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HVR HOME VISIT Revised 8.23.21 2022

This document discusses home visits by community health nurses. It defines a home visit as a face-to-face contact between a nurse and patient/family to provide healthcare and further the agency's objectives. The principles of home visits are that they have a purpose, are planned using available patient information, involve two-way communication, encourage patient participation, and are recorded promptly. Factors determining visit frequency include patient needs, family acceptance, and other agencies involved. The purposes, phases, steps, and recording of home visits are also outlined.

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102 views15 pages

HVR HOME VISIT Revised 8.23.21 2022

This document discusses home visits by community health nurses. It defines a home visit as a face-to-face contact between a nurse and patient/family to provide healthcare and further the agency's objectives. The principles of home visits are that they have a purpose, are planned using available patient information, involve two-way communication, encourage patient participation, and are recorded promptly. Factors determining visit frequency include patient needs, family acceptance, and other agencies involved. The purposes, phases, steps, and recording of home visits are also outlined.

Uploaded by

Meryville Jacildo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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HOME VISIT

COMMUNITY HEALTH
NURSING EXPOSURE
Definition

• A professional face to face contact made


by a nurse to the patient or the family to
provide necessary health care activities
and to further attain an objective of the
agency.
Principles

• A home visit should have a purpose or objective.


• Planning for home visit should make use of all
available information about the patient and
her/his family.
• Planning should revolve around the essential
needs of the individual and family
Principles
• Two-way communication and respect for family
is observed.
• Active participation of the client in the
performance of actions is encourage.
• Planning should be flexible and practical.
• Health education is a major nursing activity
during a home visit.
• Visit is promptly recorded.
Factors to be considered in
determining the frequency

• The physical, psychological and educational


needs of the individual and family
• The acceptance of the family for the services
offered; the willingness and interest to
cooperate.
• Take into account other health agencies and
the number of health personnel already
involved in the care.
Factors to be considered in
determining the frequency

• The policy given by the agency and the


emphasis placed on giving health program.

• The ability of the patient and his family to


recognize their own needs, their knowledge of
available resources and their abilities to use
these resources.
PURPOSES OF HOME VISIT

1. To assess the family situation (identification of


nursing needs and problems
2. To assess the home environment
3. To implement a family nursing care plan
4. To conduct follow up for patients seen in the health
center/outpatient clinic
5. To evaluate the results or outcomes of nursing
service
PHASES OF HOME VISIT
1. Planning and Preparation Phase
a. Starts at the health center
b. Review of records and report
c. Identification of objectives
d. Identification of activities, tools and materials needed
e. Scheduling the visit

2. Socialization
a. Establish rapport
b. Gain the trust of the family
PHASES OF HOME VISIT
• 3. Activity
• Intervention / Professional Phase
• Opportunity to provide or extend health services
• Standard Role of the Nurse:  Independent, Dependent and
interdependent

• 4. Summarization - ability to put into record & report (orally) about the
outcome of the activity
• Includes Evaluation:
a. evaluation of inputs (appropriateness, adequacy,effectiveness
b. evaluation of process
c. evaluation of outcome
STEPS IN HOME VISIT

• Greet client or household member and


introduce yourself.
• Explain purpose of home visit.
• Inquire about health and welfare of
client/patient and other family members.
• Place the CHN bag in a convenient place before
doing bag technique.
STEPS IN HOME VISIT
• Wash hands and wear
apron.
• Perform physical
assessment and nursing
care needed.
• Give the necessary health
teaching and advice based
on client’s need and
condition.
• Wash hands and close bag.
STEPS IN HOME VISIT
• Record findings and nursing care given.
• Make appointment either for clinic or home visit.
• On succeeding home visit and when nurse has
gained the family’s trust and confidence, she/he
may look into more detailed aspects of the
household and surroundings and other health
problems/concerns.
RECORDING THE HOME VISIT
• Record serve as an important reference to ensure continuity of care.

Things to remember:
1. When to record
2. What to record
1. date and time of visit
2. objectives (behavioral)
3. pertinent observations and impressions
4. Services or interventions provided
5. Observations on client’s response, progress made by the client
6. Appointments, schedule of next visit
3. How to record
1. brief, concise, organized and in a legible manner
2. record should be signed by the client and the nurse
Click
for
sample

HOME VISIT R
ECORD
Bloom’s Taxonomy

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