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    PHASES OF HOME VISIT-ncm 104

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    Jmarie Brillantes Popioco
    The document outlines the phases and principles of conducting a home visit: 1. The previsit phase involves contacting the family to set up the appointment and plan for the visit. 2. The in-home phase begins when the nurse enters the home and conducts an assessment, provides care and education, and sets up follow-up. 3. The postvisit phase involves documenting observations from the visit and planning for any subsequent visits. The overall goal is to accurately assess the family's needs and provide therapeutic nursing care in their home.

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    PHASES OF HOME VISIT-ncm 104

    Uploaded by

    Jmarie Brillantes Popioco
    5K views16 pages
    The document outlines the phases and principles of conducting a home visit: 1. The previsit phase involves contacting the family to set up the appointment and plan for the visit. 2. The in-home phase begins when the nurse enters the home and conducts an assessment, provides care and education, and sets up follow-up. 3. The postvisit phase involves documenting observations from the visit and planning for any subsequent visits. The overall goal is to accurately assess the family's needs and provide therapeutic nursing care in their home.

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    PHASES_OF_HOME_VISIT-ncm_104

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    The document outlines the phases and principles of conducting a home visit: 1. The previsit phase involves contacting the family to set up the appointment and plan for the visit. 2. The in-home phase begins when the nurse enters the home and conducts an assessment, provides care and education, and sets up follow-up. 3. The postvisit phase involves documenting observations from the visit and planning for any subsequent visits. The overall goal is to accurately assess the family's needs and provide therapeutic nursing care in their home.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5K views16 pages

    PHASES OF HOME VISIT-ncm 104

    Uploaded by

    Jmarie Brillantes Popioco
    The document outlines the phases and principles of conducting a home visit: 1. The previsit phase involves contacting the family to set up the appointment and plan for the visit. 2. The in-home phase begins when the nurse enters the home and conducts an assessment, provides care and education, and sets up follow-up. 3. The postvisit phase involves documenting observations from the visit and planning for any subsequent visits. The overall goal is to accurately assess the family's needs and provide therapeutic nursing care in their home.

    Copyright:

    © All Rights Reserved
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    The key takeaways are that home visits involve several phases - previsit, in-home, and postvisit phases. During the planning phase, principles like having a purpose for the visit and flexibility should be considered. The purposes of home visits include assessment, education, and providing supplemental care and access to resources.

    The three phases of a home visit are the previsit phase, the in-home phase, and the postvisit phase. The previsit phase involves planning and setting up the visit. The in-home phase involves initiation, assessment, care provision, and termination. The postvisit phase involves documentation.

    Principles that should be considered when planning a home visit include having a purpose for the visit, using all available information about the family, focusing on the family's needs, involving the family in planning, and ensuring flexibility and adaptability based on the actual family situation.

    PHASES OF HOME VISIT

    A.PREVISIT PHASE

    vThe nurse contacts the family,


    determines the family’s
    willingness for a home visit
    and set appointment with
    them.
    vPlan for home visit is
    formulated
    PRINCIPLES IN PLANNING FOR HOME VISIT

    • Being a professional contact with the family, the home


    visit should have a purpose. Although the nurse is a
    guest in the family’s home, the visit is not for social
    reasons and should be therapeutic.
    • Use information about the family collected from all
    possible sources, such as records, other personnel
    and/agency or previous contacts with the family. All
    available information is used to determine and analyze
    the family situation.
    • The home visit plan focuses on identified
    family needs, particularly needs recognized by
    the family as requiring urgent attention. Based
    on information about the family, the nurse
    considers what is expected of him or her such
    as care of postpartum and her newborn
    baby/care of a sick/disabled family member.
    • Continuing care for a
    client who needs it will
    be provided by the client
    and/ responsible family
    members. Therefore, the
    client and the family
    should actively
    participate in planning
    for continuing care.
    • It is seldom that the nurse has up-to-date,
    accurate and all necessary information about
    the client and family. The plan should be
    practical and adaptable considering the actual
    family situation and the resources available to
    the nurse and family. Flexibility is important in
    working with families because the nurse will
    not know the family’s priority needs until the
    home visit.
    PURPOSES OF HOME VISIT
    • To have a more accurate assessment of the
    family’s living conditions and adapt interventions
    accordingly.
    • To educate the family about measures for
    health promotion, disease prevention and control
    of health problems.
    • To prevent the spread of infection among family
    members and within the community.
    • To provide supplemental interventions for the sick,
    disabled or dependent family member and whenever
    possible guide the family on how to give care in the
    future.
    • To provide the family with greater access to health
    resources in the community by establishing a close
    relationship with them, providing information and
    making referral as necessary.
    • Before leaving the health facility, the nurse should check
    the contents of the nursing bag and other articles she
    needs in order to carry out the home visit efficiently and
    safely. It is important that the nurse comply with practices
    and policies for personnel safety, such as informing the
    other personnel of his/her itinerary. The “buddy system” is
    suggested for nursing students and personnel new to the
    service. The buddy may be another student, health
    professional, or a member of the community such as
    BHW.
    • In the absence of a buddy, however, it is
    important that the nurse makes a spot map
    of the house for visiting and identify with
    other members of the health team of the
    time that one is expected to be back to the
    health care facility. This will assist the
    colleagues in determining whereabouts of
    the nurse in case she is not back as
    indicated.
    B.IN-HOME PHASE

    - begins as the nurse seeks


    permission to enter and
    lasts until he /she leaves
    the family’s home.
    • 1.INITIATIION: It is customary to knock/ring the
    doorbell and at the same time in a reasonably loud
    but nonthreatening voice say, “Tao po. Si Maria po
    ito, nurse sa health center”, or a similar greeting in
    vernacular or some other language common to the
    nurse and the family.
    • 2.IMPLEMENTATION - involves the application of the nursing
    process - assessment, provision of direct nursing care as
    needed and evaluation.
    • Assessment consists of techniques such as interview,
    physical examination and simple simple diagnostic
    examinations that can be done at home (capillary blood
    glucose determination). It includes observation of family
    dynamics and family’s physical environment.
    • The Family Assessment Formis used as a guide for this
    purpose.
    • Physical care, health teachings and
    counseling are provided to the
    family as needed/according to plan.
    If the family needs further services
    that the nurse and his/her agency
    cannot provide, the nurse explores
    with the family other community
    facilities that the family can
    referred to.
    3 . T E R M I N AT I O N - c o n s i s t s o f
    summarizing with the family the
    events during the home visit and
    setting a subsequent home
    visit/another family-nurse contact
    such as a clinic visit. If necessary,
    the nurse may also use this time to
    record findings such as vital signs
    of family members and body weight.
    • C.POSTVISIT PHASE - takes place when the nurse has
    returned to the health facility.
    - it involves documentation of the visit during which the
    nurse records events that transpired during the visit,
    including personal observations and feelin- If
    appropriate, a referral may be made

    - If subsequent visit has been set, planning for the next


    visit is done at this time

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