FATHER SATURNINO URIOS UNIVERSITY

San Francisco St. Butuan City 8600, Region XIII

Caraga, Philippines Nursing Program

HOME VISIT PLAN NO. 3

Head of the Family: Fernando V. Semblante Date: October 27, 2020

Address: Sintos Subdivision, Barangay Villa Kananga, Butuan City
Objectives: (Family Centered)

1. Conduct house to house visit to the family.

2. To explain or discuss the report clearly and able to answer question correctly
3. To be always guided in precautionary and preventive measure in providing care to the family.
4. To reassesses patient to determine whether a remodification of care plan is
necessary
5. To be polite and respectful to self and others.

Plan of Activities Rationale

Greet the client as well as the other members
of the family.
Introduce self and state the purpose of home
visit.
Provide vital signs checking.
To demonstrate respect for others and to
create a favorable impression of self to family.
It shows one’s ability to meet new people
confidently. It makes others feel more
comfortable and allows you to make a good
first impression and ensure cooperation
To determine the patient's usual range. Assist
in identifying deterioration or improvement of
condition or to determine the level of care
required.

Acquaint with them the objective for the day. Making them aware about the things that will
be done and shall be done for today’s home
visit.
Evaluate the household or the immediate To determine some problems that may be a
environment. risk to the health and wellness of the family.

Evaluate the lessons learned in previous
lecture discussion
Evaluate the interventions by letting the family
perform 5-minute daily exercise and proper
use of personal protective equipment (PPE)
properly.
Document the data collected in checking vital
signs and the say of the family regarding to
home visit.
To determine if the family are already
knowledgeable in identifying the causes of the
identified.
To determine if the family are already
knowledgeable enough in performing the
proper preventions and interventions
implemented in the previous home visit.
For record keeping and documented data may
be used for evaluation.

Thanking the family for the time and for being Time is precious to them; thanking is a way of
cooperative in every home visit saying we value their time.
Telling the family to take good care of their It is a polite way of saying upon departure and
health it expresses shows concern for another
person's well-being
Prepared by:

Larr Sumalpong
Name of Student