Types of Family-Nurse Contact
❖ It is done when the nurse and
Types of Contact
1. Home visit
2. Clinic visit
3. Telephone Conference
4. Written Communication
5. School Visit/Conference
6. Industrial or Workplace Visit
Telephone Conference
➢ May be effective, efficient, and
appropriate if the objectives and
outcomes require immediate
access to data, given the
problems on distance or travel
time.
➢ Such data include monitoring of
health status or progress during
the acute phase of an illness
state, change in schedule of visit
or family decision, and updates
on outcomes or responses to
care and treatment
Written Communication
★ Another less time consuming
option for the nurse in instances
when there are a large number
of families needing follow-up on
top of problems of distance or
travel time.
School Visit or Conference
➔ It is done to work with family
and school authorities on how
to appraise the degree of
vulnerability of and worked out
interventions to help children
and adolescence on specific
health risks, hazards or
adjustment problems.
Industrial or Job Visit
family need to make an accurate
assessment of health risks or
hazards and work with the
employer or supervisor on what
can be done to improve
provisions for health and safety
of workers.
Home Visit
● Expensive in terms of time,
effort and logistics for the nurse,
it is an effective and appropriate
type of family nurse contact if
accurate appraisal of family
relationship, home and
environment and family
competencies.
Clinic or Office Conference
- Less expensive for the nurse and
provides the opportunity to use
equipment that can’t be taken
to the home.
Criteria for selecting the type of
nurse family contact.
1. Effectivity
2. Efficiency
3. Appropriateness
Home Visits
● The home visit is a family-nurse
contact which allows the health
worker to assess the home and
family situations in order to
provide the necessary nursing
care and health related activities
(NLPGN, 2007).
 ● Review of Technical Content
Material
- It is an important
preparatory step in a
home visit as it ensures
the adequacy of the care
the nurse is going to
provide to the client

➢ Definition of Objectives
● To ensure the effective
and efficient conduct of
home visit
● SMART
★ Specific
★ Measurable
★ Attainable
★ Realistic
Planning and Preparation Phase ★ Time-bounded

● Review of Records and Reports Ex. At the end of two-hour home visit,
- The nurse must the client will be
thoroughly review, able to:
organize, synthesize 1. Demonstrate the different
available information so breastfeeding position correctly.
she can create an initial 2. Shows how to care the cord
database about their aseptically.
client. 3. Enumerate the post-partum
- The IDB will serve as complications signs and symptoms
purpose of the home visit, such as bleeding, fever, pain in the calf,
a tentative diagnosis of etc.
client’s nursing needs/ 4. Agree to visit the health center
problems and family together with her baby for post-natal
nursing care plans and well-baby check-ups.

● Determine the tasks and

activities
➔ Physical assessment
➔ Assess family situation
 ➔ Assess home
environment
➔ Assess current care
practices, harmful
practices and gaps of
knowledge
➔ Give health teachings
➔ Encourage verbalization
of feelings
➔ Encourage to ask
questions and
clarifications
➔ Allow client to perform
care procedures
➔ Together with the family,
determine the need for
further care and schedule
of visits
● Identification, preparation and
compilation of needed tools
and materials (based on
planned activities)
➔ Physical assessment
instruments
➔ Health education
materials
➔ Public health bag
● Scheduling the visit
➔ Determine day and time
of visit
➔ Consider the health
agency policies
➔ Convenience and other
activities of the nurse
➔ Availability of the
client/family
● For best results the family
should be informed and
unannounced visits should be
avoided as it may be
inconvenient for the family.
● If the initial visit was
conducted unannounced,
subsequent visits should be
decided, agreed to and
scheduled jointly with the
family.
Actual Conduct of Home Visit
● Establish Rapport with the
family
❖ In a home visit the nurse
is a guest and must
behave accordingly
Assessment of home and family
situation in relation to the plan of visit
and validation of the home visit plan or
its modification
The nurse validates and confirms the
adequacy and accuracy of the initial
data she has gathered about the
client/ family and asks herself if her
plan visit is appropriate based on the
actual situation she has found.
● After the assessment the
nurse may discover some
problems or needs that is not
revealed in her initial data
base
❖ So the nurse must decide
on the spot which
problem or need warrants
immediate attention,
intervention or measures
and which one can be
deferred for future
attention.
 ● Implementation of planned
activities
❖ In giving health
teachings, avoid “canned
instructions”
❖ It is incorrect to assume
that the family has zero
knowledge about the
given health problem
❖ The nurse must ascertain
what the family knows
and their current
practices and beliefs
❖ The family should be
encouraged to ask
questions and feel free to
express views without
fear of being judged.
❖ Encourage family
initiative and maximum
utilization of available
family and community
resources.
● Summarization
❖ Major and salient points
of home visit
Evaluation
● Evaluation of inputs
➢ Resources spent or
consumed by the visit
➢ Appropriateness,
adequacy, effectiveness,
efficiency
● Evaluation Process
➢ Refers to the actual
conduct of the home visit
or its implementation.
➢ Approach, strategies,
techniques, activities,
procedures, and
measures
● Evaluation outcome
★ Refers to the result of the
home visit in terms of the
changes in the condition,
situation, capabilities, and
behavior of the client.
● The results of the home visit
may not be immediately
discernible at the end of the visit
as it takes time for the condition
of a client to change,
comprehend and reflect the
content of the discussion,
demonstration and other
activities done by the nurse.
Recording
● Prescribed record system
● Must be written as soon as
possible or immediately after
the nurse arrives at the health
center
● Significant and salient points,
what is prescribed by the health
agency, services or care
provided, observations,
assessments, progress made by
the client and next
appointments or referrals
● How to record
➢ Avoid irrelevant,
insignificant,
disorganized, and illegible
entries
➢ Brief, concise, accurate,
organized, systematic,
and legible
Evaluation and Documentation
1. Record all relevant findings
about the client and members
2. Take note of environmental
factors which affects the
clients/family health
3. Include quality nurse-patient
relationship
4. Assess effectiveness of nursing
care provided.
Principles
1. A home visit should have a
purpose or objective
2. Planning for a home visit should
make use of all available
information about the patient
and their family through family
health records.
3. In planning for a visit, we should
consider and give priority to the
essential needs of the individual
and his family
4. Planning and delivery of care
should involve the individual
and family
5. The plan should be flexible.
Steps in Conducting home visit
1. Greet the patient and introduce
self
2. State the purpose of the visit
3. Observe the patient and
determine the health needs
4. Put the bag in the convenient
place then proceed to perform
the bag technique
5. Perform the nursing care
needed and give health
teachings.
6. Record all important data,
observation and care rendered
7. Make an appointment for a
return visit.
Three Phases of Home Visitation
1. Preparatory Phase
➔ Review existing records or
referral data before doing
the home visit.
➔ Notify the family of your
intention to do a home
visit.
2. Home visit phase
➔ Actual visit to the patient.
➔ Conduct assessment,
planning, and health
teaching.
➔ Perform nursing
interventions for
conditions which will
require your nursing skills.
3. Post visit phase
➔ Record the data in the
chart, plan for your next
visit with the family.
➔ Referral to other health
professionals must be
done if warranted by the
situation.