HOME VISIT RECORD (HVR) #2
Name: Adrille Joy G. Chavez
Year and Section: BSN 2A
BASELINE OF DATA:
Name: Marie Jo-anne Setias
Address: Punta Balas, Brgy. Pahanocoy, Bacolod City, Negros Occidental
Date of Visit: January 18, 2024
OBJECTIVES
After 2 of hours of nurse- client
interaction, my client will be
able to:
1. Re-establish rapport
with the student nurse
2. Participate in the
Operation Timbang
with the student nurse.
3. Identify vital signs and
be able to determine
the normal and
abnormal results.
4. Verbalize
understanding about
the Health Teaching of
the student nurse
5. Look forward the next
date of my home visit
Age: 22 Sex: F
PLAN OF ACTIVITIES EVALUATION
 Re-introduce myself to
the client with
courtesy.
 Initiate small talk and
ask how they have
been.
 Inform the purpose of
home visit
 Provide an overview
of the activities that
tend to be involved in
 Motivate the client and
her child to participate.
 Explain the purpose of
the operation.
 Take the client’s BMI,
noting the significant
measurements.
 Explain the procedure
to gain clients
cooperation.
 Take client’s pulse,
temperature,
respiration, and blood
pressure
 Educate the client
about the normal and
abnormal vital signs
 Conduct health
teaching on proper
waste disposal and
the importance of
environmental
sanitation
 Encourage the client
to practice proper
waste disposal and
sanitation
 Ask for further
clarifications
 Notify the client of the
date and time of the
next home visit
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Client’s Signature