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HOME VISIT
BY,
GURURAJ GUGGARI
Introduction
 Back bone of community health nursing.
 Home visiting is very essential and important
aspect to the community health services, because
majority of the patients are found in the home.
 The home is utilised for many reasons in relation
to the health of the family. The home is also
utilised frequently to provide nursing services.
 The services in the home requires technical skills,
knowledge of preventive and therapeutic
measures, teaching ability, judgement and a full
understanding of human relations.
Definition
1. Home visiting is defined as the delivery of
specialized nursing care services in the home
health care setting.
2. Home Visit Is A Process Of Providing Nursing
Care To Patient Or Family At Their Doorstep.
Purposes
• Protection against diseases.
• Providing essential treatment.
• Providing comfort and relief from pain to the
patient.
• Giving a support and empathy to the patient and
his family.
• Using domestic equipment for the nursing.
• Providing health education.
• Giving as much respect as possible to the faiths
and beliefs of the family during the procedure
Principles of Home visit
1. Home visits should be planned with
purpose.
2. The purpose of home visits should be clear
and must meet the needs of the patients.
3. Home visits should be regular and flexible
4. Home visit should be educative
5. Home visits should give excellent
opportunities for nurses to demonstrate
hygienic principles.
6. Home visit should be convenient,
acceptable and educative to the patients
• The nurse should make an 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.
• The nurse must respect the patient’s rights.
• Home visits should be recorded in the diary
and family folder
Components of Home Visit
• Initiation Phase
• Pre-visit Activities
• Activities during Home Visit
• Termination Phase
• Post-visit Activities
Problems encountered during Home
Visit
• Consumes lot of time and energy
• Unforeseen events
• Non-Acceptance
• Problem of local language
• Role Confusion
Advantages of the Home Visit
• Home visit provides an excellent opportunity to
implement the nursing process
• Home visits provide an opportunity to study the
home and family situation.
• Home visits provide an opportunity to render
service to the family members at their own
surroundings.
• Prompt and proper home visits create a good
understanding between nurse and family and
builds good image of nurses.
• Home visits clarify the doubts raised by the
family members.
• Home visits help to observe family practices and
progress of care given by nurses and others.
• Home visits help to prevent and handling the
problems.
• Home visits help the nurses and family
members to modify the ways of their care.
• Home visits are convenient for the patients.
• Home visits facilitate patient control of the
setting.
• Home visits are the best option for patients
unwilling or unable to travel
• Home visits provide natural, environment for
the discussion of concerns and needs.
Role of community health nurse in home
nursing:
• Recording the history of family to ascertain the
cause and duration of illness.
• Providing treatment and related care.
• Demonstrating the nursing procedure to educate the
family members.
• Giving medicines as per the standing orders and
providing essential nursing care in the grave
situations.
• Supervising the nursing procedures provided by
family members.
• Including the patient himself in taking care of
chronic illness (heart, arthritis, cancer, diabetic
patients, etc) and giving them mental support.
•Bag technique
Qualities of Community Health Nurse
• Have respect for life, dignity and rights of people,
and serve them all without regard to race, religion,
Colour, age, Sex, Politics or Social Status.
• Have respect for the values, customs and spiritual
beliefs of people.
• Do not pass on personal information except to the
right person.
• Keep up a high standard of work and personal
conduct.
• Maintain a good relationship and Co-Operation
with Coworkers in the health team, and community.
Other points which are important for the
health Workers
• Always be neat and clean in appearance, and
walk with purpose and good posture. This will
make you feel good and make a good impression
on others.
• Take special care of your own health of body
and mind, and set a good example in your
personal life and habits practice what you teach.
• Be Cheerful and enthusiastic in your work, and
keep a sense of humour.
• Be disciplined in your use of time keep up
punctuality
• cleanliness and order. Have respect for property
other than your own.
• Be obedient to your superior officers (with
intelligence) and uphold their authority. Show
them proper respect, and use correct channels of
communication. Keep to service rules.
• Try to understand other people and the reasons
for what they do and say. Be tactful, patient,
sympathetic and kind in your attitude to them.
• Always be ready to help people with concern and
care, but refuse to receive bribes.
• Develop good friendships and interests apart
from your work. Try to have a hobby and healthy
relaxation.
• Use every chance to go on learning, by reading
books and journals and newspapers. Also learn
from people who can be helpful to you
personally and to improve your work.
• Be disciplined in your spiritual life, in order to
have resources to help others in distress of spirit.
Functions of Community Health Nurse
• Administration.
• Communication.
• Nursing.
• Teaching.
• Research.
Job description of Community health
nursing personnel
• At district level
DPHNO
• Administration and management of nursing and
midwifery services in the district
• Supervision and guidance of health supervisors
• In-service training programme for nurses
• Attending to problems referred to her
• Participation in Health teaching programmes
• Helps in organising community health nursing
field experience for nursing students. Helps in
collection and compiling reports from CHC/PHC
in the district
• Conducts field studies.
• AT CHC LEVEL
COMMUNITY HEALTH NURSE
• Direct care provider
• Consultant
• Teacher and educator
• Supervisor and manager
• Researcher
• Adviser
• Advocate
• Change agent
• Sensitive observer
• Collaborator
AT PHC LEVEL
COMMUNITH HEALTH NURSE
• Health education to the people to promote maintain
and restore their health.
• Identification of malnutrition cases by appropriate
measures and provide information regarding food
supply and proper nutrition.
• Provide information regarding proper water supply
and basic sanitation.
• Immunisation to prevent endemic and epidemic
diseases
• Implementation of national health programmes
• Treatment of minor ailments
• Provision of essential drugs
• Supervise and guide the health workers in the
delivery of health care services in the community
• Arrange group meetings with the leaders and
involve them spreading the message of various
health programmes
• Attend staff meetings at PHC
• Assess the progress of the health workers
periodically, and submit their assessment
reports to MO, PHC
• Conduct MCH and family planning clinics and
carryout educational activities.
• Organise and conduct training for dais and
women leaders
• Personally motivate resistant cases of family
planning
• Provide information on the availability of the
services for medical termination of pregnancy
• Supervise the spraying of insecticides
• Be alert to the sudden outbreak of epidemics of
diseases such as dirrhoea dysentery jaundice
pertusis, tetanus.take all possible remedial
measures
• Ensure that all the cases of TB ,Leprosy take
regular and complete treatment and inform the
medical officer of the Chabot any defaulters to
treatment
• Assist the medical officer in organisation of
family planning camps
• ensure that iron and folic acid tablets and
vitamin are distributed to the beneficiaries as
prescribed
• collect and compile the weekly reports births
and deaths occurring in his area and submit
them to the MO of PHC .
AT SUB CENTRE
ANM
• Provide mother and child care, family planning
and immunisation services.
• Maintain the maternity record ,register of
antenatal cases eligible couple register children
register up to date
• Provide care to the pregnant women throughout
pregnancy
• Refer the cases of abnormal pregnancy
• Conduct the deliveries
• Provide at least three post delivery visits and
provide care
• Record the vital statistics
• Participate in mahila mandal meetings educate
then regarding family welfare programmes
• Survey all the families in his area and collect
general information about each village in his
area
• Identify the cases of malaria, Leprosy, TB refer the
cases to the medical officer PHC and check whether
all the cases are taking regular treatment.
• educate the community on appropriate method of
waste disposal
• chlorinate the public water sources including wells
at regular intervals.
• Provide follw-up services family planning acceptors.

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Home visiting in chn

  • 2. Introduction  Back bone of community health nursing.  Home visiting is very essential and important aspect to the community health services, because majority of the patients are found in the home.  The home is utilised for many reasons in relation to the health of the family. The home is also utilised frequently to provide nursing services.  The services in the home requires technical skills, knowledge of preventive and therapeutic measures, teaching ability, judgement and a full understanding of human relations.
  • 3. Definition 1. Home visiting is defined as the delivery of specialized nursing care services in the home health care setting. 2. Home Visit Is A Process Of Providing Nursing Care To Patient Or Family At Their Doorstep.
  • 4. Purposes • Protection against diseases. • Providing essential treatment. • Providing comfort and relief from pain to the patient. • Giving a support and empathy to the patient and his family. • Using domestic equipment for the nursing. • Providing health education. • Giving as much respect as possible to the faiths and beliefs of the family during the procedure
  • 5. Principles of Home visit 1. Home visits should be planned with purpose. 2. The purpose of home visits should be clear and must meet the needs of the patients. 3. Home visits should be regular and flexible 4. Home visit should be educative 5. Home visits should give excellent opportunities for nurses to demonstrate hygienic principles. 6. Home visit should be convenient, acceptable and educative to the patients
  • 6. • The nurse should make an 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. • The nurse must respect the patient’s rights. • Home visits should be recorded in the diary and family folder
  • 7. Components of Home Visit • Initiation Phase • Pre-visit Activities • Activities during Home Visit • Termination Phase • Post-visit Activities
  • 8. Problems encountered during Home Visit • Consumes lot of time and energy • Unforeseen events • Non-Acceptance • Problem of local language • Role Confusion
  • 9. Advantages of the Home Visit • Home visit provides an excellent opportunity to implement the nursing process • Home visits provide an opportunity to study the home and family situation. • Home visits provide an opportunity to render service to the family members at their own surroundings. • Prompt and proper home visits create a good understanding between nurse and family and builds good image of nurses. • Home visits clarify the doubts raised by the family members.
  • 10. • Home visits help to observe family practices and progress of care given by nurses and others. • Home visits help to prevent and handling the problems. • Home visits help the nurses and family members to modify the ways of their care. • Home visits are convenient for the patients. • Home visits facilitate patient control of the setting. • Home visits are the best option for patients unwilling or unable to travel • Home visits provide natural, environment for the discussion of concerns and needs.
  • 11. Role of community health nurse in home nursing: • Recording the history of family to ascertain the cause and duration of illness. • Providing treatment and related care. • Demonstrating the nursing procedure to educate the family members. • Giving medicines as per the standing orders and providing essential nursing care in the grave situations.
  • 12. • Supervising the nursing procedures provided by family members. • Including the patient himself in taking care of chronic illness (heart, arthritis, cancer, diabetic patients, etc) and giving them mental support.
  • 14. Qualities of Community Health Nurse • Have respect for life, dignity and rights of people, and serve them all without regard to race, religion, Colour, age, Sex, Politics or Social Status. • Have respect for the values, customs and spiritual beliefs of people. • Do not pass on personal information except to the right person. • Keep up a high standard of work and personal conduct. • Maintain a good relationship and Co-Operation with Coworkers in the health team, and community.
  • 15. Other points which are important for the health Workers • Always be neat and clean in appearance, and walk with purpose and good posture. This will make you feel good and make a good impression on others. • Take special care of your own health of body and mind, and set a good example in your personal life and habits practice what you teach. • Be Cheerful and enthusiastic in your work, and keep a sense of humour.
  • 16. • Be disciplined in your use of time keep up punctuality • cleanliness and order. Have respect for property other than your own. • Be obedient to your superior officers (with intelligence) and uphold their authority. Show them proper respect, and use correct channels of communication. Keep to service rules. • Try to understand other people and the reasons for what they do and say. Be tactful, patient, sympathetic and kind in your attitude to them.
  • 17. • Always be ready to help people with concern and care, but refuse to receive bribes. • Develop good friendships and interests apart from your work. Try to have a hobby and healthy relaxation. • Use every chance to go on learning, by reading books and journals and newspapers. Also learn from people who can be helpful to you personally and to improve your work. • Be disciplined in your spiritual life, in order to have resources to help others in distress of spirit.
  • 18. Functions of Community Health Nurse • Administration. • Communication. • Nursing. • Teaching. • Research.
  • 19. Job description of Community health nursing personnel • At district level DPHNO • Administration and management of nursing and midwifery services in the district • Supervision and guidance of health supervisors • In-service training programme for nurses
  • 20. • Attending to problems referred to her • Participation in Health teaching programmes • Helps in organising community health nursing field experience for nursing students. Helps in collection and compiling reports from CHC/PHC in the district • Conducts field studies.
  • 21. • AT CHC LEVEL COMMUNITY HEALTH NURSE • Direct care provider • Consultant • Teacher and educator • Supervisor and manager • Researcher • Adviser • Advocate • Change agent • Sensitive observer • Collaborator
  • 22. AT PHC LEVEL COMMUNITH HEALTH NURSE • Health education to the people to promote maintain and restore their health. • Identification of malnutrition cases by appropriate measures and provide information regarding food supply and proper nutrition. • Provide information regarding proper water supply and basic sanitation. • Immunisation to prevent endemic and epidemic diseases • Implementation of national health programmes • Treatment of minor ailments • Provision of essential drugs
  • 23. • Supervise and guide the health workers in the delivery of health care services in the community • Arrange group meetings with the leaders and involve them spreading the message of various health programmes • Attend staff meetings at PHC • Assess the progress of the health workers periodically, and submit their assessment reports to MO, PHC • Conduct MCH and family planning clinics and carryout educational activities. • Organise and conduct training for dais and women leaders
  • 24. • Personally motivate resistant cases of family planning • Provide information on the availability of the services for medical termination of pregnancy • Supervise the spraying of insecticides • Be alert to the sudden outbreak of epidemics of diseases such as dirrhoea dysentery jaundice pertusis, tetanus.take all possible remedial measures • Ensure that all the cases of TB ,Leprosy take regular and complete treatment and inform the medical officer of the Chabot any defaulters to treatment
  • 25. • Assist the medical officer in organisation of family planning camps • ensure that iron and folic acid tablets and vitamin are distributed to the beneficiaries as prescribed • collect and compile the weekly reports births and deaths occurring in his area and submit them to the MO of PHC .
  • 26. AT SUB CENTRE ANM • Provide mother and child care, family planning and immunisation services. • Maintain the maternity record ,register of antenatal cases eligible couple register children register up to date • Provide care to the pregnant women throughout pregnancy • Refer the cases of abnormal pregnancy • Conduct the deliveries
  • 27. • Provide at least three post delivery visits and provide care • Record the vital statistics • Participate in mahila mandal meetings educate then regarding family welfare programmes • Survey all the families in his area and collect general information about each village in his area
  • 28. • Identify the cases of malaria, Leprosy, TB refer the cases to the medical officer PHC and check whether all the cases are taking regular treatment. • educate the community on appropriate method of waste disposal • chlorinate the public water sources including wells at regular intervals. • Provide follw-up services family planning acceptors.