NCM 107 | Home care and the Childbearing and Home care and the Childbearing and Childrearing

Home care and the Childbearing and Childrearing Family

Assessment of a Family for Home Care
Childrearing Family
1. The interview – to determine the structure of and function
BY: ZSIDRICK JOHN P. ALIVIO,RN,MN,LPT
of the family that will support the activities for home care.
2. Health History and Physical exam – home care plan is
“Let us never consider ourselves finished NURSES. We must be
developed based on the health history and physical exam.
learning all of our lives”
This plan may include teaching the patient or family how to
- FLORENCE NIGHTIGALE
obtain required health parameters.
3. Environmental Assessment – assessment of the family’s
environment ascertains whether the home physical
environment is adequate.
4. Beginning Home care- discharge plan can be instrumental
in helping set the stage for home care by discussing the
need for continued health supervision as well as helping the
patients begin their personal goal.
5. Preparing Home visit – first home visit is made for 24 hours
of discharge or notice from acute care of ambulatory care
facility.
6. Ensuring personal safety- Home care visit are often made
by an individual nurse. Steps to assure personal safety
during the visit are crucial.
7. Logistics of the visit – nurses should know the directions
Home care and the Childbearing and Childrearing Family and routes prior to home visit to avoid confusion
- Home Care – care for the in their homes, provided by 8. Assessing the patient - at the initial home visit the nurse
certified home healthcare or community healthcare agency. will conduct thorough health assessment, including social
- Home Care includes: history, current health history and focused health
- Parenteral Nutrition examination
- Fetal monitoring 9. Home care assistant – hope care assistant will provide
- Pharmacy care other essential needs of the patient if the nurse is having
- Mental health care indirect home care.
- Laboratory analysis 10. Post visit planning – positive planning consists of
completing all required documentation identified in the
Home care and the Childbearing and Childrearing Family assessment , care provided, evaluation of care and planning
ADVANTAGES OF HOME CARE in the future care.
- It prevents extensive disruption of the family. 11. Follow up visit – subsequent home visits are planned
- It is less costly for the healthcare delivery system. depending on patients circumstances.
- Technologic advances have made possible for potentially
complicated procedures
- It presents the opportunity to focus not only on specific Home Care and the Childbearing and Childrearing Family
health problem but also on promoting healthy behavior for
the entire family.
- Home visit provide a private, one-on-one opportunity for
health teaching.

Home care and the Childbearing and Childrearing Family

DISADVANTAGES OF HOME CARE
- Cost containment has to be weighed against the safety and
quality of care.
- The physical care required can be overwhelming for family
caregivers.
- Financial strain can arise if at least one parent or spouse has
to quit work and therefore cant earn income.
- Bed rest at home can cause social isolation and disruption of
normal family life.

Home care and the Childbearing and Childrearing Family

TYPES OF HOME CARE
a. Direct care- nurse remains in continual attendance or visits
frequently and actual administers care.
b. Indirect care- nurse plan and supervise care given by others
such as home care assistant.

NCM 107 | Maternal- Home Care and the Childbearing and Childrearing Family