Gepubliceerd op 14 januari 2023
Tijdens de anamnese bevraag ik niet enkel de klacht, maar neem ik graag de tijd om in te gaan op aspecten die mogelijk betrekking hebben op het stresssysteem.
Topics die bovenop de standaard anamnese kunnen aangehaald worden zijn:
− Het slaappatroon (door- en/of inslaapproblemen?)
− Het energieniveau van de persoon (overdrive of net lusteloos?)
− Spijsverteringsmoeilijkheden
− Concentratiestoornissen
− Gemoedstoestand (snel geagiteerd, geëmotioneerd, …)
− Verandering in engagement t.o.v. sociale activiteiten
− Andere klachten: benauwd, duizeligheid, hoofdpijn, …
De anamnese op deze manier uitbreiden geeft mij een beeld van hoe stress een impact kan hebben op de klachten van de patiënt.
Bij zeer gespannen patiënten merk ik op dat ze veel van deze bevraagde aspecten herkennen. Door hier dieper op in te gaan krijg ik frequent te horen dat ze zich gehoord voelen in het geheel van hun klachtenpatroon.
Op het einde van dit gesprek laat ik de patiënt graag nog even de concrete hulpvraag formuleren om te kijken of de verwachtingen realistisch zijn. Soms spreken ze hier niet eens over de pijn maar eerder over het feit dat ze rust nodig hebben, terug willen sporten om zo hun vrienden vaker te zien, zich beter in hun vel willen voelen, …
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| ( ! ) Warning: file_exists(): open_basedir restriction in effect. File(action-scheduler-nl_NL.mo) is not within the allowed path(s): (/var/www/vhosts/staging.fascia.be/:/tmp/) in /var/www/vhosts/staging.fascia.be/httpdocs/wp-content/plugins/wpml-string-translation/classes/MO/Hooks/LoadTranslationFile.php on line 82 | ||||
|---|---|---|---|---|
| Call Stack | ||||
| # | Time | Memory | Function | Location |
| 1 | 0.9927 | 26910168 | shutdown_action_hook( ) | .../load.php:0 |
| 2 | 0.9927 | 26910168 | do_action( $hook_name = 'shutdown' ) | .../load.php:1308 |
| 3 | 0.9927 | 26910384 | WP_Hook->do_action( $args = [0 => ''] ) | .../plugin.php:522 |
| 4 | 0.9927 | 26910384 | WP_Hook->apply_filters( $value = '', $args = [0 => ''] ) | .../class-wp-hook.php:365 |
| 5 | 1.0259 | 27042856 | _wp_cron( '' ) | .../class-wp-hook.php:341 |
| 6 | 1.0260 | 27046440 | wp_get_schedules( ) | .../cron.php:1037 |
| 7 | 1.0261 | 27048320 | apply_filters( $hook_name = 'cron_schedules', $value = [] ) | .../cron.php:1139 |
| 8 | 1.0261 | 27048568 | WP_Hook->apply_filters( $value = [], $args = [0 => []] ) | .../plugin.php:205 |
| 9 | 1.0263 | 27055648 | ActionScheduler_QueueRunner->add_wp_cron_schedule( $schedules = ['every_five_minutes' => ['interval' => 300, 'display' => 'Every 5 Minutes'], 'cmplz_monthly' => ['interval' => 2592000, 'display' => 'Once every month'], 'cmplz_weekly' => ['interval' => 604800, 'display' => 'Once every week'], 'cmplz_daily' => ['interval' => 86400, 'display' => 'Once every day'], 'cmplz_five_minutes' => ['interval' => 300, 'display' => 'Once every five minutes'], 'weekly' => ['interval' => 604800, 'display' => 'Wekelijks'], 'wp_gf_upgrader_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'wp_gf_feed_processor_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'wp_gf_notifications_processor_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'wp_gf_telemetry_processor_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'imagify_optimize_media_cron_interval' => ['interval' => 300, 'display' => 'Every 5 Minutes']] ) | .../class-wp-hook.php:341 |
| 10 | 1.0263 | 27056024 | __( $text = 'Every minute', $domain = 'action-scheduler' ) | .../ActionScheduler_QueueRunner.php:249 |
| 11 | 1.0263 | 27056024 | translate( $text = 'Every minute', $domain = 'action-scheduler' ) | .../l10n.php:307 |
| 12 | 1.0263 | 27056024 | WPML\ST\MO\JustInTime\MO->translate( $singular = 'Every minute', $context = ??? ) | .../l10n.php:196 |
| 13 | 1.0263 | 27056024 | WPML\ST\MO\JustInTime\MO->load( ) | .../MO.php:50 |
| 14 | 1.0263 | 27056024 | WPML\ST\MO\JustInTime\MO->loadTextDomain( ) | .../MO.php:78 |
| 15 | 1.0264 | 27057000 | WPML\Collect\Support\Collection->each( $callback = class Closure { public $this = class WPML\ST\MO\JustInTime\MO { public $entries = [...]; public $headers = [...]; public $_nplurals = 2; public $_gettext_select_plural_form = NULL; private ${MO}filename = ''; private $loaded_mo_dictionary = class WPML\ST\MO\LoadedMODictionary { ... }; protected $locale = 'nl_NL'; private $domain = 'action-scheduler'; private $isLoading = TRUE }; public $parameter = ['$mofile' => '<required>'] } ) | .../MO.php:96 |
| 16 | 1.0264 | 27057000 | WPML\ST\MO\JustInTime\MO->WPML\ST\MO\JustInTime\{closure:/var/www/vhosts/staging.fascia.be/httpdocs/wp-content/plugins/wpml-string-translation/classes/MO/JustInTime/MO.php:96-104}( $mofile = '/var/www/vhosts/staging.fascia.be/httpdocs/wp-content/languages/wpml/action-scheduler-nl_NL.mo', 0 ) | .../Collection.php:228 |
| 17 | 1.0264 | 27057192 | WPML\ST\MO\Hooks\LoadTranslationFile::getDefaultWordPressTranslationPath( $domain = 'action-scheduler', $locale = 'nl_NL', $disableVersionCheck = ??? ) | .../MO.php:98 |
| 18 | 1.0267 | 27060432 | file_exists( $filename = 'action-scheduler-nl_NL.mo' ) | .../LoadTranslationFile.php:82 |
| ( ! ) Warning: file_exists(): open_basedir restriction in effect. File(action-scheduler-nl_NL.l10n.php) is not within the allowed path(s): (/var/www/vhosts/staging.fascia.be/:/tmp/) in /var/www/vhosts/staging.fascia.be/httpdocs/wp-content/plugins/wpml-string-translation/classes/MO/Hooks/LoadTranslationFile.php on line 85 | ||||
|---|---|---|---|---|
| Call Stack | ||||
| # | Time | Memory | Function | Location |
| 1 | 0.9927 | 26910168 | shutdown_action_hook( ) | .../load.php:0 |
| 2 | 0.9927 | 26910168 | do_action( $hook_name = 'shutdown' ) | .../load.php:1308 |
| 3 | 0.9927 | 26910384 | WP_Hook->do_action( $args = [0 => ''] ) | .../plugin.php:522 |
| 4 | 0.9927 | 26910384 | WP_Hook->apply_filters( $value = '', $args = [0 => ''] ) | .../class-wp-hook.php:365 |
| 5 | 1.0259 | 27042856 | _wp_cron( '' ) | .../class-wp-hook.php:341 |
| 6 | 1.0260 | 27046440 | wp_get_schedules( ) | .../cron.php:1037 |
| 7 | 1.0261 | 27048320 | apply_filters( $hook_name = 'cron_schedules', $value = [] ) | .../cron.php:1139 |
| 8 | 1.0261 | 27048568 | WP_Hook->apply_filters( $value = [], $args = [0 => []] ) | .../plugin.php:205 |
| 9 | 1.0263 | 27055648 | ActionScheduler_QueueRunner->add_wp_cron_schedule( $schedules = ['every_five_minutes' => ['interval' => 300, 'display' => 'Every 5 Minutes'], 'cmplz_monthly' => ['interval' => 2592000, 'display' => 'Once every month'], 'cmplz_weekly' => ['interval' => 604800, 'display' => 'Once every week'], 'cmplz_daily' => ['interval' => 86400, 'display' => 'Once every day'], 'cmplz_five_minutes' => ['interval' => 300, 'display' => 'Once every five minutes'], 'weekly' => ['interval' => 604800, 'display' => 'Wekelijks'], 'wp_gf_upgrader_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'wp_gf_feed_processor_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'wp_gf_notifications_processor_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'wp_gf_telemetry_processor_cron_interval' => ['interval' => 300, 'display' => 'Elke 5 minuten'], 'imagify_optimize_media_cron_interval' => ['interval' => 300, 'display' => 'Every 5 Minutes']] ) | .../class-wp-hook.php:341 |
| 10 | 1.0263 | 27056024 | __( $text = 'Every minute', $domain = 'action-scheduler' ) | .../ActionScheduler_QueueRunner.php:249 |
| 11 | 1.0263 | 27056024 | translate( $text = 'Every minute', $domain = 'action-scheduler' ) | .../l10n.php:307 |
| 12 | 1.0263 | 27056024 | WPML\ST\MO\JustInTime\MO->translate( $singular = 'Every minute', $context = ??? ) | .../l10n.php:196 |
| 13 | 1.0263 | 27056024 | WPML\ST\MO\JustInTime\MO->load( ) | .../MO.php:50 |
| 14 | 1.0263 | 27056024 | WPML\ST\MO\JustInTime\MO->loadTextDomain( ) | .../MO.php:78 |
| 15 | 1.0264 | 27057000 | WPML\Collect\Support\Collection->each( $callback = class Closure { public $this = class WPML\ST\MO\JustInTime\MO { public $entries = [...]; public $headers = [...]; public $_nplurals = 2; public $_gettext_select_plural_form = NULL; private ${MO}filename = ''; private $loaded_mo_dictionary = class WPML\ST\MO\LoadedMODictionary { ... }; protected $locale = 'nl_NL'; private $domain = 'action-scheduler'; private $isLoading = TRUE }; public $parameter = ['$mofile' => '<required>'] } ) | .../MO.php:96 |
| 16 | 1.0264 | 27057000 | WPML\ST\MO\JustInTime\MO->WPML\ST\MO\JustInTime\{closure:/var/www/vhosts/staging.fascia.be/httpdocs/wp-content/plugins/wpml-string-translation/classes/MO/JustInTime/MO.php:96-104}( $mofile = '/var/www/vhosts/staging.fascia.be/httpdocs/wp-content/languages/wpml/action-scheduler-nl_NL.mo', 0 ) | .../Collection.php:228 |
| 17 | 1.0264 | 27057192 | WPML\ST\MO\Hooks\LoadTranslationFile::getDefaultWordPressTranslationPath( $domain = 'action-scheduler', $locale = 'nl_NL', $disableVersionCheck = ??? ) | .../MO.php:98 |
| 18 | 1.0272 | 27061696 | file_exists( $filename = 'action-scheduler-nl_NL.l10n.php' ) | .../LoadTranslationFile.php:85 |