CMCA: HOME CARE OF THE PREGNANT CLIENT

HOME CARE OF THE PREGNANT CLIENT people are dual wgers, this is a huge blow to
Home Care their financial situation.
Care, at home, where an employee from a healthcare
agency or community takes care of someone. HEALTH AND PHYSICAL EXAM
Understanding Home Care  Home care plan is based on their health and
physical exam, they should know how to get
Advantage of home care health parameters, what contents should be taught
 Prevents extensive disruption of the family. A about. Every family should know CPR.
member who is badly ill, soc and emotional  Pregnant mothers receive health education on self-
support by being close with love ones is assessment such as, blood pressure, temperature,
important. pulse, protein in urine, serum glucose, fundal
 It is less costly, especially if health care is height, fetal movement, FHR, and uterine
maintenance. contractions.
 Technological advances make things safer and
easier; example is a room that’s well-ventilated, CONDUCTING A HOME VISIT
eliminating potential risks. PREVISIT
 Promotes specific health problems and health  Telephone your client, and family to verify
care behavior. to prevent pregnant woman from location, at schedule to visit.
exposure to second hand smoke, everyone in  Make sure everyone is present.
the family should avoid smoking. ASSESSING THE PATIENT
 Increases a person independence for health,  Same as hospitals, but it’s a bit informal, make
self-care, and control. sure that the nurse maintains their profession,
 Family has better assessment due to values, avoid a relax communication with potentially
culture, etc. Compared to hospital. leading questions.
 Health teaching can be one to one.  Conduct thorough health assessment: social
history, current health history and focused physical
examination.
 Provide Privacy and confidentiality
ASSESSING THE ENVIRONMENT
Disadvantage of home care Assures basic safety needs are met
 Less cost, but more concerns on quality on Example questions...
health and safety. Could end up costing more if  Are the water, electricity, heat, and refrigeration in
conditions have worsened. good working order?
 Physical care can be overwhelming (handing a  Are there working smoke alarms?
patient with surgery, or complex medications)  Is the structure adequate, including functional
DIRECT CARE windows and doors?
- Nurses do the job, makes attendance, and do  Is the home free of rodents, insects, and lead-based
care paint?
INDIRECT CARE  Is the bathroom accessible to the patient?
- Nurse plans, supervise others HOME CARE ASSISTANTS
SKILLED HOME NURSING CARE A team of healthcare providers is what makes an
- This type of nursing care falls into this effective home care
category, a healthcare provider does Composed of a primary care provider, a home care
administration of meds, apply bandages, do nurse, a home care assistant, and a healthcare
v/s etc. fetal heart rate Fetal Heart Rate must equipment supplier
be taught. Post Visit Planning Complete all required
NURSE VISIT DEPENDS... documentation identified
Low risk Weekly visits in the assessment, care
Intermediate 3 times a week provided, evaluation of
High 7 times a week care and planning for
ASSESSING A FAMILY FOR HOME CARE future care.
INTERVIEW Follow-Up Visit Subsequent home visits
 Know family structure and health history are planned depending on
 Nurse must assess, on ways that how family the patient's
members think about the illness and how it circumstances.
affects their lives. This is a continuous
assessment.
 Resources deals with not only materials for
home care, but ways to manage stress of home
care. How the parent will respond if one love
one is ill, they have to quit a job, and if two