School of School of Nursing, NICH, Karachi Nat, NICH, Karachi
Community Health Nursing
3rd Year General Nursing
Compiled by: Dileep Kumar
Ph: 0345-3092967 e m a i l firstname.lastname@example.org
Home nursing care is the promotion of health. palliative and rehabilitative means in order to attain or maintain optimal function (Havens 2003). Nursing 2. Home health nursing is a specialized area of nursing practice in which the nurse provides care in the client ’s home. Dip: in CHN. Home health nurses are committed to the provision of accessible. speech language pathology. palliative or rehabilitative health care needs to independently live in their community and co -ordinate and manage an admission to facility care when living in the community is not a possible alternative. responsive and timely care which allows people to stay in their homes with safety and dignity (Community Health Nurses of Canada. are chronically ill. personal support/homemaker 3. assessment. The provision of home care allows peoples of all ages the opportunity to recover or manage their health care issues and age at home surrounded by family. friends and their community to which they can continue to make a meaningful contribution. DILEEP KUMAR (Post R. It might be for people. who are getting older. school or workplace
Services within home care Services within home care include.~
UNIT # I HOME CARE Mr. chronic. therapeutic. recovering from surgery or disabled. Definitions
Home care is care that allows a person with special needs stay in their home. provision of care and treatment of health conditions by supportive. Home care is delivered by service provider agencies that have met high standards of excellence identified through a rigorous competitive process A home health nurse is a community health nurse who:
. Home care services help people with a ill-health or with acute. Home Care is health care or supportive care provided in the patient's home by healthcare professionals. preventive. DIT. therapy (including physiotherapy.N BSN. nutrition/dietetics) 4. 2010). (MSN)) N/ Instructor School of Nursing NICH. occupational therapy. Karachi Introduction Nurses play an integral role in the delivery of quality care in the home. social work. 1. medical supplies and equipment in the home 5.
manages and evaluates the resources needed for the client to reach optimal well -being and function provides care in a home care clinic. maintenance or palliation focuses on clients.
• • • •
Elements of home health nursing The elements of home health nursing that are central to practice are: • • • • • •
Assessment. Flexibility 6.
effective documentation skills
combines knowledge from primary health care (including the determinants of health). their designated caregivers and their families integrates health promotion. 1. communicate diagnoses. Restoration & Palliation Teaching and Education Communication Relationships Building capacity
Home Care Nurse Role The home care nurse roles are. prescribe pharmaceuticals and perform specific procedures. school or workplace To order and interpret diagnostic tests.
Foundations of home health nursing The foundations of home health nursing include:
. Competency in technology and the maturity to work confidently and autonomously. teaching and counseling in clinical care and treatment initiates. effective communication skills
3. Monitoring and Clinical Decision Making Care Planning and Care Coordination Health Maintenance. sound judgment
4. nursing science and social sciences focuses on prevention. critical /creative thinking and self-direction 7. the client’s home. are beginning to practice within home care as well. advanced assessment and evaluation skills 2. health restoration.
1. health promotion 2. Other home health services could include medical or psychological assessment.
One-on-one care is a major benefit for both the nurse and the client. speech therapy. medication teaching. which mean the nurse.
Disadvantages • •
In an emergency situation. no other nurses or physicians are present to help in the home care setting. illness prevention 3. can work up to 12 hours straight with no breaks. pain management. The nurse is the sole provider for all medical care and must alert 911 to obtain medical assistance for the client. The client will receive more specialized attention to medical needs because the nurse will spend the entire shift focused on one person. The nurse will also become extremely familiar with the client. tube feedings. Some clients may require some light housekeeping duties and assistance with activities of daily living as well. wound care. ventilator monitoring and suction of the airway. • •
Medical tasks completed by the nurse can include administering medication.
. No one is there to relieve the nurse for breaks or lunches. physical therapy. enabling her to familiarize herself with the client's medical history and current medical needs. disease education and management. health protection Job duties for a home health nurse
Job duties for a home health nurse vary based on an individual client's needs. or occupational therapy.
preventive. Karachi Maternal and Child Health refers to the promotive. at least in the first year of life The mental and social development of the child is also dependent on the mother.N BSN. and rehabilitative health care of mothers and children It includes the subareas of maternal health. the child is dependent for its feeding upon the mother. infant. Objectives of MCH • To reduce maternal. • To promote reproductive health
• To promote physical and psychological development of children and adolescent • The mother and child should be considered and treated as one unit for providing health
services because of the following reasons
During antenatal period the fetus is part of the mother. DILEEP KUMAR (Post R. The death of mother causes a maternal deprivation syndrome in the child. During this period.
Policy Guidelines for implementation of MCH Program •
Effective use should be made of existing resources and infrastructures available in the community The services should be delivered as close to the homes of beneficiaries as possible Services for mothers and children should be delivered. (MSN)) N/ Instructor School of Nursing NICH. school health and health aspects the adolescents.
o Health of the child is elaborately linked to the mother’s health
o o o
Certain diseases inflicting mother during pregnancy can have the harmful effect on the health of the fetus Even after birth. Mother is the earliest teacher of the child. Dip: in CHN. it obtains all necessary supplies of nutrients and oxygen from the mother’s blood. in an integrated (incorporated) manner Child survival programs should serve as sugarcoating for delivery of the family planning programs which in general are not popular Voluntary agencies working in the area should be involved in providing MCH services
. family planning. curative. and childhood mortality and morbidity. DIT. child health.~
UNIT # II MATERNAL AND CHILD HEALTH SERVICES Mr. handicapped children and care for children in special settings.
Early detection of complications such as Anemia. MR. Fever. Provide education about the breast feeding and hygienic care of children
6. Provides referral services
. natal and postnatal care to mother
3.B. Provide immunization service 5. MMR etc at the clinic 8. PPH. Provide family planning services 4. APH. Prolonged/ obstructed
labor and apply professional approach 7.A (Trained birth attendant) training 9. Provides antenatal.~
Following are the responsibilities of 1. Provides T. Maintain the record of statistics such as: CBR. Registration of pregnant women
Responsibilities/ Services of Nurse in Maternal & Child Health