COMMUNITY ORIENTED NURSE IN

HOME CARE

DEFENISI
 Cannot be defined simply as ‘care at home’
 It includes: an arrangement of disease prevention, health promotion, and
episodic-illness

 Provided to people in their places of residence/home

 ANA (1999): “refers to the practice of nursing applied to a client with a
health condition in the client’s place of residence….. Home health nursing is a
specialized area of nursing practice with its roots firmly placed in CHN

 The National Association of Home Care (2002): a broad spectrum of health

and social services offered in the home environment to recovering, disabled, or
chronically ill person

 Involves: primary-preventive, secondary and tertiary prevention

 Preventive-promotive focus same as focus of the care of the community-
oriented nurses

 Secondary-tertiary focuses on the care of individuals in collaboration with

the family and other caregivers.

 Involves the individual, family, caregivers, multidisciplinary health care

professionals

 Goals: to assist the client to return to an optimal level of health and

 independence.

Levels of Prevention Applied to Home Care

 PRIMARY PREVENTION
 The nurse implement nursing care, visiting new mothers and babies to
assess and provide counseling about at-risk problems of the new baby

 SECONDARY PREVENTION
 The nurse provides counselling on diabetes diet and insulin injections
to the newly diagnosed diabetic

 TERTIARY PREVENTION
 The nurse provides direct care services to the stroke victim to avoid
complication

Nursing Role in Home Health Care

 Wear many hats: clinician, educator researcher, administrator, and consultant
 Standards of Care: assessment, diagnosis, outcome identification, planning,
implementation, evaluation

 Standards of Profesional Performance: Quality of Care, performance

appraisal, education, collegiality, ethics, collaboration, research, resourse use.

 Educational requirements: minimum baccalaureate degree with a qualified

and mature professional

Theoretical Frameworks for Family Nursing

 Structure – Function Theory
 System Theory
 Developmental Theory
  Interactionist Theory

APPROACHES TO FAMILY NURSING

 Family as a context
 Family as a system
 Family as a client
 Family as component of society