home visit

1. Mr.Vikas Anil Ghadge
RJS COLLEGE OF NURSING

2. A home visit is one of the essential parts of the
community health services because most of the
people are found in a home.
Home visit fulfils the needs of individual,
family and community in general for nursing
service and health counseling.

3.  A home visit is considered as the backbone of
community health service.
 A home visit is a family nurse contact which
allows the health worker to assess the home and
family situation in order to provide the necessary
nursing care and health related activities.

4. A home visit is defined as the process of
providing the nursing care to patients at their
doorsteps. It requires technical skills,
resourcefulness, judgment, relationships.

5. Home Visit is a purposeful and deliberate
psychosocial activity undertaken by the health
team members for meeting the diagnostic and
therapeutic needs of the family.

6. 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.

7. To find out needs of individual, family and
community in relation to health,
socioeconomic and cultural aspects.
To provide domiciliary midwifery as care for
pregnant, delivery, and puerperal mother and
infant.

8.  To give care to the sick to a postpartum mother
and her newborn with the view teach a responsible
family member to give subsequent care.
 To assess the living condition of the patient and
his family and their health practices in order to
provide the appropriate health teachings.

9. To provide basic health services for minor
ailments. (i.e. injury, boils, abrasions)
To provide counseling on family planning,
immunization, nutrition.
To give health teaching regarding the
prevention and control of diseases.

10. To establish a close relationship between the
nurses and the public for promotion of health.
To make use of an inter-referral system and to
promote the utilization of community services.

11.  The home visit should have a purpose and
objectives.
 The home visit should be planned according to
priority.
 The purpose of the home visit should be clear,
regular, and flexible according to the needs of the
family.

12. First of all, introduce yourself, your institution,
your purpose, of a home visit, and collects
facts about an individual, family environment.
Establish a good interpersonal relationship
between families and be polite, courage,
friendly.

13. Carefully listen the family and understand the
others person view.
 Health education and nursing care should be
scientific.
Use safe technical skills and scientific nursing
procedures.

14. Involve whole family members as much as
possible during nursing care.
 The nurse and family member must develop a
positive interpersonal relationship in their work
to achieve present goals.
Evaluate your own work periodically.

15. Make a note of important facts about the home
visit in your diary.
 Thanks to the family members and individual
for good response.

16. 1. Facts findings
2. Data finding
3.Planning action with individual or family
4. Action and health education
5. Follow up
6. Evaluation of services

17. It helps to develop an interpersonal relationship
between family members and the nurses.
Community health nurse assess the individual
and family member in their own environment.
It gives an opportunity to observe the
background of the family member and their
relationship.

18. It helps in the basic understanding of physical
and emotional needs of individual and to guide
them.
It helps to gain more knowledge and become
realistic as a family member are more relaxed
in their own surroundings.
It also gives an opportunity to find out new
health problems

19.  Plan your home visit according to routine, high
risk and post natal.
 Take out family folder.
 Note down important point to be discussed with
the family.
 Inform village leader & anganwadi worker about
visit.

20. Prepare your community bag.
Keep all required article in bag before going to
visit.
Knock the door and ask the permission.

21. Introduce yourself to family.
Talk to every person in family.
Speak about the general things.
 When you feel they ready to talk about the
reason for visit explain about the visit.
Complement them for nice work.

22. Keep bag on charpai, chair, stool.
Talk in the language which family can speak.
Be sensitive to immediate needs of the family.
Give incidental teaching to family.

23. Give instruction clear and in simple word.
Listen patiently and carefully.
Try to answer all the questions.
Use safe technique.
Give only 2-3 health massage at a time.
Do not accept any gift or payment.

24. Record your activities.
Take appointment for next visit.
Report any important event to authority.
Evaluate your visit.

25. During the home visit to carry out the articles
and tools.
Community bag may be 14 inch long and 12
inch wide.
It is convenient to have bag with outer pocket.
Inside of bag should have two section. For
articles and solution bottles.

26. Contents of Outer Pocket Daily dairy,
disposable paper bags, hand towel, nail brush,
soap and soap dish, spring balance, weighing
machine, tape measure.

27. Contents of Inner Pocket
Lotions/Medicines for External Use
Gentian violet--one bottle
Methyl Alcohol 70% - one bottle
Antiseptic lotion – Dettol/Savlon-one bottle
Vaseline lubricate rectal catheter-in a small jar
Acriflavin with spirit - one bottle

28. Medicines for Internal Use
i) Aspirin tablets - strip or bottle to carry about
20 tablets
ii) Rehydration salt packets - 5-10 packets iii)
Antispasmodics
iv) Vitamins tablets

29.  Other Equipment in Separate Small Bag
 A small kidney tray
 A small gallipot
 Cotton swabs (two paper bags) one of which contains
sterile swabs and the
 other contains clean swabs
 Gauze pieces
 Bandages, Adhesive tape and swab sticks • Instruments
such as scissors, dissecting and artery forceps
 Oral and rectal thermometer
 2 ml syringe (disposable) with needles for I/M injection
 One file to cut the ampoule

30. Prevent the spread of infection.
Teach the principles of cleanliness to family.
Carry out selected procedure.

31. Provide antenatal and postnatal care.
Carry out certain procedures.
Provide first aid.
Follow up care.

33.  Place the bag on a plastic sheet on a clean hard surface.
 Remove the hand washing articles and wash the hands
under running or poured water.
 Open the bag and remove the articles as required for the
procedure, place them on the clean surface, close the bag
so that the dust from outside does not get inside the bag.

34.  Carry out the procedure following the scientific
principles and the steps of the procedure.
 Receive the soiled swabs/dressings in the paper bag
and dispose this paper bag by burning it.

35. Clean the used instruments with soap and
water and then boil them before replacing them
in the bag, if it is not possible to boil these
soiled instruments then wrap them in a separate
clean newspaper and carry them to the centre
for final disinfection / autoclave and
sterilization

36.  Wash hands. Open the bag and replace the
clean articles. Close the bag.
 Replace soap, soap dish and hand towel in the
outer pocket.
Record the condition and the procedure
performed in the family folder or health card.

37. Check the bag daily and replenish the used
articles for adequate materials for use at all
times.
Clean the bag, disinfect the articles and change
the lining once a week