DEFINITION:

A home visit is a purposeful interaction in

a home (or residence) directed at promoting
and maintaining the health of individuals and
the family (or significant others).

It may include supporting a family during

a member's death.
Just as a client's visit to clinic or outpatient
services can be viewed as an encounter
between health care professionals and the
client, so can a home visit.
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 A major distinction of a home visit that health
professional goes to the client rather than the
clients coming to the health professional.
Or traditional activity of community health
nurse for provide promote health, all level of
prevention of individual and families.

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 Purposes
 Promote support systems that are adequate and
effective and encouraging using of health
related resource.
 Promoting adequate, effective care of family
member who has a specific problem related to
illness of disability.
 Encouraging normal growth and developmental
of family member, and education the family
about health promotion and disease prevention.
 Strengthening family function.
 Promoting a healthful environment. 3
Advantage and Disadvantage of Home Visit

Advantage
 Home setting provides more opportunity
for individualized care.
 Most people prefer to cared for at home.
 Effective observation (environment
factors such as house condition, finances).

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• Information collection and understanding
lifestyle value are easy.
• Participation of family members is
facilitated health care.
• Reducing overall costs in cases of caring
ill family members.
• Decrease or minimize anxious in their
own environment.

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Disadvantage:
 Travel time is costly.
 Less efficient for nurse that working with
groups.
 Difficult to deal with emergency cases.
 Difficult to control distraction such as noisy
children, television.
 Clients may be resistant or fearful for the
intimacy of home visits.
 Nurse safety can be an issue.
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 Nurse – Family Relationship
Principle of nurse – client relationship with
family
1. By definition, the nurse focuses on the family.
2. The health focus can be on entire spectrum of
health needs and all three level of prevention.
3. The family retains autonomy in health-related
decision. (family member participation in
home care rather than depended on nurse)
4. The nurse is a guest in the family's home.
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 Phases of Relationships
1. A pre – initiation or Preplanning Phases:
The methods consist of through preparation and
assimilation of all data before making the visit.
 Reading of family folder in order to become familiar
with family and the unique consideration of cultural,
ethics, religious and social condition.
 Talking with other nurses who know the family, also
helps the nurse to form a mental image of the family
 When family has a telephone can arrange for visit at
appointed time.
2. An initiation or Introductory Phases.
3. Working Phases.
4. Termination or Ending Phases. 8
 Phases of Home Visit:
1. Preplanning
2. Initiation
3. Implementation
4. Termination
5. Post home visit and preplanning

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 Nursing activities during three phases of home visit
Initiation phase of home visit
1. Knock on the door and stand where you can observed.
2. Identify self as name, the nurse from , name of the
agency.
3. Ask for person to whom where you refereed.
4. Observed environment as regards your own safety.
5. Introduce yourself to these presents and acknowledge.
6. Sit where family direct you.
7. Discus purpose of the visit or service to be provide.
8. Have permission forms to initiate services.
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Implementation phase of home visit
1. Complete health assessment database for the
individual client.
2. On return visit assess for changes since the
last encounter, explore that family was able to
follow up on plans from previous visit,
explore barriers if follow up did not occur.
3. Wash hand before and after conducting any
physical assessment and direct physical care.
4. Conduct physical assessment as appropriates
and perform direct physical care. 11
5. Identify household members and their health
needs, use community resources and
environmental hazard.
6. Explore values, preferences and client perception
of need and concern.
7. Conduct health teaching as appropriate and
provide written instruction, include any safety
recommendation.
8. Discus referral, collaboration or consultation
that your recommended.
9. Provide comfort and counseling as needed.
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 Termination phase of home visit
1. Summarize accomplishment of home visits.
2. Clarify family's plan of care potential health
emergency appropriate to health problem.
3. Discuss plan for next home visit and activities
4. Leave written identification of yourself and
agency with telephone number.
5. Return to your agency, complete the
documentation of each home visit.
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