Home Visit, its introduction, definition, objectives, principles, purposes, types of home visit, components of home visit, steps in home visit, frequency fo home visit followed by Advantages and Role of coommnity health nurse.

1. HOME VISIT AND
BAG TECHNIQUE
PRESENTED BY :-
Kaushal Sharma
B.Sc Nursing

3. INTRODUCTION
 A home visit is one of the essential parts of
the community health services because most
of the people are found in home. Home visit
fulfills the needs of individual, family and
community in general for nursing service and
health counselling. A home visit is considered
as the backbone of community health
service.

4. CONTINUE……
 A home visit is a family nurse contact which
allow the health worker to assess the home
and family situation in order to provide the
necessary nursing care and health activities.

5. DEFINITION
 A home visit is defined as the process of
providing the nursing care to the patients at their
doorsteps. It requires technical skills,
resourcefulness, judgment, relationship.
 It is defined as providing the services to family
at their doorstep to maintain the health & reduce
the mortality and morbidity in family.
 It refers to identification and prioritization of
health needs of the individual and family at their
doorsteps and provision of care using available
resources.

6. CONTINUE……
 Home visiting is defined as the delivery of
specialized nursing care services in home care
settings.
 Home Visit is a process of providing nursing
care to patient or whole family at their
doorstep.

7. OBJECTIVES OF HOME VISIT
 To obtain information for family assessment.
 To get acquainted with the family.
 To begin a relationship of continuing assistance
in the family health and health related needs.

8. PRINCIPLES OF HOME VISIT
 Home visit should be planned according to
priority.
 The purpose of home visit should be clear and
must meet the needs of the patients.
 Home visit should be regular and flexible.
 Home visit should be educative.

9. CONTINUE……
 Home visit should give excellent opportunities for
nurses to demonstrate hygienic principles.
 Home visit should be convenient, acceptable and
educative to the patients.
 The nurse should make a attempt to include each
family member while using nursing process.
 The nurse and the family must develop positive
interpersonal relationship in their work to achieve
the goal.

10. CONTINUE…..
 Nurse must carefully listen the family and
understand the other person’s view.
 The nurse must respect the rights of the patient.
 Home visit must be recorded in the diary and
family folder.
 Health education, nursing care should be specific.

11. CONTINUE……
 Use safe technical skills and scientific nursing
procedures.
 Evaluate the work periodically.
 Make a note of important facts about the home visit
in your diary.
 Thanks to the family members and individual for
good response.

13. PURPOSES OF HOME VISIT
1. Protection against diseases.
2. Providing essential treatment.
3. Providing comfort and relief from pain to the
patient.
4. Giving a support and empathy to the patient
and the family.
5. Using domestic equipment for the nursing.

14. CONTINUE….
6. Providing health education.
7. Giving as mush respect as possible to the
faiths and beliefs of the family during the
procedures.
8. To fulfill the planned or scheduled visit.
9. To visit the antenatal or high risk mother
who needs continuous support.
10. To assess the postnatal mother and
newborn to assess their health status.

15. CONTINUE…..
11. To alert mother on immunization that is due
for her or for her baby or child.
12. To assess the nutritional status and conduct
physical examination.
13. As a follow-up measure.
14. To screen the contacts of communicable
diseases.
15. To lead and supervise the other health
workers.

16. TYPES OF HOME VISIT
Illness home
visit
Dying patient
home visit
Assessment
Home visit
Hospitalizatio
n Follow- up
Home Visit

17. CONTINUE….
1. Illness Home visit
• Emergency
• Acute illness
• Chronic illness
2. Dying patient home visit
• Terminal care
• Pronouncement of death
• Grief support

18. CONTINUE….
3. Assessment Home visit
• Polypharmacy
• Immobility
• Social isolation
• Suspected abuse or neglect
• Recent catastrophic diagnosis.

19. CONTINUE…..
4. Hospitalization Follow- up Home Visit
• Acute illness, injury or surgery.
• Parents with newborn infants.

20. COMPONENTS OF HOME
VISIT
 Initiation phase
 Pre-visit phase
 Activities during Home Visit
 Termination phase
 Post activities phase

21. STEPS IN HOME VISIT
Home visit refers to meeting the health needs of the
people at their doorstep. The steps of home visit are
as follows :-
1. Facts finding
2. Data finding
3. Planning for a visit
4. Action and health education
5. Closing the visit
6. Recording the visit
7. Evaluation of the visit

22. 1. FACTS FINDING
• Facts findings are the first step during the home
visit.
• It helps to study the clinics and other record to get
an understanding of what has to be done which is
given below :-
1. Prepare a map of the area to be visited i.e.
location, house, road, temples etc, and prepare
family folders.
2. Collect information of the family members
regarding number of family member, occupation,
education, date of birth, religion, income, past
history, present illness, use of family planning,

23. CONTINUE…….
3. Use technical skills and nursing procedure.
4. Establish an interpersonal relationship, be polite
and courage, show the interest towards the
family.
5. Identify the needs of the individual and family
members.
6. Discuss the problem with the family members
and find out the possible solutions to problems.

24. 2. DATA FINDING
 After completing the facts finding, the process of
analysis begins.
 The data of the members should be honest and
based on the facts and not on the opinions.
 The personal, emotional, spiritual aspects should
be involved which are taken together constitute
the usual health problems.
 The problem and facts should show exact
problems and what he is expected to do.

25. CONTINUE….
 Discuss the point step by step and examine the
matter critically.
 Then only comes to the conclusions.
 Do not jump and do not make hasty
conversations.
 After that, the nurse helps the family to plan and
use local and outside resources.

26. 3. PLANNING FOR A VISIT
Community health nurse should assess or consider
many factors while making a visit to the family such
as:-
a) Make good and realistic objectives and plan how
we are going to achieve those activities.
b) First priority should be given to essential basic
need such as hunger, then only for personal
hygiene or safe drinking water or sanitation.
c) Family’s cultural background. This helps the
community health nurse to understand their attitudes,
beliefs, practices regarding medical practice and diet.

27. CONTINUE….
d) Occupational and income of family to determine
and assist in budgetary problems.
e) Age of all the family members.
f) Psychological factors – basically the family
relationships.
g) Educational level.
h) Local resources available in a family in order to
be practical.

28. CONTINUE…
i) Planning should also be based upon short term
or long term objectives of the family.
j) Some alternatives plan or suggestions are also
helpful.
k) Do respect the individual’s idea, suggestions, or
solutions.
l) Good planning leads to doing a good actions and
achieve objectives.

29. 4. ACTION AND HEALTH
EDUCATION
1) APPROACH TO FAMILY :-
 Locate the right house
 Knocking at the door and call out.
 Introduce yourself, your agency and the purpose of
your visit.
 Establish good rapport – being courteous, polite,
warm and friendly.
 Good observer of verbal and non-verbal response
from family.
 Use the words – ‘HOW’, ‘WHAT’, ‘WHEN’, while
questioning.

30. CONTINUE….
 Be a good listener.
 Keep in mind agency’s policies during visit
regarding fees and care.
• The talk should be informal, giving plenty of
opportunities to ask a questions and provide a
platform for discussion.
• Do not force information.
• Observe local customs e.g. Removing shoes or
chappals before entering the house is necessary
in Indian Communities.

31. CONTINUE….
2) INTERVIEWING THE FAMILIES :-
 Interview is defined as a conversation with a
purpose, an exchange of ideas between two
people, process of giving and receiving information.
 The nurse should be sensitive to the other person’s
point of view.
 PRINCIPLES OF INTERVIEW TECHNIQUE :-
 Provide privacy.
 Establish a good rapport.
 Be a good listener.

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 Must maintain an intellectual alert attitude.
 Understand the client’s and family's problem and
their socio-cultural background.
 Relieve anxieties and fears by providing a
conductive environment.
 Speak the language of the client and use simple
terms which can be understandable.
 Follow through on the interview.
 Record the interview.
 Evaluate the interview.

33. CONTINUE….
3) ACTIVITIES DURING HOME VISIT :-
 Providing nursing care with comfort e.g. Taking
temperature, for giving bath.
 Observing and assessing patient’s condition.
 Assist and guide them in making plans for solving
their health problems.
 Demonstrating and teaching e.g. giving insulin
injections.
 Making nursing diagnosis and tentative nursing care
plan.
 Establishing priorities.
 Giving assurance to the individual and family
appropriately.

34. CONTINUE…..
 The major objective of health care services in the
home is to help people with their health problems
and work with them towards keeping the family
healthy.
 The purpose of the bag is to carry out necessary
equipment to perform nursing care in the home.
 E.g. performing minor dressing, conducting
delivery etc.
 It saves time and effort in the performance of a
nursing procedure.

35. CONTINUE….
4) HEALTH EDUCATION :-
 The action and health education should be as per
family time schedule.
 Find out what is the best time for teaching them.

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 This help to provide effective teaching as you are
helping them.
 It also builds good interpersonal relationships.
 Emphasis should be given on practical more often
than theoretical.

37. 5. CLOSING THE VISIT
 The nurse should summarize the contents
of her visit and plans for next visit.
 For example, say that you’ll visit next day
or next week.
 Its basically a termination phase.
CLOSING THE
VISIT

38. 6. RECORDING THE VISIT
 Record the activity carried out and the services
given specifically.
 For example, record what food were advised
regarding disease instead of recording
‘discussed well balanced diet’.
 Describe what was done and reason for doing
the specific procedure.

39. CONTINUE…..
 For example, what demonstrations were
carried out, what was discussed, explained,
explored, suggested or reviewed.
 A clear, concise and skillfully written records
helps in better patient care.

40. 7. EVALUATION OF THE VISIT
This is necessary in terms of :-
 Was good relationship established ?
 Was the point of view of community health nurse
understood ?
 What was the immediate problem/need ?
 What was the total problem ?
 List the difficulties and hindering factors in the
situations ?
 What plans were being made and what actions were
taken to deal with the underlying cause of the
problem?
 How did the personal respond to your visit ?
 What changes took place ?

41. CONTINUE…..
 Have you made effective use of man, material, and
measures ?
 How effective was the teaching ?
 How far the visit has been useful ?
 What was the attitude of individual, family, and
community?
 Do you need guidance, counseling, and discussion
with your superior ?
The results of community health services is not
always seen immediately. It takes time. Knowledge is
changed but attitude.

42. CONTINUE…….
habit, and behavior change is difficult, but once
changed, it has a permanent effect.
(These questions should be raised and answered at
the end of each visit.)

43. FREQUENCY OF HOME VISIT
Making decision regarding frequency of visit is a
matter of judgment. It depends upon the extent of
health problem of the family
Priorities are established on the following
guidelines :-
 Visit in response to the need felt by the family such
a mother in labor, acute and serious illness etc.
 Visit to premature infants and infants with defects.
 Regular visit to post natal mother and antenatal
mother.

44. CONTINUE…..
 Visits to chronically ill patients.
 Supervisory visit to infants, toddler, eligible
couples.
 Collection of family information and investigations.
 Information, education, counseling and guidance
purposes.

45. ADVANTAGES
 Home visit provides an excellent opportunity to
implement the nursing process.
 Home visit provide an opportunity to study the house
and family situation.
 Home visit provides an opportunity to render service
to the family members at their own surroundings.
 Prompt and proper home visit create a good
understanding between nurse and family and builds
good image of nurses.
 Home visit clarify the doubts raised by the family
members.

46. CONTINUE…..
 Home visit helps to observe family practices and
progress of care given by nurses and others.
 Home visit help to prevent and handling the
problems.
 Home visit helps the nurses and family members to
modify the way of their care.
 Home visit are convenient for the patients.
 Home visit facilitate the patient control of the setting.
 Home visit are the best option for patients unwilling
or unable to travel.

47. CONTINUE……
 Home visits provide natural environment for the
discussion of concerns and needs.
 It helps in prevention of disease, promotion of
health and maintenance of health, early detection of
disease, surveillance & follow-up.
 Helps in referring the people who are in need for
higher level care.
 Home visit help Community Health Nurse to learn the
culture of the family and to provide culturally sensitive
care.
 Home visit helps in identifying the new problems &
plan needed care accordingly.

49. ROLE OF COMMUNITY HEALTH
NURSE :-
 Recording the history of the family to ascertain
the cause and duration of illness.
 Providing treatment and related care.
 Demonstrating the nursing procedure to
educate the family members.
 Giving medicine as per the standing orders
and providing essential nursing care in the
grave situations.

50. CONTINUE……
 Supervising the nursing procedures provides
by family members.
 Including the patient himself in taking care of
chronic illness (heart, arthritis, cancer, diabetic
patients, etc.) and giving them mental support.

51. THANKS