abdominaal of rond de heupen) is ook van belang en wordt uitgedrukt in een middel-heupratio (MHR). Bij een MHR van groter dan 0,90/0,95 (mannen) of groter dan 0,8 (vrouwen) en bij een absolute omtrek van >88cm (vrouwen) en >102cm (mannen) is het risico op HVZ verhoogd.

In zich snel ontwikkelende landen en verstedelijkte gebieden komt adipositas vaker voor. In Nederland heeft 40% van de bevolking een BMI hoger dan 25, 10% van de vrouwen en 7% van de mannen heeft zelfs een BMI hoger dan 30. Bij Turkse en Marokkaanse kinderen en vrouwen is er vaker sprake van overgewicht dan bij  Nederlanders. De prevalentie van overgewicht neemt bij mannen toe tot 50-59 jaar, terwijl dit bij vrouwen tot op hoge leeftijd is.
Patiënten met obesitas geven vaker aan dat ze minder zelfvertrouwen hebben en dat ze zich schamen voor hun uiterlijk. Dit kan leiden tot sociale isolatie en stemmingswisselingen. Vooral bij vrouwen worden er meer suïcidale gedachten en pogingen gezien. Daarnaast zijn obese mensen vaak sneller vermoeid of hebben ze een bewegingsbeperking, waardoor ze minder bewegen en daardoor weer meer overgewicht kunnen krijgen. Het incidentiecijfer van gewichtstoename ligt tussen de 0,2 en 0,8.

Fysiologie
Energie kan nooit verloren gaan(wet van behoud van energie), dus als er meer energie (eten) ingaat dan er verbruikt wordt, wordt dit merendeels opgeslagen in de vorm van vet. Bij energieopname zorgt het eten van vet voedsel voor gewichtstoename, omdat het energiegehalte 2 maal zo hoog is en het verzadigend vermogen relatief laat t.o.v. koolhydraten en eiwitten. Eetgewoonten liggen binnen een gezin/cultuur vrij vast en hier dient rekening mee gehouden te worden. Lichaamsbeweging is belangrijk. Het gaat hierbij om 30-60 minuten wandelen per dag of 2-3 maal per week 45-60 minuten fitness.

Hormonen
Leptine wordt in vetcellen geproduceerd en dat remt via de hypothalamus de eetlust en verhoogd het energieverbruik. De leptinespiegel in het bloed is bij adipeuze mensen bijna altijd verhoogd. De precieze rol van leptine is niet helemaal duidelijk, maar er zijn adipeuze families bekend met een leptine-aanmaak- of leptinereceptoraanmaakstoornis, dus het is wel waarschijnlijk dat dit een rol speelt.

Differentiaal diagnose
· hogere calorie-inname (ook overmatig alcoholgebruik)
· lagere energieverbruik; hierdoor belandden mensen vaak in een vicieuze cirkel, toename in gewicht zorgt ervoor dat mensen sneller moe zijn, waardoor ze minder bewegen en dus weer meer overgewicht krijgen. Ook opletten bij postoperatieve inactiviteit, invaliditeit of ouderdom
· medicatie: dit kan voor zowel een toename in eetlust, als een afname in activiteit zorgen. Ook kan medicatie voor veranderingen in metabool processen zorgen;  tricyclische antidepressiva verlagen de metabole activiteit en verhogen de voorkeur voor zoetigheid, β-blokkers remmen de opname van glucose en de lipolyse en prednison verhoogd de viscerale vetophoping en het ontstaan van oedeem.
· hormonale afwijkingen; bijvoorbeeld het Cushingsyndroom (vrije cortisol en 24h createnine testen) of hypothyroidie (TSH testen).
· Genetische afwijkingen; het gaat hier om 25-40% van de gevallen, maar een genetische aanleg komt pas tot uiting door een positieve energiebalans.
· Vocht (oedeem); vaak bij hartfalen
· Tumor of een onbekende zwangerschap
· Toename organisch weefsel; bijvoorbeeld van spiermassa
· Roken en alcohol

Een verkeerde balans tussen energie-intake en verbranding is in 90% van de gevallen de oorzaak. 35% van deze patiënten heeft en vreetbuistoornis. Hierbij is de hoeveelheid voedsel in beperkte tijd groter dan normaal én heeft men het gevoel de beheersing over het eten te verliezen tijdens zo’n bui. Daarnaast ziet men 3 van de volgende kenmerken:

· de patiënt eet sneller
· de patiënt eet door tot een ongemakkelijk gevoel is bereikt
· de patiënt eet grote hoeveelheden voedsel zonder een bestaande fysieke honger
· door schaamte over de grote hoeveelheden eet de patiënt alleen
· de patiënt walgt van zichzelf, voelt zich depressief of schuldig na het overeten.

Voorgeschiedenis en anamnese
Zwangeren, allochtonen, personen met een positieve familieanamnese voor overgewicht en DM, personen die stoppen met roken of lichamelijke activiteit, personen uit een laag sociaaleconomische klasse, personen met veranderde levensstijl door sociale veranderingen hebben een grotere kans op gewichtstoename.

De snelheid van toename (snel heeft waarschijnlijk een lichamelijk oorzaak) of een wisselend karakter (oedeem) zijn van belang van de anamnese en verder alle vragen die betrekking hebben tot de differentiaal diagnose (zie hierboven).

Alarmsignalen:

· gewichtstoename & dyspneu/oedemateuze voeten; wijst op decompensatio cordis
· gewichtstoename & zwelling van de buik; wijst op een tumor

HOOFDSTUK 2 Afname van gewicht bij volwassenen

Met gewichtsverlies als klacht wordt onbedoeld gewichtsverlies van meer dan 5% van het vroegere gewicht in minder dan 6 maanden tijd aangeduid.
Gewichtsverlies heeft een significantie associatie met een verhoogde mortaliteit. Er zijn weinig bijgaande klachten, maar o.a. het uitblijven van de menstruatie komt voor. Ernstig gewichtsverlies kan bijdragen aan decubitus en verminderende botmassa, wat kan leiden tot heupfracturen. Afname van spiermassa zorgt vooral bij ouderen voor een afname van de mobiliteit.

Het totale incidentiecijfer van gewichtsverlies is 1:100. Tot een leeftijd van 55 jaar komt men meestal aan en daarna verliest met 1-2% van het gewicht per jaar. Tijdens de menstruatie fluctueert het lichaamsgewicht meer en bij iedereen fluctueert het lichaamsgewicht ongeveer 1,5% per dag.

Differentiaal diagnose, ingedeeld volgens de weg van het voedsel (voor de volledige lijst, zie je boek)

· Onvoldoende voedselinname;

o Niet voldoende beschikbaar (armoe/sociaal isolement/drugsverslaafde)
o Verminderde eetlust (depressie/angststoornis/psychische stress/anorexia nervosa (!)/alcoholmisbruik/maligniteiten(!))
o Vrees voor pijn na inname (o.a. reflux oesofagitis)
o Problemen met eten/kauwen/slikken (o.a. dementie/gebitsproblemen/CVA/ALS)
o Obstructie tractus digestivus (oa oesofagus- of maagcarcinoom/peptische ulcus/compressie door intra-abdominale massa)

· Onvoldoende opname/malabsorptie; gaat vaak gepaard met verhoogde eetlust, o.a. diarree, coeliakie, pancreasinsufficiëntie
· Verhoogde energieverbruik; hyperthyroïdie, maligniteiten, COPD (terminaal), chronische infectieziekten (TBC/AIDS), ontstekingen.
· Verlies van voedingsstoffen; DM, inflammatory bowel disease

Symptomen van hyperthyroïdie zijn: gejaagdheid, tremor, diarree, hartkloppingen en warmte-intolerantie.

Anamnese en lichamelijk onderzoek
De vragen die bij de anamnese gesteld moeten worden, volgen logischerwijs uit bovenstaande indeling van de diagnosen. Achterhaal waar in de weg die het voedsel aflegt het probleem zit.

Bij het lichamelijk onderzoek let men op lichaamsgewicht, algemene indruk ( hydratatie toestand, gejaagdheid ->hyperthyroïdie, bloeduitstortingen ->hematologische maligniteit), polsfrequentie (tachycardie -> hyperthyroïdie), status psychus, gebit, mond- en keelholte, nek en hals (zwellingen -> tumor/infectie), schildklier (hyperthyroïdie/carcinoom), hart, longen (ontsteking, maligniteit, hartfalen), lever (vergroot/bobbelige rand -> maligniteiten), palpabele milt (hematologische maligniteit), abdomen (caput medusae, levercirrose, abnormale zwellingen......more on this page, or read on below >>

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Samenvatting Farmacotherapeutisch Kompas - Zorginstituut Nederland

Samenvatting Farmacotherapeutisch Kompas - Zorginstituut Nederland

Over het Farmacotherapeutisch kompas

Inhoud van het kompas

  • Het Farmacotherapeutisch Kompas bevat een overzicht van alle bij Nederland en de EU geregistreerde geneesmiddelen 'voor mensen'. In het kompas staat geen informatie over homeopathie. Daarnaast worden geneesmiddelen die voornamelijk intramuraal gebruikt worden niet opgenomen. Er is echter geen sluitende lijst.
  • De geneesmiddelen zijn voorzien van adviezen en of zij dienen te worden voorgeschreven of niet. Daarnaast bevat het Farmacotherapeutisch Kompas wetenschappelijke achtergrond- en kosteninformatie. Verder staan er verwijzingen naar ondersteunende teksten binnen het Farmacotherapeutisch Kompas en verwijzingen naar andere relevante websites.

Opbouw van het kompas

  • Centraal staan drie typen teksten: teksten over een specifiek geneesmiddel, over geneesmiddelgroepen en over indicaties. Deze drie tekstsoorten vullen elkaar aan en zijn door middel van links onderling verbonden, zodat ze gemakkelijk in combinatie geraadpleegd kunnen worden. Hieronder volgt een toelichting op de drie tekstsoorten.
  • Hoofdstukindeling:
    • Bot- en spierweefsel
    • Cardiologie
    • Dermatologie
    • Diverse aandoeningen
    • Endocrinologie
    • Gastro-enterologie
    • Gynaecologie
    • Hematologie
    • Immunologie
    • KNO
    • Longgeneeskunde
    • Neurologie
    • Oncologie
    • Oogheelkunde
    • Pijn, koorts, verdoving
    • Psychiatrie
    • Systemische infecties
    • Tandheelkunde
    • Tekorten en intoxicaties
    • Urogenitaal stelsel
  • Farmacologie
    • Farmacokinetiek
    • Farmacogenetica
    • Ouderen
    • Kinderen
    • Zwangerschap/lactatie
    • Toxicologie
    • Verkeer
    • Referentiewaarden

Gebruik van het kompas

  • Het kompas is bedoeld als hulpmiddel bij het nemen van farmacotherapeutische beslissingen, om gepast gebruik van geneesmiddelen te bevorderen. De redactie streeft ernaar dat het FK compleet, actueel, richtinggevend, deskundig en onafhankelijk is, en dat het zoveel mogelijk aansluit bij de wensen van de gebruikers.
  • De belangrijkste doelgroep van het FK zijn (aspirant-)voorschrijvers, hoewel het FK ook door anderen gebruikt kan worden.

Over de auteurs

  • Het Farmacotherapeutisch Kompas is een product van Zorginstituut Nederland (ZIN).
  • Het FK wordt geschreven door artsen en apothekers.
  • Voor de indicatieteksten wordt de wetenschappelijke adviescommissie van ZIN (WAR-CFK) geraadpleegd. Voor gebruikerswensen maakt het FK gebruik van een gebruikerspanel.
Samenvatting: Farmacokinetiek, wat doet het lichaam met het geneesmiddel?

Samenvatting: Farmacokinetiek, wat doet het lichaam met het geneesmiddel?

Er zijn 4 processen betrokken bij farmacokinetiek:

  1. Absorptieprocessen: het medicijn komt na orale inname in het maagdarmkanaal terecht en zal daar, al dan niet ongewijzigd, in het bloed opgenomen worden en in de vena portae terechtkomen. Ook daar kan het nog gemetaboliseerd worden;

  2. Metabolismeprocessen: omzetting in bepaalde producten die gemakkelijk het lichaam kunnen verlaten;

  3. Verdelingsprocessen (wordt behandeld in een ander blok);

  4. Eliminatieprocessen.

Na opname in het bloed (al dan niet nadat het gemetaboliseerd is) zal het geneesmiddel een concentratiestijging in het bloed veroorzaken. Deze stijging wordt steeds minder en gaat uiteindelijk over in een daling van de concentratie door opname en verwerking in de weefsels.

Absorbtie

Indien snel een effect gewenst is, kan ervoor worden gekozen het geneesmiddel via een intraveneuze toediening direct in de circulatie te brengen. Bij alle andere wegen van toedienen moet de werkzame stof eerst uit de toedieningsvorm vrijkomen, waarna het kan worden opgenomen in de circulatie. De opname in de circulatie wordt de absorptie genoemd. De absorptiesnelheid is afhankelijk van de toedieningsweg, toedieningsvorm en de eigenschappen van de werkzame stof zelf. Wanneer het geneesmiddel oraal of rectaal wordt toegediend, moet de werkzame stof eerst de darmwand passeren om in de circulatie te kunnen komen. Het is daarvoor belangrijk dat het geneesmiddel in kleine mate in vet oplosbaar is, zodat de stof door de darmwand kan diffunderen. De absorptiesnelheid is mede bepalend voor de snelheid waarmee een geneesmiddel werkzaam wordt.

Bij absorptie is er sprake van transport over membranen en dit gebeurt in de maag, de lever en de darm. Geneesmiddelen bereiken doorgaans het doelorgaan via het bloed (oraal via de poortader). Voor geneesmiddelen die chronisch worden toegediend, is een langzame absorptie vaak gunstig, omdat de plasmaconcentraties dan min of meer constant blijven. Wanneer een geneesmiddel snel wordt geabsorbeerd, stijgt de plasmaconcentratie snel en plotseling. Dit kan leiden tot bijwerkingen.

In welke mate de werkzame stof wordt geabsorbeerd, bepaalt de biologische beschikbaarheid van de stof. De biologische beschikbaarheid geeft aan hoeveel toegediende stof uiteindelijk in de circulatie terechtkomt. De waarde ligt tussen 0 (helemaal geen werkzame stof in de circulatie) en 1 (alle toegediende stof in de circulatie). Verminderde absorptie in het maagdarmkanaal kan worden veroorzaakt doordat de stof niet geheel vrijkomt, deels wordt afgebroken of niet goed wordt opgenomen. Door middel van de biologische beschikbaarheid kan worden bepaald met welke factor de dosering moet worden aangepast wanneer men gebruikt maakt van een andere toedieningsvorm.

Verschillende geneesmiddelen worden op verschillende plaatsen in het maagdarmstelsel geabsorbeerd. Door veranderingen in de motiliteit (zoals door plotselinge beweeglijkheid) van het maagdarmkanaal, kunnen er veranderingen in absorptie plaatsvinden. Over het algemeen zijn deze veranderingen niet erg van belang, behalve bij een intoxicatie: hierbij kan de opname aanzienlijk worden vertraagd, waardoor het maximale effect pas na dagen merkbaar zal zijn.

Bij de biotransformatie

.....read more
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Samenvatting Farmacotherapie & anticonceptie

Samenvatting Farmacotherapie & anticonceptie

De pil

Anticonceptie kan in de vorm van hormonen worden gegeven in een pil met ofwel oestrogeen en progestageen, ofwel alleen met progestageen. De pil kan onderverdeeld worden in een éénfasepil met dezelfde dosis oestrogeen en progestageen en een drie- of vierfasenpil die een wisselende dosis heeft.

Er bestaat ook onderscheid tussen eerste generatiepillen, ook wel 50-pillen genoemd, die een dosis van 50 microgram oestrogeen bevatten. Tweede en derde generatiepillen, ook wel sub-50-pillen genoemd, bevatten minder dan 50 microgram oestrogeen. Ze worden gecombineerd met progestageen, zoals levonorgestrel, lynestrenol of norethisteron. De derde generatiepillen bevatten desogestrel, of gestodeen.

Werking van de pil

De hypofysehormonen FSH en LH worden geremd, waardoor follikelrijping en eisprong niet tot stand komt. Ook wordt het endometrium anders opgebouwd, waardoor de bevruchte eicel niet goed in kan nestelen. Het cervixslijm zorgt voor een barrière voor de spermatozoa. Er kan interactie optreden met andere medicatie of onzorgvuldig omgegaan worden met het tijdstip, waardoor de betrouwbaarheid van de pil daalt. Ook wanneer de dosis lager is dan 30 microgram ethinylestradiol is de kans vergroot dat de pil faalt. Bijkomende voordelen van de pil zijn dat het risico op ovarium- en endometriumcarcinoom worden verkleind, gunstige effecten op de menstruele cyclus, de kans op goedaardige borstgezwellen en functionele ovariumcysten is verkleind en de kans op PID is verkleint.

Indicaties voor de pil

De pil wordt meestal toegepast als reden voor anticonceptie, maar ook voor menorragie, ovulatiebloedingen, dysmenorroe en middenpijn.

Bijwerkingen voor de pil

De bijwerkingen van de pil zijn vaak alleen tijdens de eerste start van de pil aanwezig en kunnen variëren van hoofdpijn, tot misselijkheid en gevoelige borsten of doorbraakbloedingen bij pillen met een lage dosis. Androgene effecten zoals vet haar, acne, toename van de eetlust en hirsutisme treden meer op bij progestagenen van de tweede generatiepil dan bij de derde generatiepil. Andere bijwerkingen zijn nog bloeddrukverhoging, cholelithiasis en verminderde glucosetolerantie en een vlekkerige pigmentering van de huid, ook wel melasma genoemd. In het eerste jaar van het gebruik van de pil is het risico op een veneuze trombose en longembolie vergroot. Wanneer iemand 35 jaar of ouder is en rookt, kan de pil zorgen voor een verhoogd risico op arteriële trombose. Verder kan een foliumzuurdeficiëntie veroorzaakt worden door pilgebruik.

Contra-indicaties voor pilgebruik

Contra-indicaties zijn een doorgemaakt hartinfarct, CVA, DVT of longembolie, migraine met aura in combinatie met roken, trombofilie, hormoon-afhankelijke tumoren en een ernstig gestoorde leverfunctie en cholestatische icterus tijdens zwangerschap. Als er ernstige nierfunctiestoornissen aanwezig zijn kan ethinylestradiol/drospirenon niet gebruikt worden. Er kunnen doorbraakbloedingen plaatsvinden in combinatie met anti-epileptica, sint-janskruid.

Behandeling voor pilgebruik

Er wordt in eerste instantie gestart met een orale combinatiepil van oestrogeen en progestageen. Er wordt gestart met een tweede generatiepil levonorgestrel en 30 microgram ethinylestradiol (Mycrogynon, Stederil), omdat deze pil de laagste oestrogeendosis heeft. Wanneer de pillen verschillende doses bevatten kan dit problemen geven met de juiste inname ervan. Levonorgestrel wordt ook als morning-afterpil gebruikt. Deze moet het liefst zo snel mogelijk na de geslachtsgemeenschap ingenomen worden (binnen 12 uur). Ulipristal kan ook

.....read more
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Samenvatting Geneesmiddelengebruik tijdens zwangerschap

Samenvatting Geneesmiddelengebruik tijdens zwangerschap

Zorginstituut Nederland

Doordat er tijdens de zwangerschap vele lichamelijke veranderingen optreden die de werking van geneesmiddelen kunnen beïnvloeden, moeten geneesmiddelen bij zwangeren uitsluitend op strenge indicatie worden voorgeschreven. Een paar van die veranderingen die de farmacokinetische eigenschapen van geneesmiddelen beïnvloed zijn onder andere het toenemen van het circulerend- en verdelingsvolume. Indien de zwangere een chronische ziekte heeft zoals diabetes mellitus, epilepsie of hypertensie, is het gebruik van geneesmiddelen tijdens de zwangerschap niet altijd te voorkomen. Er is nog weinig onderzoek naar het precieze effect van geneesmiddelen op de oorzaak van aangeboren afwijkingen bij de foetus. Wel is het bekend dat het metabolisme van de foetus tekort kan schieten bij het omzetten en ontgiftigen van geneesmiddelen. Daarnaast is het tijdstip in de zwangerschap waarop het middel wordt gebruikt van belang. Hierbij is vooral de periode van de organogenese van de foetus belangrijk, waarbij het nemen van medicatie ongewenste effecten kan hebben op de vrucht.

De mogelijke teratogene effecten van geneesmiddelen worden vooral bepaald door dierexperimenteel onderzoek. Voor het geneesmiddelengebruik bestaat een categorisering van de categorie A tot en met D en X. Hieronder worden de definities besproken.

  • Categorie A: zijn de meest veilige geneesmiddelen die gebruikt kunnen worden tijdens de zwangerschap. Hierbij zijn er geen schadelijke effecten waargenomen.

  • Categorie B: bij deze geneesmiddelen zijn er slecht een beperkt aantal stoornissen of schadelijke effecten waargenomen. Deze categorie wordt verder ingedeeld in categorie B1, B2 en B3.

  • Categorie C: dit zijn geneesmiddelen die niet rechtstreeks teratogeen zijn maar wel met hun farmacologische effecten stoornissen veroorzaken. Dit betekent dat deze middelen een risico voor de foetus kunnen inhouden.

  • Categorie D: van deze geneesmiddelen is bekend dat ze een verhoogde incidentie van foetale misvormingen kunnen geven. Deze geneesmiddelen geven primaire teratogene effecten.

  • Categorie X: deze geneesmiddelen zijn bijna zeker van de kans op het krijgen van teratogene schade.

Het betekent niet dat een middel gecategoriseerd in klasse D nooit tijdens de zwangerschap kan worden voorgeschreven. Een voorbeeld hiervan zijn de anti-epileptica. Deze zijn met uitzondering van benzodiazepinen als D gecategoriseerd. Indien deze middelen noodzakelijk zijn voor de zwangere vrouw, worden deze middelen ondanks dat ze in categorie D zitten, toch voorgeschreven.

Borstvoeding

Er is nog minder bekend over de inname van geneesmiddelen tijdens het geven van borstvoeding aan de zuigeling. Voor de meeste geneesmiddelen is hiervoor geen informatie beschikbaar. Het effect van de geneesmiddelen op de borstvoeding wordt gebaseerd op de hoeveelheid van het geneesmiddel dat kan worden aangetroffen in de moedermelk. De aanbevelingen bestaan uit het voorschrijven van het geneesmiddel, indien dit volstrekt noodzakelijk is. Daarnaast kan de borstvoeding worden gestaakt indien het geneesmiddel kortdurend wordt gegeven.

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Samenvatting geneesmiddelengebruik bij kinderen

Samenvatting geneesmiddelengebruik bij kinderen

Farmacokinetiek en farmacodynamiek

Er zijn grote verschillen tussen kinderen en volwassenen wat betreft de werking van de farmacokinetiek en farmacodynamiek van geneesmiddelen. Ook wat betreft geneesmiddelen is er bij veel weinig of geen onderzoek naar de effecten hiervan. In de praktijk worden deze ingedeeld in off-label of unlicensed geneesmiddelengebruik. Onder off-label gebruik worden geneesmiddelen verstaan waarbij een andere indicatie bij kinderen is geregistreerd onder unlicensed gebruik worden geneesmiddelen verstaan zonder dat er hiervoor een registratie is bij kinderen. Het is belangrijk om te realiseren dat geneesmiddelen bij kinderen hele andere bijwerkingen of van een hogere frequentie kunnen zijn dan bij volwassenen. Het is belangrijk om geneesmiddelen bij kinderen in de juiste dosering te geven.

De farmacokinetiek van het geneesmiddel wordt onder andere bepaald door de absorptie, distributie, het metabolisme en de eliminatie. Al deze processen veranderen voortdurend bij kinderen. Bij sommige geneesmiddelen staat er expliciet de kinderdosering vermeld. Bij deze geneesmiddelen zijn de doseringen klinisch bij kinderen onderzocht. Ook zijn er geneesmiddelen waarbij er uitdrukkelijk staat aangegeven, dat het geneesmiddel niet aan kinderen van een bepaalde leeftijd moet worden gegeven. Ten slotte zijn er geneesmiddelen waarover geen gegevens over het gebruik van het middel bekend zijn.

Dosering

De dosering van het middel mag niet af geleid worden van de dosering van de volwassenen. Vroeger werd de kinderdosering berekend aan de hand van de een volwassen dosering. Er werd een fractie van een volwassenen dosering gegeven en rekening gehouden met de leeftijd. Deze methode heeft vaak tot onderdosering bij kinderen geleid. Tegenwoordig wordt de kinderdosering bepaald aan de hand van het lichaamsgewicht. In bepaalde situaties is dosering per lichaamsoppervlak een betere maat voor een goed therapeutisch effect. Het lichaamsoppervlak wordt berekend aan de hand van het gewicht in kilogram maar de lengte in centimeter. De dosis en de frequentie van toedienen van het middel kunnen bij kinderen anders zijn dan bij volwassenen. Hieronder staan de processen genoemd die een rol spelen bij het toedienen van geneesmiddelen:

  • Opname: de absorptie van het maag-darmkanaal kan van vele factoren afhangen. Tijdens de neonatale periode treden de grootste verschillen bij orale absorptie op. De zuurgraad van de maag, de snelheid van de maaglediging, de darmflora, de doorbloeding van het gastro-intestinale stelsel en eventuele onderliggende ziekten wordt de absorptie bepaald vanuit het maag-darmstelsel. Doordat het first-pass-metabolisme bij neonaten nog niet helemaal ontwikkeld is, kan de rectale absorptie van geneesmiddelen verhoogd zijn. Bij pasgeborenen is de opperhuid dunner en relatief groot ten opzichte van het lichaamsgewicht, waardoor een lokaal toegepast geneesmiddel beter opgenomen wordt bij jongere kinderen.

  • Verdeling: het geneesmiddel wordt verdeeld over verschillende weefsels. Door de grote hoeveelheid extracellulair water bij pasgeborenen, zal het verdelingsvolume van hydrofiele stoffen vergroot zijn. Dit betekent dat pasgeborenen een hogere dosis van hydrofiele stoffen nodig hebben op een adequate piekconcentratie te bewerkstelligen. Ook hebben de meeste geneesmiddelen bij kinderen een lagere plasma-eiwitbindig dan bij volwassenen. Dit betekent dat de extracellulaire ruimte een hogere concentratie wordt bereikt waardoor een toegenomen effect te verwachten zal zijn.

.....read more
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Samenvatting geneesmiddelengebruik bij ouderen

Samenvatting geneesmiddelengebruik bij ouderen

Bij ouderen is er naast polyfarmacie en langdurig gebruik van medicatie (t.g.v. chronische aandoeningen), ook sprake van symptoommaskering, -omkering of –armoede, wat de diagnostiek en evaluatie van medicatie bemoeilijkt. De behandelaar moet extra kritisch zijn bij voorschrijven en moet goed evalueren. Het is verder van belang de oudere te begeleiden bij het gebruik en eventueel hulp in schakelen.

Verandering bij de oudere vindt plaats in de lichaamssamenstelling, homeostase, weefsel en organen met als gevolg verandering in farmacokinetiek (absorptie, distributie, eiwitbinding, eliminatie door lever en excretie door de nier) en –dynamiek (beschrijft reactie van werkzame stof na interactie met receptoren).

Bij ouderen worden meer bijwerkingen gezien omdat ze gevoeliger zijn voor bijwerkingen en meer geneesmiddelen tegelijkertijd gebruiken. De dosering moet ook worden aangepast bij ouderen. Om overdosering te voorkomen begint men met een lage dosering en aan de hand van klinisch beeld kan de dosering worden aangepast.

Slechte therapietrouw is een belangrijke oorzaak voor het falen van behandeling. Hoe meer medicatie, hoe groter de kans op therapieontrouw.

Richtlijnen behandeling ouderen:

  • Waak voor onderbehandeling

  • Waak voor overbehandeling

  • Weet wanneer geneesmiddelen moeten worden aangepast

  • Weet hoe doseringen worden aangepast.

  • Ken de belangrijkste bijwerkingen

  • Vraag naar gebruik van middelen niet op recept

  • Wees bedacht op interacties

  • Bevorder therapietrouw

  • Beoordeel geneesmiddelenregime periodiek

  • Geneesmiddelen kunnen kwaliteit van leven verbeteren

  • Rekening houden met farmacokinetiek en –dynamiek.

Bij ouderen neemt de vitaliteit af. Endocriene functies veranderen en ziekten kunnen ontstaan (o.a. diabetes mellitus, glucosetolerantie etc.). Anemie komt ook vaker voor bij ouderen. Verder zijn ouderen ook vatbaarder voor infectie. Veiligheid en effectiviteit van de behandeling moet van groter invloed zijn bij het bepalen van medicatie. Veroudering leidt tot verandering in biologische en psychologische factoren relevant voor werkingsmechanismen van medicijnen.

Daarom is het van belang rekening te houden met:

  • Interactie van factoren met betrekking tot leeftijdsgebonden veranderingen.
  • Wijde interindividuele variatie op psychologisch gebied, leeftijdsgebonden.
  • Klinische status van elke patiënt.
  • Onderzoeken naar nieuwe medicatie.

Let op bij voorschrijven van psychotrope middelen:

  • Psychologische symptomen (depressie, angstig, geagiteerd, insomnia) kunnen het gevolg zijn van andere medicatie.
  • Psychiatrische symptomen zijn valide indien bevestigd door familieleden en verzorgers.
  • Symptomen kunnen aspecifiek zijn.
  • Middelen kunnen op individueel niveau verschillende effectiviteit, bijwerkingen en mogelijke interacties hebben.
  • Dosis moet lager bij ouderen, omdat ze sensitiever zijn voor medicijnen.
  • Monitor bijwerkingen.
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Summaries: home bundle

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Image Combine a Medical Spanish course with volunteer work in a medical center in Ecuador
Combine a Medical Spanish course with volunteer work in a medical center in Ecuador A study in the medical field or experience in the medical sector is required.
Image Do a medical internship in Africa and assist in local hospitals
Do a medical internship in Africa and assist in local hospitals. The work is dependent on the selected hospital, country and your level of practical work experience. You...
Image Provide healthcare training and coaching to Lao health professionals and their community in Laos
Provide healthcare training and coaching to Lao health professionals and their community in Laos. A healthcare background is required to be able to help improving health...
Image Doe vrijwilligerswerk of loop stage in de gezondheidszorg in Afrika!
Ga aan de slag in een ziekenhuis of gezondheidscentrum in Afrika en werk in de kraamzorg, als verpleegkundige, als fysiotherapeut of ondersteun en verzorg met mensen met...
Image Heb jij ervaring op medisch gebied? Doe je een medische of paramedische opleiding? Verleen dan medische assistentie op het platteland van Nepal
Heb jij ervaring op medisch gebied, bijvoorbeeld als verpleegkundige, basisarts of fysiotherapeut? Doe je een medische of paramedische opleiding en zoek je een...
Image Doe je verpleegkunde stage bij een kliniek of ziekenhuis aan de Spaanse Costa del Sol
Wat ga je doen tijdens deze verpleegkunde stage in Spanje? Je voert zelfstandig verpleegkundige handelingen uit en speelt een rol bij de zorg aan patiënten tijdens hun...
Image Deel je medische kennis en draag bij aan de verbetering van lokale klinieken in India of Sri Lanka
Je verricht vrijwilligerswerk in een rurale kliniek als laborant, arts of verpleegkundige. Je draagt bij aan de behandeling van patiënten in gebieden met schaarse...
Image Volunteer with an organization that helps people with intellectual disabilities
Get involved with an organization that helps people with intellectual disabilities! You will live and work together in one of the communities and help with daily...
Activities abroad: home bundle

Main content and contributions for activities abroad

,,,accommodations, adventure activities, courses, internships, jobs and volunteer projects

...to help another, travel with care, work together , learn to share and inspire with your experience

 

Activities abroad: home page

Activities abroad: home page

From language courses to gap year abroad, from work experience to volunteering abroad, from paid work to internship abroad, from mountaineering to diving and from backpacking to travel around the world

    What social activities can you do abroad?

    • Opportunities are found in the areas of helping, learning or studying. You can get involved to volunteer in a social project at a school in Africa, Asia or Latin America. You can get involved in nature, in a project with animals or cleaning the sea or beaches. Those who want to learn more can choose for example a language course in Latin America, Spain or South Africa.

    What work related activities can you do abroad?

    • If you want to gain work experience, and/or also earn money, go and work abroad. You can combine backpacking in Australia with temporary work. You can work on campsites in Europe or bush camps in Africa. You can pretty much go all over the world to work in the hospitality industry, hotels and hostels, in the healthcare sector or for example at a diving school.

    What sports activities to do abroad?

    • Have you ever thought of mountain biking, rafting (going down a wild river on a raft or rubber dinghy, climbing or canoeing), survival (which involves building rafts, climbing or canoeing), abseiling (descending a rock face while secured to ropes), zip-lining (whizzing down a cable), canyoning (starting at the top of a river and then climbing, swimming, diving down the bed) or caving (scrambling, wriggling and crawling through caves and crevices)?
    • Maybe you feel more comfortable on a bodyboard (on a half-wave surfboard, you surf the high waves lying down-with flippers), on a hang glider or while paragliding (with a parachute you float down a mountain or dune), hydrospeeding (on a bodyboard with flippers and a wetsuit on you go down a wild river via rapids) or Tiefschneeskiing (racing down through powder snow)?

    Check the pages below for more activities and inspiration and where to go and how to arrange it

      Activities abroad: for experiencing countries and cultures abroad

      Activities abroad: for experiencing countries and cultures abroad

      Bundled content for experiencing countries and cultures during gap year, travel and backpacking abroad

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      Activities abroad: for sports, adventure and outdoor abroad

      Activities abroad: for sports, adventure and outdoor abroad

      Bundled content for sports, adventure and outdoor during travel, gap year and backpacking abroad

      Access: 
      Public

      Image ORGANIZATIONS

      Check all organizations related to: 'Everyday medical complaints and preventive care'

      CHECK ORGANIZATIONS

      Make a selection, to find more or other organizations than you see below

      Image Work the World: Medische Stages in Afrika en Azië
      Work the World organiseert sinds 2005 op maat gemaakte (vrijwillige) medische stages in Afrika en Azië. Een goed startpunt voor je stage geneeskunde in het buitenland...
      Image Dr. Horacio E. Oduber Hospitaal Aruba
      Dr. Horacio E. Oduber Hospital is the only hospital on Aruba and offers 26 medical specialties. It also includes a separate dialysis clinic within the facility.
      Image SEED Madagascar
      SEED Madagascar (formerly Azafady) strives for sustainable development by improving the capacities of individuals, communities, and organizations. Their projects...
      Image Floating Doctors
      Floating Doctors strives to provide medical care in the developing world and to improve health care delivery in Panama. With a team of volunteers with medical, dental...
      Image Otra Cosa Peru
      Otra Cosa is a foundation that focuses on education in northern Peru. The curriculum focuses on environmental awareness. The organization combines social resilience and...
      Organizations & Services: home bundle

      Bundled content, suggestions, stories and tips about organizations and their products and services

      ...to help another, travel with care, work together, learn to share and inspire with your experience

      Organizations: home page
      Organizations for administrative, tax and legal work and consulting

      Organizations for administrative, tax and legal work and consulting

      international law

      Activities, internships, paid work, services or volunteer work in administration, tax and legal consulting

      Administrative, tax and legal consulting abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for agriculture, grape picking, farming and vineyards
      Organizations: for animal protection, animal care and working with wildlife abroad
      Organizations: for au pairs, youth work and child care abroad
      Organizations: for bush camping and working at a campsite abroad
      Organizations: for catering, hospitality and entertainment abroad
      Organizations: for civil society and social work abroad
      Organizations for corporate business services

      Organizations for corporate business services

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      Activities, internships, paid work, services or volunteer work in corporate business services

      Corporate business services abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for customer services abroad and help desks
      Organizations: for diving, snorkeling and water sports abroad
      Organizations: for education and schools abroad
      Organizations: for expatriate insurances, travel insurances, and emergency call centers
      Organizations: for gap year activities abroad and sabbaticals
      Organizations: for internship placement abroad
      Organizations: for insurances and finance abroad
      Organizations for IT, engineering and construction

      Organizations for IT, engineering and construction

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      Activities, internships, paid work, services or volunteer work in IT, webdevelopment, engineering and construction

      IT, engineering and construction abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for language travel and language teaching abroad
      Organizations for marketing, communication and PR abroad

      Organizations for marketing, communication and PR abroad

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      Activities, internships, paid work, services or volunteer work in marketing and communication

      Marketing, communication and PR abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for mediation in au pairs, childcare and elderly care in the Netherlands
      Organizations for moving, international relocation and transport abroad

      Organizations for moving, international relocation and transport abroad

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      Activities, internships, paid work, services or volunteer work in transport and international relocation

      Moving abroad and relocation services abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:

      Moving abroad and relocation

      ......Read more on this page
      Organizations for nature conservation, environmental protection and working in nature abroad

      Organizations for nature conservation, environmental protection and working in nature abroad

      Costa Rica rain forest - Jungle

      Activities, internships, paid work, services or volunteer work in environmental protection, sustainability and nature conservation

      Nature conservation and environmental protection abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for nonprofit projects, development work and international cooperation
      Organizations: for online work as digital nomad, freelancer, or independent entrepreneur from abroad
      Organizations: for outdoor activities and sports
      Organizations: for providing accommodation and hospitality work in hotels, guesthouses, ecolodges and hostels abroad

      Organizations: for providing accommodation and hospitality work in hotels, guesthouses, ecolodges and hostels abroad

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      Activities, internships, paid work, services or volunteer work in hotels, resorts, guesthouses, ecolodges, bed and breakfasts and hostels abroad

      Working in hospitality and tourist accommodations abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for providing healthcare and working in medical care abroad

      Organizations: for providing healthcare and working in medical care abroad

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      Activities, internships, paid work, services or volunteer work in healthcare

      Providing healthcare and working in medical care abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for psychological assistance and mental health care abroad

      Organizations: for psychological assistance and mental health care abroad

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      Activities, internships, paid work, services or volunteer work in psychological assistance, coaching and mental health care abroad

      Psychological assistance, coaching and mental health care abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for real estate, brokerage abroad and property rental abroad
      Organizations: for research and scientific work abroad

      Organizations: for research and scientific work abroad

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      Organizations: for research, R&D, data collection, data analysis and scientific work abroad

      Activities, internships, paid work, services or volunteer work in research and science

      From R&D to data collection and data analysis

      Research and science abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page
      Organizations: for student support and student associations
      Organizations: for tour guidance and adventure tours abroad
      Organizations: for tourism and organized travel and leisure work abroad
      Organizations: for voluntary work mediation and project placement abroad
      Organizations for yacht and shipping crew and working on a cruise ship abroad

      Organizations for yacht and shipping crew and working on a cruise ship abroad

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      Activities, internships, paid work, services or volunteer work on cruise ships, sailing yachts and other ships

      Boat crew, deck hand or working for an international shipping organization

      Working on a yacht or cruise ship abroad: by position

      For job roles and duties related to activities, internships and jobs abroad, see:
      ......Read more on this page

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      SPOTLIGHT & FAVORITES

      FAVORITES
      Summary of The New Public Health by Baum - 4th edition
      • Chapter 1: How can we understand health?
      • Chapter 2: What does the history of public health look like?
      • Chapter 3: How has the new public health evolved?
      • Chapter 4: How do ethics, politics and ideologies form the invisible hands of public health?
      • Chapter 5...

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