Presentation1.pptx home visit , definition, aims, purpose, advantages.

purpose of home visit and steps

1. HOME VISIT Presented by: G Vaidhegi, I st year MSc(N), VMACON, SALEM.

2. 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 utilized for many reasons in relation to the health of the family. The home is also utilized 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.

3. DEFINITION 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.

4. PURPOSES To find out needs of individual, family and community in relation to health, socioeconomic and cultural aspects. 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. 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 .

5. PRINCIPLES OF HOME  Need Based Priority Based Regulatory Flexibility Scientific Based: Analysis Based Developing Relationships Sensitivity Educative

6. PRINCIPLES OF HOME  Need Based - Home visiting should be planned and conducted based on the identified needs of the people. Priority Based - The home visiting should be priority to the existing problem in the family. It may be maternal and child health services or antenatal check up. Regulatory - Plan for regular home visiting programme based on family needs. It should be conducted at regular intervals.

7. Cont.… Flexibility - The  community health nurse should adopt a flexible approach based on prevailing circumstances at home Scientific Based - Be sure of the scientific soundness of the subjects used for discussion, use of technical skills includes hand washing and inspection. Analysis Based - Collect facts about the home, the patient and the environment and make an objective analysis of the facts as an initial step in visiting the home .

8. Developing Relationships - Work with the person and family and plan jointly. Home visiting helps to establish good working relationship in the family. Sensitivity - The community health nurse should be sensitive to the persons feeling and needs at the time of the visit, listen to the family and understand the other persons point of view. Educative - Evaluate your own work; remember the quality of care is more important than the number of home visits. It is essential to evaluate home visits from time to time .

9. STEPS OF HOME VISITING Facts findings Data finding Planning action with individual or family Action and health education Follow through  Evaluation of services

10. PHASES OF HOME VISITS Initial phase  Action phase Termination phase

11. Initial phase The  community health nurse should collect information from clinical and other records before planning for a visit. During the home visit, she has to assess or observe and make a note in initial visit. The community health nurse should introduce and establish a friendly relationship by using simple language, assess physical and environmental status, family’s cultural background, occupation and income of the family, member age, educational factors and psychological factors.

12. Action phase The   interpersonal relationship starts when nurse enters into the house. The nurse should use their effective communication skills to implement the nursing process. During action phase the community health nurse provides nursing care ex: taking temperature, physical examination and dressing etc. Demonstrating and teaching ex: teaching insulin self administration. She makes diagnosis and tentative nursing care plan based on establishing priorities.

13. Termination phase Nurse-patient   goals are reached, health is restored and the patient can function without actions. The nurse records the important events in the family and reports the problems of the family. Evaluation of home visit is a continuous process, though at the end of every visit, community health nurse evaluate the self.

14. ADVANTAGES OF HOME VISIT The nurse  can directly observe home and family atmosphere. The nurse can directly observe the care given to patient by the family members. IT is possible to discover new health problems. The family members will be more relaxed in their own surroundings. The family gains confidence and feels to clear their doubts. This helps to apply the gained knowledge and skills in the homes assisting and solving individuals and families health problems.