COMMUNITY HEALTH NURSING

I
HOME VISIT
◦ Home visit – is a professional, purposeful interaction that takes place in the family’s
residence aimed at promoting, maintaining and restoring the health of the family
members.

◦ The services provided is an extension of the health service agency ( Health Center)

◦ The best opportunity to serve the actual care given by family members.
PRINCIPLES OF VISIT
◦ Must have a purpose or objectives;
◦ Example;
◦ Assessment
◦ Nursing care
◦ Treatment
◦ Health Education
◦ Referral
PRINCIPLES OF HOME VISIT
◦ Must base every available information about the patient and his family through family
records.

◦ Priority should focus on the essential needs of the individual and his family.

◦ Should involve the individual and family.

◦ Plan should be flexible.

◦ Planning continuing care should involve a responsible family members.

ADVANTAGES OF HOME VISIT

◦ It allows first hand assessment of the home situation.

◦ The nurse is able to seek out previously unidentified needs.
◦ It gives the nurse an opportunity to adapt interventions according to family resources.
◦ It promotes family participation and focuses on the family as a unit.
◦ Teaching family members in the home is made easier by the familiar environment and
the recognition of the need to learn as they are faced by the actual home situation.
◦ The personalized nature of home visit gives family sense of confidence in our selves and
in the agency.
DISADVANTAGES OF HOME VISIT
◦ The cost in terms of time and effort.

◦ There are more Distractions because the nurse is unable to control the environment.
◦ Nurses safety.
PRIORITY PATIENTS FOR HOME VISIT
◦ Newborn

◦ Postpartum

◦ Pregnant mothers

◦ Morbid Cases
PHASES OF HOME VISIT
◦ PRE – VISIT PHASE ( PLANNING PHASE)

◦ Nurse contacts the family, determines willingness for home visit and sets appointment
with them.
◦ A plan for the home visit is formulated this phase.
◦ Start at the health center.
◦ Make a study on the status of the family.
◦ Statement of the problem.
◦ Formation of objectives.
PHASES OF HOME VISIT

◦ IN HOME PHASE

◦ The phase begins as the nurse seeks permission to enter and last until he or she leaves
the family’s home. It consist of INITIATION, IMPLEMENTATION AND TERMINATION.

◦ INITIATION (SOCIALIZATION)
◦ First activity is to establish rapport to gain the trust of the family.
◦ It is customary to knock or ring the doorbell and at he same time in a reasonably loud
but non threaten voice say ‘ Tao po si nurse Albert po ito, Nursepo sa Health Center?’
PHASES OF HOME VISIT
◦ On entering the home the nurse acknowledges the family members with a greeting
and introduce s himself and the agency he represents.
◦ Observes environment for his own safety and its as the family directs him to sit.
◦ Establish rapport by initiating a short conversation.
◦ States the purpose of the visit the source of information.

◦ IMPLEMENTATION ( ACTIVITY )

◦ Intervention / Professional Phase

◦ Involves the application of the nursing process assessment, provision on direct nursing
needed and evaluation
PHASES OF HOME VISIT
◦ Opportunity to provide or extend health .
◦ Standard role of the nurse; INDEPENDENT, DEPENDENT AND INTERDEPENDENT.
◦ To be effective come in complete uniform ( also bring a long umbrella with pointed end which
serves as a protection)

◦ TERMINATION ( SUMMARIZATION )
◦ Consist of summarizing with the family events during the home visit and setting subsequent
home visit or another form nurse contact.

◦ Use this time to record findings, such as of the family members and body weight.
PHASES OF HOME VISIT
◦ POST - VISIT PHASE
◦ Takes place when nurse has returned to the health facility.
◦ It involves documentation of the visit.