Home Visiting

Unit 6 GBSN Year.1 , Semester. 2

1. U-7, 1 OF Community Health Nursing-I Unit VI: “Introduction to Home Visiting ” GBSN Year.1 , Semester.2 By: Aftab H. Abbasi RN, DCHN, BSN, MA, LL.B Lecturer Nursing Qadri College of Health Sciences Karachi QADRI COLLEGE OF HEALTH SCIENCES, KARACHI

2. In this unit, students will discuss the principles, purposes and steps of home visiting. Unit Objectives : At the completion of this unit, students will be able to : Define home visiting. Describe the steps of Home Visiting. Discuss the principles, purposes and advantages of Home Visiting in community. Unit VI : Introduction to Home Visiting

3. INTRODUCTION: 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 fulfills the needs of individual, family and community in general for nursing service and health counseling. Home visiting

4. INTRODUCTION: 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 visiting

5. DEFINITION: Home visit means visiting the family at their place to assess the health needs, to provide services such as preventive, promotive , curative or rehabilitative services at their door step by the community health nurse or health workers. Home visiting

6. DEFINITION: It is defined as providing the services to family at their door step to maintain the health and to reduce the mortality and morbidity in family. 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. Home visiting

7. 1- Facts Findings: Facts findings is the first step during home visiting. It helps to study the clinical and other records to get an understanding of what has to be done. Steps of Home Visiting

8. 2- Data Analysis: After completing the fact finding the process of analysis begins . The data of the members should be honest and based on facts and not an opinion. The personal, emotional, spiritual aspects should be involved which are taken together constitute the usual health problem. Steps of Home Visiting

9. The problem and facts should show exact problems and what he is expected to do . Discuss the point step by step and examine the matter critically. Then only comes to the conclusion. Do not jump and do not make hasty conversation. After that, the nurse helps the family to plan and use local and outside resources. Steps of Home Visiting Continued …

10. 3- Planning (action with individual or family): It is the most important in all our work and relationships. Make good and realistic objectives and plan how we are going to achieve those objectives. First priority should be given to essential basic need such as hunger, then only for personal hygiene or safe water or sanitation. That’s why planning is very important and it should be based on the condition of the family, home environmental and local resources available in a family in order to be practical. Steps of Home Visiting

11. 3- Planning: Continued… Planning should also be based upon short term or long term objectives of the family . Some alternatives plan or suggestions are also helpful . Do respect the individual’s ideas, suggestion or solution. Good planning always leads to doing a good action and achieve objectives. Steps of Home Visiting

12. 4- Action and Health Education : After planning a formal home visit should be done to solve the problem. On the first visit, CHN should introduce himself/herself and explain the purpose of his / her visit. The talk should be informal, giving plenty of opportunities to ask a question and provide a platform for discussion. The action and health education should be as per family time schedule. Steps of Home Visiting

13. 4- Action: Continued… Find out what is the best time for teaching them. For example, if they are drawing food in a yard, then you should teach about food storage, and help them for proper drawing. This help to provide effective teaching as you are helping them, it also builds good interpersonal relationships. Emphasis should be given on practical more often than theoretical. Steps of Home Visiting

14. 5- Follow through : It is one of the most important steps of a home visit. Follow up for those which were already planned and implement to find out how far the objectives fulfilled. It also helps to find out how far the instruction, suggestion, and action were followed. Appreciate if they have done well and if not done properly, find out the cause. It gives ideas for planning for next visit . Steps of Home Visiting

15. 6- Evaluation of Services : For evaluation services, review each family record periodically. Maybe observed and asking questions . 7- Write daily log book : To provide certain details to the management about his or her activities and performance over a given period. It includes information such as number of persons visits made, demonstrations performed, and services provided . 8- Write observation visit reports: Should be written all your observation during home visiting to report authorities. Steps of Home Visiting

16. 1- The home visit should have a purpose and objectives . 2- The home visit should be planned according to priority . 3- The purpose of home visit should be clear , regular , and flexible according to the needs of the family . 4- First of all introduce yourself, your institution, your purpose of a home visit . PRINCIPALS OF HOME VISITING

17. 5- Establish a good interpersonal relationship between families and be polite, courage, friendly . 6- Carefully listen the family and understand the other persons’ view. 7- Health education, nursing care should be scientific . 8- Use safe technical skills and scientific nursing procedures . PRINCIPALS OF HOME VISITING

18. 9- Involve whole family members as much as possible during nursing care . 10- Evaluate your own work periodically . 11- Make a note of important facts about the home visit . 12- Pay thanks to the family members and individuals for good response. PRINCIPALS OF HOME VISITING

19. 1- To find out needs of individual, family and community in relation to health, socio-economic and cultural aspects . 2- To provide domiciliary midwifery as care for pregnant , delivery, and puerperal mother and infants . 3- To give care to sick , to a postpartum mother and her newborn with the view teach a responsible family member to give subsequent care. PURPOSES OF HOME VISITING

20. 4- To assess the living condition of the patient and his family and their health practices in order to provide the appropriate health teachings. 5- To provide basic health services for minor ailments. (i.e. injury, boils, abrasions ) 6- To provide counseling on family planning, immunization, nutrition. PURPOSES OF HOME VISITING

21. 7- To give health teaching regarding the prevention and control of diseases . 8- To establish a close relationship between the nurses and public for promotion of health . 9- To make use of an inter-referral system and to promote the utilization of community services. PURPOSES OF HOME VISITING

22. 1- Reach families who wouldn't come to your offic e . 2- Work with more of the family members . 3- Work with families in their own setting where they are more at ease . 4- Gain greater understanding of the family’s life and strengths . ADVANTAGES OF HOME VISITING

23. 5- It helps to develop an interpersonal relationship between family members and the nurses . 6- It gives an opportunity to observe the background of the family members and their relationship . 7- It helps in the basic understanding of physical and emotional needs of individual and to guide them . ADVANTAGES OF HOME VISITING

24. 8- It helps to gain more knowledge and become realistic as family members are more relaxed in their own surroundings. 9- It also gives an opportunity to find out new health problems. 10- Home visiting programs save money . ADVANTAGES OF HOME VISITING

25. Community Health Nursing B. T . Basavanthappa First Edition 1998

26. “Introduction to Home Visiting”

27. QADRI COLLEGE OF HEALTH SCIENCES, KARACHI By: Aftab H. Abbasi RN, DCHN, BSN, MA, LL.B Lecturer Nursing Qadri College of Health Sciences Karachi