home visit and bag technique hhjkhkjhjkhjk.pptx

home visit and bag technique

1. BAG TECHNIQUE HOME VISIT COMMUNITY HEALTH NURSING I

2. NURSING HOME VISIT   Definition: A home visit is a professional face to face contact made by a nurse to a patient or the family to provide necessary health care activities and to further attain an objective of the agency.

3. Principles in Preparing for a Home Visit A home visit should have a purpose or objective. Planning for home visit should make use of all available information about the patient and his family through family health records, knowledge of the health center personnel, including those from other agencies that may have rendered services to this particular patient or family. Planning should revolve around the essential needs of the individual and his family but priority should be given to those needs recognized by the family itself. Planning of continuing care should involve the individual and his family. Planning should be flexible and practical.

4. Making a Home Visit: Before leaving the clinic, it is important to have the correct names and addresses of the clients to be visited. The records of these cases have been reviewed as regards the previous visits. Bring watch with second hand, pen, memorandum book or notebook and umbrella. Upon arrival, observe the rules of courtesy by ringing the bell or knocking at the door. After being admitted, introduce your self professionally if it is a first visit. Explain the purpose of the visit.

5. Making a Home Visit: The nurse should sit down and talk with the client in order to obtain needed information. Select the most responsible member of the family to assist during the visit and to give care or treatment in the period between visits. Look for place to put down the bag, on a table or chair six feet away from the bedside. Line the table with newspaper before putting down the bag. If nursing care will be given, proceed to get articles needed from the bag observing bag technique. Make an appointment for the next visit.

6. DOH Programs and advocacy of all monthly events of the DOH. The above mentioned DOH Programs: FAMILY HEALTH: Maternal Newborn Child and Nutrition (MNCHN) Reproductive Health (Family Planning) Newborn Screening Expanded Program for Immunization Advocate for Youth and Development

7. NON COMMUNICABLE DISEASES Healthy Lifestyle (LRD) Wellness (HPN, DM, Cardio) Cancer Control Renal Disease Control Program Mental Health Sight Saving Hypertension and Diabetes awareness DOH Programs and advocacy of all monthly events of the DOH. The above mentioned DOH Programs:

8. INFECTIOUS DISEASES HIV – AIDS (HACT) NTP (DOTS and PMDT) Leprosy Schistosomiasis Filariasis Rabies Dengue Awareness DOH Programs and advocacy of all monthly events of the DOH. The above mentioned DOH Programs:

9. ANY QUESTION?

10. Critical Thinking: You are a community health nurse conducting a home visit and give prenatal care with a 28-year-old woman, Mrs. A, who is 34 weeks pregnant with her second child. Mrs. A reports feeling fatigued and experiencing occasional dizziness. She lives in a low-income neighborhood, and her diet consists mostly of inexpensive, processed foods. Upon assessment, you find that she has mild edema in her lower extremities, and her blood pressure is elevated at 145/90 mmHg. Mrs.A has not attended her last two prenatal appointments due to financial constraints and lack of transportation. Question: As the community health nurse, what is the most important priority nursing care you should focus on during this home visit?

11. Answer: Priority Nursing Care: Monitoring and Managing Elevated Blood Pressure Intervention: most important priority in this situation: A ddressing elevated blood pressure, as it may indicate the development of preeclampsia, a serious condition that can pose significant risks to both the mother and the baby. Begin by educating about the signs and symptoms of preeclampsia, such as severe headaches, vision changes, or sudden swelling, and instruct her to seek immediate medical attention if these symptoms occur. Advise her to reduce salt intake and stay hydrated(health teachings about proper diet), and emphasize the importance of attending her prenatal appointments and taking her prenatal supplements to closely monitor her blood pressure and overall health. Collaborate with her healthcare provider to ensure she receives the necessary follow-up care and, if needed, arrange for transportation or financial support to help her attend these appointments.

12. Rationale: This focus on monitoring and managing elevated blood pressure is crucial in preventing potential complications and ensuring the health and safety of both Mrs. Garcia and her baby.

13. BAG TECHNIQUE : Public Health Bag, It is an essential and indispensable equipment of the Community Health Nursing which she has to carry along with when she goes out home visiting.

14. PRINCIPLE: To minimize if not totally prevent the spread of infection: Note:  BP apparatus & stethoscope are carried separately  Table lined with clean paper  where the bag is placed

15. BAG TECHNIQUE a tool by which the nurse during her home visit can perform a nursing procedure with ease and deftness, saving time and effort with view of effective nursing care.

16. Principles to Consider in the Use of the Bag The bag should contain all necessary articles, supplies and equipment which may be used to answer emergency needs. The bag and its contents should be clean as often as possible, supplies replaced and ready for use at any time. The bag and its contents should be well protected from contact with other article in the home of patients. Consider the bag and its contents clean and/or sterile while any particles belonging to the patients as dirty and contaminated. The arrangement of contents of the bag should be the one most convenient to the user to facilitates efficiency and avoid confusion. Handwashing as frequent as the situation calls for helps minimize or avoid contamination of the bag and its contents The bag when used for a communicable case should be thoroughly cleaned and disinfected before keeping and re-using.

17. Contents of the Bag: : soap in soap dish tissue papers waste receptacle – carton towel lining m atch test tubes – 2 pcs. test tube holder droppers – 2 pcs. cotton balls – sterile kidney basin medicine glass disposable syringe – 5 ml., 2 ml. disposable needles – G 22, 23, 24 thermometer (rectal/ oral) cord dressing pack, sterile tongue depressor plaster OS blank forms  apron

18. Contents of the Bag: Bottles containing  Alcohol 70% Denatured alcohol Soap and solution Sterile water Hydrogen peroxide Benedict’s solution Acetic acid Spirit of ammon ia

19. Bring out your check list

20. ANY QUESTION?