Lecture Title” “
Home visit
“Course Name”
Community Health Nursing
Course coordinator : Asmaa kamal Mahfouz
Home visiting evaluation
Home visit
Course coordinator : Asmaa kamal
Mahfouz
2
After completion the lecture the students
enable to:
Define the home visit
Describe objectives of the home visit
Mention the purpose of home visit
Discuss phases of home visit
Explain the Advantages and disadvantage of home visits
3
Introduction
The home visit is a family-nurse contact which allows the
health worker to assess the home and family situations in
order to provide the necessary nursing care and health
related activities.
In performing this activity, it is essential to prepare a plan
of visit to meet the needs of the client and achieve the best
results of desired outcomes.
4
Introduction
Definition of home visit
Home visit refers to meeting the health needs of people at their
”doorsteps
Home Visit is a process of providing nursing care to people at “
”their door step
The community health nurse doing home visits usually works as
part of a home health care team that can includes social workers,
rehabilitation specialists, and home health nurses or aides.
Cooperation and communication with other care providers are
essential.
5
Objectives of the home visit:
Assessment
Nursing care
Treatment
Health education
Referral (if care fails)
6
ASSESSMENT
Use of acute observation skill.
Purpose of the H/visit .
begin to identify family strengths & health needs,
coping home environment. abilities,
Use of assessment tools, (interviewing ,observation,
questionares, or checklist).
assessment tools remind the nurse about areas to explore
with the family
Nursing diagnosis & planning care
On the basis of assessment -establish the nursing
diagnosis for the entire family/ individuals within
the family
long term/short term goals established within the
family:
strengths/weakness of family ,
expected outcomes, including measurable results
within a specific time frame
Intervention
Begins with the first visit.
Decisions are made in the planning process.
Prioritize health needs : deal with important ones
first. (this is the responsibility of both the client the
nurse).
Family members can absorb limited information only.
Arrange for second visit,
Include family members in the care of the client.
Evaluation.
Ongoing process.
The nurse & the family must continually assess the
progress of the family towards achievement of expected
outcomes.
Consider modifications to the plans.
Purpose of home visit
To give care to the sick, to a postpartum mother and her newborn with the
view teach a responsible family member to give the subsequent care.
To assess the living condition of the patient and his family and their
health practices in order to provide the appropriate health teaching.
To give health teachings regarding the prevention and control of diseases.
To establish close relationship between the health agencies and the public
for the promotion of health.
To make use of the inter-referral system and to promote the utilization of
community services
11
Principles involved in preparing
for a home visit
A home visit must have a purpose or objective.
Planning for a home visit should make use of all available
information about the patient and his family through family
records.
In planning for a home visit, we should consider and give priority
to the essential needs if the individual and his family.
Planning and delivery of care should involve the individual and
family.
The plan should be flexible.
12
Guidelines to consider regarding
the frequency of home visits
1. The physical needs, psychological needs, and educational needs of the
individual and family.
2. The acceptance of the family for the services to be rendered, their interest and
the willingness to cooperate.
3. Take into account other health agencies and the number of health personnel
already involved in the care of a specific family.
4. Careful evaluation of past services given to the family and how the family avails
of the nursing services.
5. The ability of the patient and his family to recognize their own needs, their
knowledge of available resources and their ability to make use of their resources
for their benefits.
13
Steps in conducting home
visits
Greet the patient and introduce yourself.
State the purpose of the visit
Observe the patient and determine the health needs.
Put the bag in a convenient place.
Perform the nursing care needed and give health teachings.
Record all important date, observation and care rendered.
Make appointment for a return visit.
14
Steps/ process/ components of home visiting
Advantages of home visits:
A. These visits cost less than hospital care, with better outcomes, especially
when chronic health issues are involved.
B. Clients have greater control over their health and lives.
C. The community health nurse gains access to families to provide health
education and other prevention strategies.
D. The nurse can observe family and environment factors that influence health.
E. Home visits allow for primary intervention, to prevent disease or injury
from occurring.
F. Home visits facilitate family participation and promote family focus.
16
Disadvantages of home visits:
A. Home visits are time consuming; travel time is required to get to the
persons needing care.
B. There is no easy access to emergency equipment or consultation with other
health professionals if needed.
C. Home visits may present issues regarding the nurse personal safety in
some community or family settings.
D. The nurse has less control over the care setting (for example, cleanliness,
noise, privacy, or distractions).
17
Community health nurse bag
• Requirements include equipment for basic assessment, medical
asepsis, and waste disposal.
• These precautions must be followed to avoid contamination from
blood, body secretions, excretions, or contaminated items.
- Wash hands
- Use gloves.
- Wear eye and face protection
- Wear gown
- Handle client care equipment carefully.
- Clean environmental surfaces.
- Use proper sharps disposal container.
18
The three most common
intervention in home health care
include:
a.Helping families deal with stress created by health problems.
b.Making referrals for community services.
c.Teaching and educating clients, with the focus on strengths
rather than weakness.
19
Evaluation is the ongoing process that continually assesses clients
progress toward expected outcome.
Termination of home visits occurs when both client and nurse are
satisfied that goals have been met or that appropriate referrals have
made.
Telemedicine: which use phone and computer technologies to
monitor clients and provide care without the nurse making a home
visit.
20
References
Community/Public Health Nursing:
Promoting the Health of Populations 9th Edition
by Chrie Rector , PhD , RN , PHN professor
Emeritus Department of Nursing, California State
University , Bakersfield. (Author,2020)
