Home visiting is an essential part of community health services as many patients are seen in their homes. The home provides opportunities for nursing services, health education, and treatment. Effective home visits require technical skills, knowledge, teaching ability, judgment, and understanding of human relationships. Home visits have many purposes including disease prevention, treatment, comfort, support, use of domestic equipment, and respecting patient beliefs. They must be planned, meet patient needs, be regular, educative, demonstrate hygiene, and develop positive relationships between nurses and families. Home visits have advantages like implementing nursing process, understanding home situations, rendering services at home, building understanding, and clarifying doubts.
FAMILY HEALTH CARE
STUDY UPON A FAMILY TO REACH A FAMILY DIAGNOSIS
1. SOCIO ECONOMIC
2. SOCIO DEMOGRAPHIC
3. SOCIO CULTURAL
4. HOUSING & ENVIRONMENT
5. HEALTH, KNOWLEDGE & ATTITUDE
6. IMMUNIZATION STATUS
7. NUTRITIONAL STATUS
8. HEALTH STATUS
9. FAMILY DIAGNOSIS
10. ACTIONS & RECOMMENDATIONS
FAMILY HEALTH CARE
STUDY UPON A FAMILY TO REACH A FAMILY DIAGNOSIS
1. SOCIO ECONOMIC
2. SOCIO DEMOGRAPHIC
3. SOCIO CULTURAL
4. HOUSING & ENVIRONMENT
5. HEALTH, KNOWLEDGE & ATTITUDE
6. IMMUNIZATION STATUS
7. NUTRITIONAL STATUS
8. HEALTH STATUS
9. FAMILY DIAGNOSIS
10. ACTIONS & RECOMMENDATIONS
2. 2nd PBBSc - Comty - Unit - 2 Family Health Services.pptxthiru murugan
2nd Year PBBSc Nursingcommunity Health Nursing
Family Health Services
UNIT II: Family Health Services
Concept, objectives, scope and principles.
Individual, family and community as a unit of service.
Principles and techniques of home visiting.
Establishing working relationship with the family.
Working with families in relation to prevention of disease, promotion of health.
Care of the sick in the home, physically handicapped and mentally challenged.
Surveillance and monitoring.
Important questions:
Define Family Health Services, write about, Concept, objectives, principles & role of CHN? (10 mark)
Describe family as a basic unit of health service (5 mark)
Explain about Principles and techniques of home visiting (5 mark)
Bag technique (5 marks)
Write about Care of the sick & challenged peoples (5 mark)
Surveillance and monitoring (5 mark)
FAMILY HEALTH SERVICES (FHS):
Definition: Family health services are a providing multiple comprehensive health care to the family members.
Health of individual depends on health of family.
Family size, structure, income, education & environment affect the health standard of family.
Family plays important role in health.
Individual‘s health problem can be solved easily through family health care.
Customs, traditions, habits, socioeconomic aspects are closely related to health risks, illness, & health behavior of family member.
Comprehensive health care to community can be provided by family health care services.
Successful family life cycle can be achieved by family health services
CONCEPT OF FAMILY HEALTH SERVICES:
The 4 Concepts included in the family health services views are:
1. Family as the context:
The primary focus is on the health & development of an individual in family
Focuses the nursing process on health status & basic needs.
These needs vary, depending on the individual’s & situation.
Psychological needs must also be considered.
Family members may need direct interventions themselves
2. Family as the client:
The family is the foreground &individuals are in the background.
The family is seems as the sum of individuals family members.
The focus is concentrated on each & every individual as they affect the whole family.
From this perspective, a nurse might ask a family member who has just become ill.
3. Family as a system:
Family viewed as an international system.
This approach focuses on the individual & family members become the target for nursing interventions.
The system approach to the family always implies that when something happens to one affected.
It is important to understand - theoretical & practical needs
The family as system every parts (individuals) are important
4. Family as a component of society:
The family is seen as one of many institutions in society, along with health, educational, religious, or economic institution.
The family is a basic or primary unit of society
The family as a whole interacts with other institutions
Community health nursing - focuses
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 counselling. 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.
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.
This slide contains information regarding Role and nurse family contact. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
The Impact of Meeting: How It Can Change Your Life
homevisitinginchn.pdf
1. 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.
2. 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.
3. 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
4. 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
5. 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 he a ien igh .
Home visits should be recorded in the diary
and family folder
6. Components of Home Visit
Initiation Phase
Pre-visit Activities
Activities during Home Visit
Termination Phase
Post-visit Activities
7. Problems encountered during Home
Visit
Consumes lot of time and energy
Unforeseen events
Non-Acceptance
Problem of local language
Role Confusion
8. 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.
9. 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.
10. 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.
11. 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.
13. 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.
14. 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.
15. 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.
16. 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.
17. Functions of Community Health Nurse
Administration.
Communication.
Nursing.
Teaching.
Research.
18. 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
19. 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.
20. AT CHC LEVEL
COMMUNITY HEALTH NURSE
Direct care provider
Consultant
Teacher and educator
Supervisor and manager
Researcher
Adviser
Advocate
Change agent
Sensitive observer
Collaborator
21. 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
22. 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
23. 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
24. 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 .
25. 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
26. 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
27. 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.