Home Visit

Why do we have to make home visits

a. home visits allow you to focus on the entire family and see threats to health and safety.

A nurse visiting a new mother at home at home, what a nurse would do differently from what
the nurses do in the hospital: All nurses try to help people stay well, but we can also help you
assess your home for any dangers to the baby.

For geatric client and families are whom the student nurse can expect to provide care.

Confirm the information obtained with the client –done after assessment
Primary goal of first home visit - To establish rapport with the clients and work with them to
define mutually agreeable goals

most crucial aspect of the first visit to a new client – is to Establish trust for a productive
relationship

why a new community/public health nurses are very uncomfortable during home visits
a. home visits reflect a situation under the client’s control and in the client’s environment.

feeling of the client regarding the student nurses visit for a referred client:
a. Ambivalence because the nurse could be helpful but also judgmental of their situation

first priority when a nurse is completing a home visit

a. Clients understanding, whatever the client believes is most important and establishing trust

be essential characteristics of a professional helping relationship

a. Positive regard
b. empathy,
c. genuineness

The only person the nurse can change is the nurse herself.

appropriate to help ensure a nurse’s safety

a. Nurse should check the immediate surroundings for anyone or any situation that makes the
nurse uncomfortable.
For agitated client
a. Apologizing and saying that the visit will be rescheduled when the client is feeling better

equipment a student nurse must bring to do a home visit of a newly assigned family
a. CHN bag, educational materials, and assessment equipment

Confirming the nursing inferences that have been developed - discussing clients with a colleague
helps the nurse by

The nurse’s priority action after completing a home visit

a. Complete the documentation and discuss questions beyond the nurse’s expertise with a
consultant.

Most likely be a problem for the nurse making home visits

a. The nurse may be unable to care for as many clients because of the time and distance
purpose of home visits:
a. to prepare a plan of visit to meet the needs of the clients and achieve the best results
of desired outcomes.
b. assess the living condition of the patient only and his/ her health practices in order to
provide the appropriate health teaching.
c. to detect, help, prevent and report communicable disease and give health teachings
regarding the prevention and control of disease.

Proper hand washing - an important procedure of the nurse during the home visits:

The community/Public Health Bag

an essential and indispensable equipment of the community health nurse

The inside surface - considered clean to make a non-contaminated work area of a CHN Bag?

important in the use of the bag technique during home visit

The bag should contain all necessary supplies and equipment ready for use to save time and
effort

Important points to consider in the use of bag technique:

a. The bag and its contents should be clean and ready to use
b. The bag and its contents should be protected from contact with any contaminated
items
c. The bag should contain all the necessary articles and supply that is ready for
emergency use
principles in planning a home visit
a. A home visit should have a purpose or objective.
b. The plan should revolve around family health needs
c. A home visit should be conducted in the manner prescribed by the RHU.

CONTRARY to the principles in planning a home visit:

a. Planning of continuing care should involve only on one family member

Most important principle of bag technique states that it

a. Should save time and effort.

Family Coping Index

Therapeutic Competence – Coping Index wherein the Family is able to demonstrate that the
members can carry out the prescribed procedures safely and efficiently, with the understanding
of the principals involved and with a confident and willing attitude.

Physical Competence – physiological limitation of a client

Coping deficit will be observe when:

a. the family is unable to cope with one and other aspect of health care

Health Attitudes - If the family accepts illness calmly and recognizes the limits it imposes while
doing all possible to effect recovery and rehabilitation.

Knowledge of Health Condition - when a client is non-compliant to medications and therapies

Use of Community Facilities - When the family Knows when and whom to call for help, is an
example of:
Physical Environment - An index that is concerned with the home, the community and the
work environment as it affects family health

Rate of 5 is given if - the family is able to handle the aspect of care and help from

Emotional Competence - unrealistic expectations

Physical Competence - area in family coping index where family is concerned with ability to
move about, to get out of bed, to take care of daily grooming.
Nursing needs - defined as the family has a health problem in which they are unable to cope
Point on a scale - A part of the Coping Index that guide and enable the student nurses to place
the family in relation to the ability to cope with the nine areas of family nursing.
Moderate competence - a score of 3 in a scaling point
Therapeutic Competence - a family carrying out some actions but not all of the treatments
Justification Statement - expressed in terms of behavior or observable facts rather than in
adjectives

Emotional Competence - An index that consider the needs and wishes of other family members,
of neighbor and those with whom they work and live in making decisions upon action

Behavioral or Observable Facts – Justification statements should be expressed and consists of

statements or phrases that explain why you have rated the family as they have

Family Coping Index - It is an alternative tool based on the premise that nursing action may
help a family in providing for a health need or resolving a health problem by promoting the
family’s coping capacity:

Stress Points - The family is unable to cope with their physical independence and unable to
cope with their health, the family is experiencing a:

To Cope If the family has the capacity to deal with health situation and the control with the
health competence of the family.

A nursing need is present when:

a. The family has a health problem with which they are unable to cope

Knowledge of Health Condition - the family is able to understand the health condition or
essentials of care according to the developmental stages of the family members

Therapeutic Competence - procedures or treatments prescribed for the care of illness, such as
giving medications, using appliances (including crutches), dressings, exercises and relaxation,
special diets:

Moderate Competence – When one member of the family is doing well in taking care of their
children and the other partner fails to do the same
Knowledge of Health Condition - When the client is strictly following his prescribed diet
recommended by his physician, and performing regular exercise fitted.

Family Living - one of the categories which reflects environmental factors that affects a family

DOH Programs
Maternal Health and Child Health Programs
a. Infant and Child health feeding
b. Milk Code
c. Expanded program on Immunization

Ligtas Tigdas Campaign - services being provided by reaching every barangay campaign as part of
Maternal health and Child Health:

Public health services are being provided by public health workers

a. Nurse,
b. Midwife
c. Doctor
d. BHW

Women and Men health program

a. Reproductive health
b. Health and development for older person
c. Women and child in special needs

Causes of Maternal death

a. Hypertension
b. Post-partum hemorrhage
c. Pregnancy in abortive outcome

10 women every day pregnancy related death cases

Maternal health
a. Pregnancy
b. delivery,
c. labor,
d. puerperium
Factors contribute Maternal Death
a. Frequent pregnancy
b. Poor access of health care facilities
c. Poor management of high-risk pregnancy

Overall Aim in Maternal Health

a. Promote and maintain health of women under fetus
b. Services through pregnancy, prenatal, natal, and post-natal

Basic Emergency Obstetric Care - Goals of effective Maternal Health Program Maintain good
health
Basic Emergency Obstetric Care - The strategic thrust for 2005-2010 is the creation and
launching of BEMOC
BEMOC strategy for families and community plan EXCEPT:
a. Childbirth and upgrading of technical capabilities of local health provider
b. Improve the quality of prenatal care and post-partum care

A pregnant mother/woman is required to have 4 prenatal check-ups

Family planning aims to contribute and to reduce:
a. Infant death, neonatal death
b. Under five death, maternal death

Rules of PHN on family planning

a. Provide counseling among clients
b. Provide health services
c. Ensure availability of family planning supplies

Rooming- In (R.A 7600) - Laws that protect infant and young child which requires both the public
and private health institution to promote Rooming- in is:
Target diseases for Expanded Program on Immunization
a. Tuberculosis, diphtheria
b. Pertussis, Tetanus
c. Measles, hepatiti

Malnutrition - The highest attributable factors of all childhood death in children below 5 years
old is.

Malnutrition continues to be a public health concern. The following are the common vitamin
deficiencies: Vitamin A, Iron, and Iodine
Programs and projects on Malnutrition
a. Micronutrient Supplements
b. Food Fortification
c. Essential maternal and child health services

Expanded Program on Immunization -a program implemented by distribution of Vitamin A

capsule through micronutrient supplement

Oral hygiene - basic personal measure to prevent and control tooth decay

According to Child Health Epidemiology Research Center the causes of death among children
under five years old in developing countries:
a. Pneumonia
b. Diarrhea
c. Measles

Ethical Consideration in Community Health Nursing/Health Laws

Republic Act 10121 - strengthen the Philippine Disaster Risk Reduction and Management System.

Policy Priority area no. 5 for PRRM

a. Reduction of underlying risk

examples of dangerous drugs

a. Opium, morphine
b. Heroin cocaine
c. Marijuana, shabu

Philippine Drug Enforcement Agency - An agency that serve as the implementing arm, take charge and
have custody of all dangerous drugs.

Republic Act 9262 or the Anti Violence against women:

a. Physical
b. Sexual
c. Psychological

functions to address violence against women

a. Institutes Policies and Program
b. Create and establish system of Investigation and Rescue
c. Undertake information, education and advocacy

What is RA 108 -m Children emergency relief and protection act

Children emergency relief and protection program shall be use as the basis for handling disaster and
other emergency situation to protect the following:
a. Children
b. Pregnant
c. Lactating mothers

government agencies involved in children emergency relief and protection act:

a. DSWD, LGU

considered a senior citizen in the Philippines

a. Any Filipino who is a resident of the Philippines and 60 years old

Republic Act 9211 known as the Tobacco Republic Act which regulates:
a. Regulating the packing and use of tobacco
b. Regulating the sale and advertisement of tobacco product
c. Regulating the distribution of tobacco

main thrust of Tobacco Act:

a. Promote a healthy environment
b. Inform the public of health risk associated with cigarette smoking and tobacco use
c. Regulate and subsequently ban all tobacco advertisement

Republic Act No. 7719 it aims to create

a. Create public consciousness on the importance of blood donation in saving lives of millions of Filipinos

Mission of the National Blood Services Act No. 7719 Blood safety
a. Blood adequacy
b. Efficiency of blood services