Home visit-CHN.pptx

home visit is one of the most importance in communiyty period s

1. HOME VISIT

2. Home visit It is one of the most important aspects of community health services. It is the backbone of community health nursing. A major distinction of a home visit is that health professional goes to the client rather than the client coming to the health professional  

3. Me a ni n g Ho m e visit me a ns v i siting th e f a mi l y at thei r p l ace to a ss e ss th e hea l t h ne e ds, such as preventive, to p ro v id e services promotive , curative or rehabilitative services a t thei r d oor step b y the community health nurse or health workers.

4. Definition It is defined as providing the services to family at their door step to maintain the health & to reduce the mortality & morbidity in family.

5. Health service requires technical skills knowledge of preventive & Therapeutic measures teaching ability judgement full understanding of Human relations

6. P u rposes To observe the family structure, lifestyle & cultural practices. To establish relationship with family members To find out the health problems To provide nursing care

7. To teach the family about the health problems. To guide & counsel the family related to various health problems To do follow up & evaluate the health care . to refer the complicated cases for hospitalization or institutional care.

8. Pri n ciples Plan the work so that visits are made on t he basis of need. re s pe c t th e p e r s ons f e elings & need a t the time of the visit. b e s u re o f t he scientific s o u nd ness o f t he subjects. use safe techni c al s k ills , in c l udi n g h a nd washing inspection etc. w o rk i ng k n o w l edge o f th e co m m u nity resources is very essential.

9.  collect f a cts ab out th e hom e , t he client & make a n ob j ective a s initia l step in the environment & a nal y s i s o f t he f ac t s visiting the home. Evaluation is an essential factor in our daily work. Re cord th e w o rk perf o r m ed b y u s i n ea c h visit.

10. Approaches A friendly approach will readily gain confidence & co operation Introduce self by name & hospital represents s h o e s , w i t h o ut Explain reason for visit D o n’t e n te r h ou s e wearing family’s permission.

11. Always carry community bag for home visit. Never criticize the family members.

12. Steps Establish a friendly relationship Make a survey & prepare a map Collection of data & analysis Establish goals Prepare a plan of action Nursing Interventions Interpretation of results Follow up Evaluation

13. 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.

14. 2 . Maintenance phase CHN maintain the IPR for which she uses her talent for making herself acceptable to family members. She provides services & solve their problems & helping them in crisis.

15. 3. Termination phase After providing care to the family , terminate the visit. Always record the visit Evaluate whether planned objectives were achieved or not.

16. ADVANTAGES Home visit permits the nurse to see the home & family situation in action. Family members will be relaxed in their own surroundings. Socio Economic background becomes clear It provides an opportunity to observe the environmental, social & family situation.

17. It helps the nurse to modify her way of care based on the resources available at home. It provides an excellent opportunity to community health nurse to implement nursing process. It helps in establishing rapport with the family members. It helps in continuity of family health care.

18. Dis Advantages Consumes lot of time & energy Non acceptance by the family members. Sometimes have to face dreadful events. Nurses safety can be an issue