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Home visiting evaluation
Clinical Application for Community Health Nursing (NUR 417)
Home visiting evaluation(chronic cases)
Lecture 4
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After completion the lecture the students enable to:
define the home visitdescrie o!ectives of the home visit"no# the purpose of home visit"no# phases of home visit"no# the Advantages and disadvantage of home visits
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Introduction
$he home visitis a family%nurse contact #hich allo#s the
health #or"er to assess the home and family situations in
order to provide the necessary nursing care and health
related activities&
'n performing this activity it is essential to prepare a plan
of visit to meet the needs of the client and achieve the estresults of desired outcomes&
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's a professional contact et#een the community health nurse and
the family
$he services provided is an etension of the health services agency
( Health center)
$he community health nurse doing home visits usually #or"s as
part of a home health care team that can includes social #or"ers
rehailitation specialists and home health nurses or aides&Cooperation and communication #ith other care providers are
essential&
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Introduction
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Objectives of the home visit:
Assessment
Nursing care
$reatment
Health education
Referral (if care fails)
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Purpose of home visit
$o give care to the sic" to a postpartum mother and her ne#orn #ith thevie# teach a responsile family memer to give the suse*uent care&
$o assess the living condition of the patient and his family and their
health practices in order to provide the appropriate health teaching&
$o give health teachings regarding the prevention and control of diseases&
$o estalish close relationship et#een the health agencies and the pulic
for the promotion of health&
$o ma"e use of the inter%referral system and to promote the utili+ation of
community services
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a& ,isiting nurse association
& Hospice
c& -ulic health departments
d& Home health agencies
e& .chool districts
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The goals of primary health nursing areoften met through providing health care to
families in their home. It can be provided by:
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Principles involved in preparing for ahome visit
A home visit must have a purpose or o!ective&
-lanning for a home visit should ma"e use of all availale
information aout the patient and his family through family
records&
'n planning for a home visit #e should consider and give priority
to the essential needs if the individual and his family&
-lanning and delivery of care should involve the individual and
family&
$he plan should e fleile&
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Guidelines to consider regarding thefrequency of home visits
1& $he physical needs psychological needs and educational needs of the
individual and family&
/& $he acceptance of the family for the services to e rendered their interest and
the #illingness to cooperate&
0& $a"e into account other health agencies and the numer of health personnel
already involved in the care of a specific family&
4& Careful evaluation of past services given to the family and ho# the family avails
of the nursing services&
& $he aility of the patient and his family to recogni+e their o#n needs their
"no#ledge of availale resources and their aility to ma"e use of their resources
for their enefits&
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Steps in conducting home visits
2reet the patient and introduce yourself&
.tate the purpose of the visit
3serve the patient and determine the health needs&
-ut the ag in a convenient place&
-erform the nursing care needed and give health teachings&
Record all important date oservation and care rendered&
a"e appointment for a return visit& 10
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A& $hese visits cost less than hospital care #ith etter outcomes especially
#hen chronic health issues are involved&
5& Clients have greater control over their health and lives&
C& $he community health nurse gains access to families to provide health
education and other prevention strategies&
6& $he nurse can oserve family and environment factors that influence health&
& Home visits allo# for primary intervention to prevent disease or in!uryfrom occurring&
8& Home visits facilitate family participation and promote family focus&
Advantages of home visits:
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A& $he nurses s"ills personality or physical aility may not e compatile
#ith providing home visit&
5& Home visits are time consuming9 travel time is re*uired to get to the
persons needing care&
C& $here is no easy access to emergency e*uipment or consultation #ith other
health professionals if needed&
6& Home visits may present issues regarding the nurse personal safety in somecommunity or family settings&
& $he nurse has less control over the care setting (for eample cleanliness
noise privacy or distractions)&
Disadvantages of home visits:
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Re*uirements include e*uipment for asic assessment medical
asepsis and #aste disposal&
$hese precautions must e follo#ed to avoid contamination from
lood ody secretions ecretions or contaminated items&% :ash hands
% Use gloves&
% :ear eye and face protection
% :ear go#n
% Handle client care e*uipment carefully&
% Clean environmental surfaces&
% Use proper sharps disposal container&
Community health nurse bag
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a&Helping families deal #ith stress created y health prolems&
&a"ing referrals for community services&
c&$eaching and educating clients #ith the focus on strengths
rather than #ea"ness&
The three most common intervention inhome health care include:
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Evaluationis the ongoing process that continually assesses clients
progress to#ard epected outcome&
Terminationof home visits occurs #hen oth client and nurse are
satisfied that goals have een met or that appropriate referrals havemade&
Telemedicine:#hich use phone and computer technologies to
monitor clients and provide care #ithout the nurse ma"ing a home
visit&
