Home Visit Home Visit: An Approach to Families

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Health supervision to visit pre-natal cases and infants

3. Definition Home visit is a professional face to face contact made by a nurse to the client or family to provide

Visit to clients suffering from communicable diseases

Frequency of Home Visit

Factors to be considered in determining the frequency necessary health care activities and to further attain of home visits: an objective of the health agency. 1. Purpose of Home Visit offered, and their interest and willingness to 1. To give nursing care to the sick, to a post partum mother and newborn, with a view of teaching a responsible family member on how to give subsequent care. 2. To find out home living condition of the client and family in order to fit a health teaching needs. 3. To teach health practices, prevention of disease and correction of defect for better living. 4. To detect, help prevent the spread of communicable disease. 5. To establish close relationship between the health agencies and the public for the promotion of public health. 6. To make use of the referral system and use of community services. Arrangement of Home Visit 6. 5. 4. 3. 2. cooperate. The physical, psychological and educational needs of the family. The policy of the health agency and the emphasis placed on a given health program in which they need to prioritize. The number of health personnel involved in the care of the family as well as other health agency supervising condition. Careful evaluation of past services given to the family and how they made use of the nursing services. Ability of the client and his family to recognize their own needs, their knowledge of available resource; and their ability to utilize these resources on their own accord. Components of a Home Visit the familys case or The acceptance of the family for the services

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Nursing care to post- natal cases

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Planning- the plan will be an essential tool in achieving precise and appropriate 4.

family but priority should be given to those needs recognized by the family itself. Planning of a continuing care should involve the individual and his family. 5. Planning should be flexible and practical. It should be able to meet the needs of the family members other than those planned. Guidelines in Planning for a Home Visit

application of nursing interventions. 2. Implementation- the community health nurse and the whole family are partners in restoring and/or promoting positive family health behavior. Phases of Approach: a. Socialization Phase- establish rapport with the client and family. b. Working/ Professional Phaseapply

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Study records, referrals from other agency and available information.

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Appraise needs to total family and individual members. Consider: a. Recognized needshealth

problem solving techniques to situations found in the home; plan with family to resolve health problem situations. c. Summary Phasedocumentation of

problems consulted by the family. b. Unrecognized

problems

needsby the

health
health

significant findings. 3. Evaluation- evaluates the family situation. 3.

observed

personnel. Review new or forgotten content materials related to the health needs of the family. 4. 1. A home visit should have purpose or objectives. 2. Planning for a home visit should make use of all available information about the client and his family, through family records, 6. 5. Contact health and social agencies, which have provided services to the family as recorded. Decide on methods and materials to be used. The tools which will facilitate effective contact with the family. Consider other possible ways of meeting familys needs. Steps in Home Visit

Principles in Planning for a Home Visit

information from health center personnel and other existing agencies that have given services to the particular family. 3. Planning for a visit should revolve around the essential needs of the individual and his

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Greet the client or the family member according to the time of the day and introduce yourself.

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Record findings and nursing services done.

10. Set an appointment for a follow- up home visit or clinic visit, and leave specific instructions if necessary on how to ensure nursing care to the sick family member. 11. When you gain the familys trust and confidence, you may look into more detailed aspect of the household and other health problems or concerns. Advantages of Home Visit

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Explain the purpose of home visit; allow the client or the hostess to feel at ease before proceeding further.

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Inquire about health and welfare of client and other family members. Ask about any health and health- related problems.

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Look for the place to put your PHN bag; on the table or chair six feet away from bedside, but since some homes have limited area any convenient place will do, as long as proper procedure can be done in that area. 2. 1. Opportunity to assess the family and home situation. Opportunity problems. 3. The nurse can assist and supervise the family on how to render nursing care to the sick family member. 4. 5. Permits teaching in the actual situation. Family is more at ease in discovering their problems. 6. Family is more confident in personalized services. Disadvantages of Home Visit advice based on the clients need and condition. If client is weak or too indisposed condition, you may teach the family member since they are with the client most of the time. 2. 1. No opportunity for the families to share experiences with others. Distractions at home may make instructions difficult. 3. Time consuming and costly on the part of the nurse. to seek out new health

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If nursing care will be given, proceed to get articles needed from the PHN bag observing proper bag technique. Give necessary care or demonstration.

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Perform physical assessment and nursing care needed. If more than one member of the family is for health supervision and care, start with the well member to avoid transfer of infection.

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Give the necessary health teaching and

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Clean all the articles used. Wash hands, remove apron and fold, place in the bag.