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HOME VISIT RECORD (HVR) #2

Name: Kyle D. Cañada

Year and Section: BSN2C


BASELINE OF DATA:
Name: Chona Perez Age: 33 y.o. Sex: F

Address: Zone 2 Hacienda Carmen, Barangay Granada Bacolod City


OBJECTIVES PLAN OF ACTIVITIES EVALUATION
Date of Visit: August 25, 2021
After 2 days of nurse-client After 2 days of nurse-client
interaction, my client will be interaction, my client was able to:
able to:

1. Show acceptance as the  Introduce myself again to the 1. Show acceptance as the student
student nurse re-establish client. nurse re-establish rapport. She
rapport.  Inform the purpose of my further stated “Maayong aga day
home visit and provide an Kyle! Salamat kay ari ka naman
overview of the activities we di.” Goal met.
will participate in.

2. Engage voluntarily to the  Discuss the purpose and 2. Engage voluntarily to the
student nurse’s Health objectives of the Health student nurse’s Health Teaching.
Teaching. Teaching. Client was able to understand the
 Provide the Health Teaching purpose of Health Teaching was
to the client. able to identify the benefits in
 Assess the client's participating in the given HTP.
comprehension of the Health Goal Met.
Teaching.

3. Determine the significance of 3. Determine the significance of


 Explain the goal of Core
Core Group Election Core Group Election. She was able
Group Election
to join and elect new officers in
 Discuss the importance of the election. Goal Met.
Core Group Election
 Elect officers

4. Anticipate to the culminating  Invite the client to participate 4. Anticipate to the culminating
activities. in the Culminating Activity activities. She displayed interest in
 Describe the activities that attending tomorrow’s culminating
will take place on the activity by verbalizing “Makadto
Culmination. kami buas sa culminating activity
ninyo ah.” Goal Met.

5. Look forward the next date 5. Look forward to the next date of
of my home visit.  Notify the client of the date my home visit. She verbalizes
and time of my next home “Indi gid mahuya mag balik di sa
visit. amon. Madamo gid nga salamat
liwat Student Nurse Kyle!” Goal
Met.
CP

Client’s signature

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