FAMILY Home Visit 2

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FAMILY – NURSE CONTACT:

I. HOME VISIT
-Home visit or nursing visit is a
professional face to face contact
done by a nurse to an individual,
family or a group in a community
on behalf of a case to further
relay the special activity of the
agency.
-The home visit is a family- nurse
contact which allows the health
worker to assess the home and
family situations in order to
provide the necessary nursing
care and health related activities.
- In performing this activity, is
essential to prepare a plan of visit
to meet the needs of the client
and achieve the best results of
desired outcomes.
FAMILY – NURSE CONTACT:
I. HOME VISIT
-Home visit or nursing visit is a professional
face to face contact done by a nurse to an
individual, family or a group in a
community on behalf of a case to further
relay the special activity of the agency.
-The home visit is a family- nurse contact
which allows the health worker to assess
the home and family situations in order to
provide the necessary nursing care and
health related activities.
- In performing this activity, is essential to
prepare a plan of visit to meet the needs of
the client and achieve the best results of
desired outcomes.
Purposes:
1. To give nursing care to the sick, post
partum mother & her newborn with the
view to teach a responsible member of
a family to give subsequent care.
2. To assess living condition of client and
his family and their health practices in
order to provide an appropriate health
teachings.
3. To Give health teachings regarding
the prevention and control of diseases.
4. To establish relationship with health
agency and public for the promotion of
public health.
5. To make use of inter-referral system
and to promote the utilization of
community services.
Principles:
1. Must have a purpose and objective.
2. Make use available information about
the patient and his family.
3. Consider and prioritize essential
needs of the individual and family.
4. Should involve the individual and
family in planning and delivery of care.
5. Plan should be flexible.

Preparation:
1. Assemble records of the cases to be
visited and investigated for health
supervision and nursing care.
2. List their names and address in
duplicate form in order of visit. Take
one list with you for your guide and
leave in your box the copy to acquaint
the supervision of your whereabouts.
Example;
Name Address
Purpose of visit
Pacarasia Duforte Millora, Lucao dst To
give nursing care
To
ppartum mother
And
health teachings
3. Clip the list on cover of bag for your
guide.
4. Provide yourself with ballpen with ink or
pencil and eraser, watch with second
hand, information about the prevailing
condition in the district and an
umbrella, raincoat and rubber shoes
during the rainy season.

Arrangement of visit:
1. Nursing care to postnatal cases.
2. Health supervisionvisit to prenatals and
infants.
3. Visit to patients with communicable
diseases.

Important Steps of Home Visit:


1. Greet client and family then introduce
yourself.
2. Explain the purpose of the visit.
3. Observe the patient and determine the
health needs.
4. Look for a place to put down the bag or a
table or chair six feet away from the
bedside. Line the table with newspaper (as
a paperline) before putting down the bag.
See the patient and determine the need.
5. Perform nursing care and give health
teachings.
6. Record all important data, observation
and care rendered.
7. Make appointment for a return visit.

Phases:
1. Preparatory Phase
a. review existing records of referral
data of the family
b. notifies the family of the intention
to make a home visit
2. Home Visit Phase
a. actual visits of the family
b. makes plans, interventions,
evaluation with the family and set
schedule for the next visit
3. Post Visit Phase
a. records data and plans for the next
visit and referrals
Priorities During Home Visit:
1. Newborn
2. Post partum
3. Pregnant women
4. Morbid individuals
Factors affecting Frequency of Home Visit:
1. Physical, psychological and
educational
2. Acceptance of family
3. Policies given by the agency
4. Consider other health agencies
and number of personnel already
involved
5. Depends on a careful evaluation of
past services given to family
6. Ability of the family to recognize
their own needs. Their knowledge to
available resources, and ability to
utilize those resources.

Priorities:
a. Expectant mothers who do not
have a prenatal check up.
b. Those who do not visit a clinic for
one reason or another.
c. Those which the clinic Dr. requested
for a follow up home visit
Components of a Home visit:
1. Planning for a visit
2. Approach and introduction
3. Activity during the visit
4. Summary and evaluation

Bag Technique:
- a tool making use of a public health
bag and which the public health nurse
can perform procedures during home
visits.
Rationale :
- Helps render effective nursing care to
clients.
Principles:
1. Minimize if not totally prevent the
spread of infection.
2. Save time and effort.
3. To systematize the procedure so as to
give care and adeptness for effective
performance.
*** Open bag TWICE during home visit.

Special Consideration:
B
- bag and its contents must be
free from any contamination.
A
- always perform handwashing.
G
- gather necessary equipments
to render effective nursing care.

Steps in Performing The Bag Technique
Actions:
1. Upon arrival, place the bag on the
table lined with a clean paper. (the
clean side must be out and folded
part, touching the table)
2. Ask for a basin of water.
3. Open the bag and take out the
towel and soap.
4. Wash hands.
5. Take out the apron and put it on
with the right side.
6. Put out all the necessary articles
needed for the specific care.
7. Close the bag and put it in one
corner of the working area.
8. Perform nursing care and
treatment.
9. After giving the treatment, clean
all things that were used and perform
handwashing.
10. Open the bag and return all things
that were used in their proper place
11. Remove apron, folding it away fro
the person, the soiled side in and the
clean side out. Place it in the bag.
12. Fold the lining, place it inside the
bag. Close the bag.
13. Take the record and have a talk
with the mother.
14. Make an appointment for the next
visit.

Purposes:
6. To give nursing care to the sick, post
partum mother & her newborn with
the view to teach a responsible
member of a family to give
subsequent care.
7. To assess living condition of client and
his family and their health practices in
order to provide an appropriate health
teachings.
8. To Give health teachings regarding the
prevention and control of diseases.
9. To establish relationship with health
agency and public for the promotion
of public health.
10. To make use of inter-referral
system and to promote the utilization
of community services.

Principles:
6. Must have a purpose and objective.
7. Make use available information about
the patient and his family.
8. Consider and prioritize essential needs
of the individual and family.
9. Should involve the individual and
family in planning and delivery of care.
10. Plan should be flexible.

Preparation:
5. Assemble records of the cases to be
visited and investigated for health
supervision and nursing care.
6. List their names and address in
duplicate form in order of visit. Take
one list with you for your guide and
leave in your box the copy to acquaint
the supervision of your whereabouts.
Example;
Name Address
Purpose of visit
Pacarasia Duforte Millora, Lucao dst To
give nursing care
To
ppartum mother

And health teachings


7. Clip the list on cover of bag for your
guide.
8. Provide yourself with ballpen with ink
or pencil and eraser, watch with
second hand, information about the
prevailing condition in the district and
an umbrella, raincoat and rubber
shoes during the rainy season.
Arrangement of visit:
4. Nursing care to postnatal cases.
5. Health supervisionvisit to prenatals
and infants.
6. Visit to patients with communicable
diseases.

Important Steps of Home Visit:


8. Greet client and family then introduce
yourself.
9. Explain the purpose of the visit.
10. Observe the patient and determine
the health needs.
11. Look for a place to put down the
bag or a table or chair six feet away
from the bedside. Line the table with
newspaper (as a paperline) before
putting down the bag. See the patient
and determine the need.
12. Perform nursing care and give
health teachings.
13. Record all important data,
observation and care rendered.
14. Make appointment for a return
visit.

Phases:
1. Preparatory
Phase
a. review existing records of referral
data of the family
b. notifies the family of the intention
to make a home visit
2. Home Visit
Phase
a. actual visits of the family
b. makes plans, interventions,
evaluation with the family and set
schedule for the next visit
3. Post Visit
Phase
a. records data and plans for the next
visit and referrals
Priorities During Home Visit:
5. Newborn
6. Post partum
7. Pregnant women
8. Morbid individuals

Factors affecting Frequency of Home Visit:


7. Physical, psychological and
educational
8. Acceptance of family
9. Policies given by the agency
10. Consider other health agencies
and number of personnel already
involved
11. Depends on a careful evaluation
of past services given to family
12. Ability of the family to recognize
their own needs. Their knowledge to
available resources, and ability to
utilize those resources.

Priorities:
d. Expectant mothers who do not
have a prenatal check up.
e. Those who do not visit a clinic
for one reason or another.
f. Those which the clinic Dr.
requested for a follow up home
visit

Components of a Home visit:


5. Planning for a visit
6. Approach and introduction
7. Activity during the visit
8. Summary and evaluation

Bag Technique:
- a tool making use of a public
health bag and which the public health
nurse can perform procedures during
home visits.
Rationale :
- Helps render effective nursing
care to clients.

Principles:
4. Minimize if not totally prevent the
spread of infection.
5. Save time and effort.
6. To systematize the procedure so as to
give care and adeptness for effective
performance.
*** Open bag TWICE during
home visit.

Special Consideration:

B
- bag and its contents must be
free from any contamination.
A
- always perform handwashing.
G
- gather necessary equipments to
render effective nursing care.

Steps in Performing The Bag Technique
Actions:

1. Upon arrival, place the bag on the table


lined with a clean paper. (the clean side
must be out and folded part, touching
the table)
2. Ask for a basin of water.
3. Open the bag and take out the towel
and soap.
4. Wash hands.
5. Take out the apron and put it on with
the right side.
6. Put out all the necessary articles
needed for the specific care.
7. Close the bag and put it in one corner
of the working area.
8. Perform nursing care and treatment.
9. After giving the treatment, clean all
things that were used and perform
handwashing.
10. Open the bag and return all things that
were used in their proper place
11. Remove apron, folding it away fro the
person, the soiled side in and the clean
side out. Place it in the bag.
12. Fold the lining, place it inside the bag.
Close the bag.
13. Take the record and have a talk with
the mother.
14. Make an appointment for the next visit.

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