Home Visit Is a professional face to face contact made by a nurse to the patient or the family to Provide necessary health

h care activities and further attain an objective Of the agency. It is made to the client or to a responsible member of the family.

Principles in Preparing for a Home a Visit Planning for a Home Visit is an essential tool achieving best results. 1. A home visit should have a purpose or objective. 2. Planning for a home visit should ma e use of all available information about the patient and his!her family through family health records" no#ledge of the health center personnel$ including those from other agencies that may have rendered services to this particular patient or family. %. Planning should revolve around the essential needs of the individual and his!her family but priority should be given to those needs recogni&ed by the family itself. '. (. Planning a continuing care should involve the individual and his!her family. Planning should be fle)ible and practical.

Factors to be Considered in Determining the Frequency of Home Visit *here is no define rule as to the fre+uency of a home visit. ,ince the population in a given community is much more than #hat the nurse can handle prioriti&ation of needs for a Home Visit is necessary. *he -re+uency of Home Visit should factors. *he physical psychological and educational needs of the individual and family. ta e into consideration the follo#ing

 *he acceptance of the family for the services offered the #illingness and interest to cooperate. *a e into account other health agencies and the number of health personnel already involved in the care of a specific family. *he policy of a given agency and the emphasis placed on a given health program. A careful evaluation of past services given to a family and ho# the family made use such nursing services. *he ability of the patient and his!her family to recogni&e their o#n needs their no#ledge of available resources and their abilities to use those resources on their o#n accord. Steps in Home Visit 1. .reet client or household member and introduce yourself. 2. /)plain purpose of home visit. %. In+uire about health and #elfare of client!patient and other family members. As about any health and health0related problems. '. Place bag in a convenient place before doing bag techni+ue. (. 1ash hands and #ear apron and put out needed articles and!or medicines dressings from bags. 2. Perform physical assessment and nursing care needed. If more than one member of the family is for health supervision and care start #ith the #ell member to avoid transfer of infection. 3. .ive the necessary health teaching and advice based on clients patients need and condition. 4. 1ash hands and close bag. 5. 6ecord findings and nursing care given. 17. 8a e appointment either for a clinic or home visit. 11. On succeeding home visit and #hen nurse has gained the family trust and confidence she!he may loo into more detailed aspects of the household and surroundings and other health problems!concerns.

Programs of Department Of Health 9ental health is an integral and individual component of total health yet 54 out of -ilipinos of all ages suffered from tooth decay$ (7 out of 177 -ilipinos of all ages are afflicted #ith gum diseases :;8/9, 1552<. Vision A lifetime of oral health and no tooth decay for the ne)t generation. =ommitment to 9ental Health ,ervices is committed to contribute to the improvement of the +uality of the life of the -ilipinos through the attainment of the highest possible level of oral health. Objectives eneral *o prevent and control dental diseases and conditions.

Specific *o reduce the average :>98-*< prevalence of dental caries from (.(2 to %.%1 Among the 12 year old children 1554. *o reduce the 8 :8issing< =omponent of the >98-* from 1.%7 to 1.17 among *he 12 year old children 1554. *o increase the - :-illed< =omponent of the >98-* from 7.75 to 7.12 among 12 year old children 1554. *o reduce the prevalence of Periodontal diseases among the 1(0'' by 17? each year. Strategies ,ocial 8obili&ation =oordination and partnership #ith sectoral groups. ;et#or ing #ith other offices!services. =apability building and #or value formation. 8onitoring and feedbac

Operation research studies

Direct Services 9ental Health Promotion and Advocacy *o create dental a#areness and commitment among the population for the Adoption of desirable oral health practices. Dental Preventive Program *o reduce the prevalence of dental caries and periodontal diseases on high ris And priority groups. Dental Curative Program *o arrest the progression of diseases and minimi&e tooth loss among *arget groups. Oral Habilitation and !ehabilitation Program *o arrest the progression of diseases and minimi&e tooth loss among *arget groups. Support Services Dental Health Planning *o provide technical assistance in the formulation of dental plans for direct ,ervices and support programs at various levels. "raining Program *o improve the competencies of dental personnel at all levels for them to carry out effectively and efficiently their respective roles and responsibilities in the implementation of dental health program. Dental !esearch Program *o conduct applied and operations to support the management of the dental Health Programs. #onitoring and $valuation *o monitor and evaluate the implementation of dental health program and projects.

Programs%Projects Conceptuali&ed a strategy through 'Sang #ilyong Sepilyo( Project for Social #obili&ation of Dental Health Program *he @,ang 8ilyong ,epilyoA project is a multi0sectoral under ta ing bet#een .Os and ;.Os #hose aim is to emphasi&e the importance of oral health in relation to total body health and to increase public a#areness on the prevention of the common dental diseases. *he project shall solicit one million ne# toothbrushes from concerned citi&ens through drop bo)es for school children in marginali&ed and depressed areas. *his projects #ill be a continuous solicitation of donations for ne# iddie toothbrushes. #onthly Dental Health Services to Philippine Scholl for the Deaf Pupils in line )ith * year Oral care Program *he 9ental Health ,ervices of the 9epartment of Health :9H,09OH< has al#ays been in the forefront of delivering services to priority target groups. *his program is prepared to address the dental needs of the school children concerned and to educate them on proper oral health care. *his =are Program to the Philippine ,chool for the 9eaf ,chool =hildren #ill improve the oral health status of the target in t#o years time. Orientation "raining on Comprehensive Dental Program in the Four Provinces of !egional Health Office +o,* One of the functions of the 9epartment Of Health0=entral Office is to give technical assistance to the Bocal .overnment Cnits. *his training aimed to reorient the developed Provincial!8unicipal 9entist and Hospital 9entist on updated concepts and principles of the =omprehensive 9ental Health Program.

"raining of -arangay Dental .u/iliaries on Preventive Dentistry in Dentistless .reas in the province of -ohol0 .lbay and 1anao del +orte, One of the major reasons for poor oral health status is lac of manpo#er

considering the very high dentist to population ratio and the geographical situation of our country. It is in this conte)t that dental au)iliaries of barangay dental health #or ers are being tapped to perform various functions delegated to them in areas not!seldom served by rural dentists.

2th +ational #onitoring $valuation Dental Survey *his ;ational 8onitoring /valuation 9ental ,urvey is conducted by the 9ental

Health ,ervice every five years. *he survey aims to produce reliable data on the current oral health status and oral health care needs of the populace. *he data gathered #ill be used to develop responsive to the needs of the people. Identification of specific target groups and needs #ill result in more efficient and cost effective program implementation. #onitoring of Comprehensive Dental Health Program in .payao and 3alinga Provinces of the Cordillera .dministrative !egion 4C.!5, *his is follo# up of the progress of =omprehensive 9ental Health Program Implementation among the target groups #here dental supplies materials and portable dental e+uipment #ere distributed to attain the desired objectives on effectiveness and impact of the dental teeth program. ;e# technology on saving decayed permanent teeth is being introduced through Atraumatic 6estorative *reatment. *his is a ne# techni+ue #ithout use of electrically driven dental e+uipment in filling decayed teeth. Dental Health Services Clinic of the Department render the follo)ing services, Oral e)amination

 Preventive treatment :Oral Prophyla)is pits and fissure sealant for children< =urative treatment :.um treatment permanent and temporary filling and e)traction< to 9OH employees their immediate dependents and indigent patients. 6ater Supply Sanitation Program *here has been a steady increases in the of household having access to safe #ater supply sources. Ho#ever insufficient no#ledge and inappropriate practice in handling of #ater from the source to the storage point in the house could contaminate drin ing #ater. People #ho get drin ing #ater from the pipe #ater facilities are not e)empted from diarrheal disease contraction particularly those that are served #ith old #orn out pipes that suc in se#age or filt through crac s and joints of the pipes. *he 9epartment of Health through the /nvironmental Health ,ervices has set some policies on the follo#ing areas. Approved types of #ater facilities Cnapproved type of #ater facility Access to safe and potable drin ing #ater 1ater +uality and monitoring surveillance 1ater#or s!1ater system and #ell construction.

Policies Approved types of #ater supply facilities

Bevel I :Point ,ource<0 A protected #ell or a developed spring #ith an outlet but #ith out a distribution system generally adaptable for rural areas #here the house are thinly scattered. A Bevel 1 facility normally serves around 1(02( households and its outreach must not be more than 2(7 meters from the farthest user. *he yield or discharge is generally from '701'7 liters per minute. Bevel II :=ommunal -aucet ,ystem or ,tandard0Posts<0 A system composed of a source a reservoir a piped distribution net#or and communal faucets located at not more than 2( meters from the farthest house. *he system is designed to delivery '7047liters of #ater per capital per day to an average of 177 households

#ith one faucet per '02 households. .enerally suitable for rural areas #here houses are clustered densely to justify a simple piped system. Bevel III :1ater#or s ,ystem or Individual House =onnections<0 A system #ith source a reservoir a piped distributor net#or and household taps. It is generally suited for densely populated urban areas. *his type of facility re+uires a minimum treatment of disinfection. 7napproved type of )ater facility 1ater coming from doubtful sources such as open dug #ells that needs priming and li e shall not be allo#ed for drin ing #ater unless treated through proper container disinfection. *he community must e)ert effort to convert to approved type of #ater supply facility. .ccess to safe and potable drin8ing )ater All households shall be provided #ith safe and ade+uate #ater supply. 6ater quality and monitoring surveillance

/very municipality through its 6ural Health Cnits formulate an operational plan for +uality and monitoring surveillance every year using the area program based approach. Assistance may be solicited from the Internal Planning ,ervice in collaboration #ith the /nvironmental Health ,ervice. 6e+uire +uality standards that meet the provisions of the ;ational ,tandards for 9rin ing 1ater set by the 9epartment of Health *he e)amination of drin ing #ater shall be performed only in private or government laboratories duly accredited by the 9epartment of Health =ertification of potability of an e)isting #ater source is issued by the ,ecretary of Health or his duly authori&ed representative :Bocal Health Authority< 9isinfection of #ater supply sources are re+uired on the follo#ing ;e#ly constructed #ater supply facilities 1ater supply facility that has been repaired!improved 1ater supply sources found to be positive bacteriologically by laboratory analysis

=ontainer disinfection of drin ing #ater collected from a #ater facility that is subject to recontamination li e open dug #ells$ unimproved springs and surface #ater.

6ater)or8s%)ater system and )ell construction

1ell site hall re+uire the prior approval of the ,ecretary of Health or his duly authori&ed representative. 1ell construction shall comply to sanitary re+uirements of the 9epartment of Health. 1ater supply system shall supply safe and potable #ater in ade+uate +uantity. 1ater shall me made readily available to consumer preferably through #ater piped direct to homes to minimi&e contamination and encourage personal and home sanitation. Ade+uate pressure and volume shall be provided in the #ater system distribution line. 1here lo# #ater pressure prevail in any section of the distribution systems no booster pumps shall be allo#ed to boost #ater from #ater distribution pipe. Proper $/creta and Se)age Disposal Program It is significant to note that there has been an increase in the proportion of households having sanitary toilet facilities both in the urban and rural areas but there is also an increase in the absolute number of person #hich do not have an access to sanitary toilet facilities in the sense that the mothers still allo# their children to move their bo#el else#here despite of the presence of toilets in their o#n homes. Again the /H, set policies on the approved types of toilet facilities into" Policies Approved types of toilet facilities

Bevel I ;on #ater carriage toilet facility0 no #ater is necessary to #ash the #aste into the receiving space. /)amples are pit latrines reed odorless earth closet.

*oilet facilities re+uiring small amount of #ater to #ash the #aste into the 6eceiving space. /)amples are pour flush toilet and a+ua privies.

Bevel II On site toilet facilities of the #ater carriage type #ith #ater sealed and flush type #ith septic tan disposal facilities. Bevel III 1ater carriage types of toilet facilities connected to septic tan s or to se#age system to treatment plant. In rural areas the @blind drainageA type of #aste #ater collection and disposal -acility shall continue to be emphasis until such time that se#er facilities and off0 site treatment facilities shall me made available to clustered houses in rural areas. =onventional se#erage facilities are to be promoted for construction in @PoblacionsA and cities in the country as development objectives to attain control and prevention of fecal #ater borne diseases. Other policies embodied in =ode of ,anitation of the Philippines shall be pursued and enforced by the local government units. Food Sanitation Program *he rapid change in eating habits of the -ilipinos in fast food establishment particularly those in the urban centers increases the ris of the segment of population to food borne infection due to unsanitary handling of preparation of food. *he banning of shellfish consumption during tide period to reduce the number of persons that contract paralytic shellfish poisoning has its comple)ities #ith regards to the aggravated economic conditions of affected fisherman and shellfish vendors. A uniform policy and practical programs to alleviate the living conditions of the population is needed" Policies -ood /stablishments shall be appraised as to the follo#ing sanitary conditions.

Inspections!approval of all food sources containers transport vehicles. =ompliance to ,anitary Permit re+uirements for all food establishments.

 Provisions of updated Health =ertificate for -ood Handlers$ coo s and coo helpers #hich include monitoring as to presence of intestinal parasites :ascaris$ amoeba< and bacterial infection :typhoid$ cholera$ dysentery$ salmonella< 9estruction or banning of food unfit for human consumption. *raining of food handlers and operators on food sanitation -ood establishment shall be rated and classified as follo#s. =lass A D /)cellent =lass E D Very ,atisfactory =lass = D ,atisfactory

Ambulant food vendors shall comply #ith the re+uirements as to the issuance of health certificate #hich also include monitoring the presence of intestinal parasite and bacterial infection.

Household food sanitation are to be promoted and monitored and food hygiene education to be intensified through health education and provision of I/= materials. Hospital 6aste #anagement Program

9isposal of infectious pathological and other #astes from hospital #hich combine them #ith the municipal or domestic #astes pose health ha&ards to the people. Very fe# hospitals have treatment facilities li e incinerators or disinfectants to prevent transmission of diseases brought by the ha&ardous hospital #astes. 8ost hospital utili&es the municipal refuse disposal system :869,< fro disposing hospital #astes. At this point policies have been set to prevent the ris of contracting nosocomial and other diseases. Policies

All ne#ly constructed!authori&ed and e)isting government and private hospitals shall prepare and implement a Hospital #aste 8anagement :H18< Program as a re+uirement for registration!rene#al of licenses.

*he use of appropriate technology and indigenous materials for H18 system shall be adopted. *raining of all hospital personnel involved in #aste management shall be essential part of hospital training program. Public Information campaign on health and environmental ha&ard arising from mismanagement of hospital shall be the responsibility of hospital admistration. 9OH Hospital 1aste 8anagement guidelines!policies shall be guided by e)isting legislative health and environmental protection la#s!policies in #aste management.

Bocal ordinances regarding the collection and disposal techni+ues especially incinerators shall be institutionali&ed. Program On Health !is8 #inimi&ation Due "O $nvironmental Pollution

Crban gro#th #hich increases economic and industrial developments in the country e)poses the population to serious environmental ha&ards. *he population re+uires appropriate /nvironmental Health ,ervices to protect them from repercussion of these activities. Population control and health protection measures must be ept pace #ith these policies on socio0economic development. =ontinuous researches on the health effects as a conse+uence or depletion of the stratosphere o&one layer #hich increases ultraviolet radiation climate change and other conditions of environmental degradation should be fully implemented. +ursing !esponsibilities and .ctivities Health /ducation *he community health nurse is in the best position to do health education activities such as development and dissemination of I/= materials and messages

their utili&ation and distribution providing individual and group counseling use of other mass media support and I/= materials including holding of community assemblies and bench conferences. *he Occupational Health ;urse$ ,chool Health ;urse and other ;ursing ,taff and personnel in other government and private agencies can also be responsible in imparting the need for an effective and efficient environmental sanitation in their places of #or and in school. Actively participate in the training component of the service li e in -ood Handlers =lass and attend training!#or shops related to environmental health. Assist in the de#orming activities for the school children and targeted groups. /ffectively and efficiently coordinate programs!projects!activities #ith other government and non government agencies. Act as an advocate or facilitators to families in the community in matters of programs!projects!activities on environmental health in coordination #ith other members of 6ural Health Cnit :6HC< especially the 6ural ,anitary Inspectors. Actively participate in environmental sanitation campaigns and projects in the community. /). ,anitary toilet campaign$ par s drainage. Ee a role model for others in the community to emulate in terms of cleanliness in the home and surrounding. Participate it the research to be conducted in their respective area of assignment. Help in the interpretation and implementation of P.9 4(2 commonly no#n as ,anitation =ode of the Philippines. Assist in the 9isaster 8anagement #hich #ill be implemented at all levels.