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Introduction to Home Visiting
Community Health Nursing–I (2:1)
BSc. Nursing (4–Years Program)
Objectives
At the completion of this topic the students will
be able to:
• Define home visiting
• Discuss the principles, purpose and advantages
of home visiting in community
• Describe the steps of home visiting
Introduction
• Home visiting is very essential to the community health
services. Majority of the patients are found in the home.
• Home is the place of service where nursing practice is self-
directed, and knowledge, skills and experiences of the
nurses are engaged.
• Visiting patient in the home provides a challenge and an
opportunity for both the nurse and family to function as a
team in their own environment.
Definition
Home visiting is a strategy for comprehensive service
delivery utilizing professionals, highly trained
paraprofessionals or volunteers to offer support to
children and their families primarily in their own homes
for the purpose of ensuring that; all babies are born
healthy, all children are raised in safe and nurturing
families and all children enter school ready to learn.
Principles of Home Visit
Home visit is the process of providing nursing care to
patient at their doorsteps.
The goal of home visit is to provide appropriate nursing
care leading to wellness of the patients.
When carrying out home visits, the community health
nurse should follow certain basic principles:
Principles of Home Visit
 Home visits should be planned with purpose and should
be beneficial to patient.
 Home visit should must have a clear purpose that should
meet the needs of patients. It should include surveys and
statistics, MCH services, home nursing in cases of illness,
including health teaching.
 Home visits should be regular & flexible according to the
needs of patients.
 Home visits should be educative, i.e. it gives excellent
opportunities for health education.
Principles of Home Visit
 Home visit should give opportunities for nurse to
demonstrate hygienic principles
 Home visit should be convenient, attempt to include each
family member while using nursing process.
 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.
Principles of Home Visit
The nurse must be flexible and must respect the
patients’ rights to accept or reject care and to
participate in goal-setting and goal-achievement.
Home visits should be recorded in the dairy and
family folder.
Required Health Service
• Technical skills
• Knowledge of preventive & therapeutic
measures
• Teaching ability
• Judgement
• Full understanding of human relations
Purposes of Home Visiting
• Engaging in a process of collaborative partnership
building between staff and families.
• Establishing mutual trust and to identify family
strengths, capacities, needs, goals, and necessary
services to support progress.
• Reviewing the progress of the child’s development,
education services, health screening and results.
Purposes of Home Visiting
• Connect families with health resources within their
community, and provide resources and referrals during
times of emergency and crisis situations.
• The partnership that develops between staff and families
should include other agencies that also provide services
and support to the family in an effort to avoid any
duplication of efforts.
Advantages
• Provides an excellent opportunity to implement the
nursing process.
• Provide an opportunity to study the home and family
situation.
• Provide an opportunity to render services to the family
members at their own surroundings.
• Create a good understanding between nurse and family
and builds good image of nurses.
• Clarify the doubts raised by the family members.
Advantages
• Help to observe family practices and progress of care
given by nurses and others.
• Prevent and handling problems.
• Help the nurses and family members to modify the ways
of their care.
• Convenient for the patients.
• Facilitate patient best option for patient unwilling or
unable to travel.
• Provide natural environment for the discussion of
concerns and needs.
Steps
1. Establish a friendly relationship
2. Make a survey & prepare a map
3. Collection of data & analysis
4. Establish goals
5. Prepare a plan of action
6. Nursing Interventions
7. Interpretation of results
8. Follow up
9. Evaluation
Phases of Home Visits
1. Initiation phase :
CHN informs the family about the
purpose of visiting after giving introduction
of herself & also obtain information about
the family members.
2. Maintenance phase
• CHN maintain the family history for which nurses
use their talent for making themselves acceptable
to family members.
• Nurses provide services & solve their problems &
helping them in crisis.
3. Termination phase
• After providing care to the family , terminate
the visit.
• Always record the visit
• Evaluate whether planned objectives were
achieved or not.
Steps in Home Visiting
Approach to a
family
Knock the door
Leave the
chappals
outside*
Introduce
yourself
purpose of
visit
Establish
rapport
Remove your
anxiety & fear
Be polite and
friendly
Collect data
you need
Understand
social
background
Physical
assessment
Assess their
felt need
Steps in Home Visiting
Plan and
provide your
care
Inform the
procedure
Wash hands
before
procedure
Use your bag
scientifically
Give health
teaching
Replace
articles inside
bag
Record your
service
Plan for
following-up
Write a report
about services
Evaluate your
service
References
• COMMUNITY & PUBLIC HEALTH NURSING-Promoting the Public’s
Health. Judith Ann Allender, Cherie Rector, Kristine D. Warner.
Wolters Kluwer Health-Lippincott Williams & Wilkins. 2014.
• Community Health Nursing: BT Basvanthappa, 2nd Ed. 2008-reprint
2013, Jaypee Publishers, New Delhi
• Community Medicine. Ilyas. Ansari. 2008
• Excel Community Medicine: M. Naveed Alam, 8th Ed. 2015, Faisalabad
• Community Medicine for All. Brig. Javed Iqbal. 2014.

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11 home visiting(1).pptx

  • 1. Introduction to Home Visiting Community Health Nursing–I (2:1) BSc. Nursing (4–Years Program)
  • 2. Objectives At the completion of this topic the students will be able to: • Define home visiting • Discuss the principles, purpose and advantages of home visiting in community • Describe the steps of home visiting
  • 3. Introduction • Home visiting is very essential to the community health services. Majority of the patients are found in the home. • Home is the place of service where nursing practice is self- directed, and knowledge, skills and experiences of the nurses are engaged. • Visiting patient in the home provides a challenge and an opportunity for both the nurse and family to function as a team in their own environment.
  • 4. Definition Home visiting is a strategy for comprehensive service delivery utilizing professionals, highly trained paraprofessionals or volunteers to offer support to children and their families primarily in their own homes for the purpose of ensuring that; all babies are born healthy, all children are raised in safe and nurturing families and all children enter school ready to learn.
  • 5. Principles of Home Visit Home visit is the process of providing nursing care to patient at their doorsteps. The goal of home visit is to provide appropriate nursing care leading to wellness of the patients. When carrying out home visits, the community health nurse should follow certain basic principles:
  • 6. Principles of Home Visit  Home visits should be planned with purpose and should be beneficial to patient.  Home visit should must have a clear purpose that should meet the needs of patients. It should include surveys and statistics, MCH services, home nursing in cases of illness, including health teaching.  Home visits should be regular & flexible according to the needs of patients.  Home visits should be educative, i.e. it gives excellent opportunities for health education.
  • 7. Principles of Home Visit  Home visit should give opportunities for nurse to demonstrate hygienic principles  Home visit should be convenient, attempt to include each family member while using nursing process.  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.
  • 8. Principles of Home Visit The nurse must be flexible and must respect the patients’ rights to accept or reject care and to participate in goal-setting and goal-achievement. Home visits should be recorded in the dairy and family folder.
  • 9. Required Health Service • Technical skills • Knowledge of preventive & therapeutic measures • Teaching ability • Judgement • Full understanding of human relations
  • 10. Purposes of Home Visiting • Engaging in a process of collaborative partnership building between staff and families. • Establishing mutual trust and to identify family strengths, capacities, needs, goals, and necessary services to support progress. • Reviewing the progress of the child’s development, education services, health screening and results.
  • 11. Purposes of Home Visiting • Connect families with health resources within their community, and provide resources and referrals during times of emergency and crisis situations. • The partnership that develops between staff and families should include other agencies that also provide services and support to the family in an effort to avoid any duplication of efforts.
  • 12. Advantages • Provides an excellent opportunity to implement the nursing process. • Provide an opportunity to study the home and family situation. • Provide an opportunity to render services to the family members at their own surroundings. • Create a good understanding between nurse and family and builds good image of nurses. • Clarify the doubts raised by the family members.
  • 13. Advantages • Help to observe family practices and progress of care given by nurses and others. • Prevent and handling problems. • Help the nurses and family members to modify the ways of their care. • Convenient for the patients. • Facilitate patient best option for patient unwilling or unable to travel. • Provide natural environment for the discussion of concerns and needs.
  • 14. Steps 1. Establish a friendly relationship 2. Make a survey & prepare a map 3. Collection of data & analysis 4. Establish goals 5. Prepare a plan of action 6. Nursing Interventions 7. Interpretation of results 8. Follow up 9. Evaluation
  • 15. Phases of Home Visits 1. Initiation phase : CHN informs the family about the purpose of visiting after giving introduction of herself & also obtain information about the family members.
  • 16. 2. Maintenance phase • CHN maintain the family history for which nurses use their talent for making themselves acceptable to family members. • Nurses provide services & solve their problems & helping them in crisis.
  • 17. 3. Termination phase • After providing care to the family , terminate the visit. • Always record the visit • Evaluate whether planned objectives were achieved or not.
  • 18. Steps in Home Visiting Approach to a family Knock the door Leave the chappals outside* Introduce yourself purpose of visit Establish rapport Remove your anxiety & fear Be polite and friendly Collect data you need Understand social background Physical assessment Assess their felt need
  • 19. Steps in Home Visiting Plan and provide your care Inform the procedure Wash hands before procedure Use your bag scientifically Give health teaching Replace articles inside bag Record your service Plan for following-up Write a report about services Evaluate your service
  • 20.
  • 21. References • COMMUNITY & PUBLIC HEALTH NURSING-Promoting the Public’s Health. Judith Ann Allender, Cherie Rector, Kristine D. Warner. Wolters Kluwer Health-Lippincott Williams & Wilkins. 2014. • Community Health Nursing: BT Basvanthappa, 2nd Ed. 2008-reprint 2013, Jaypee Publishers, New Delhi • Community Medicine. Ilyas. Ansari. 2008 • Excel Community Medicine: M. Naveed Alam, 8th Ed. 2015, Faisalabad • Community Medicine for All. Brig. Javed Iqbal. 2014.