Home visit in community health nursing

The community health nurse work with families is in different settings including clinics, schools, support groups, office and the family home. Home visits give a more accurate assessment of the family structure and behavior in the natural environment Home visits also provide opportunities to observe the home environment and to identify barriers and support for reaching family health promotion goods. Health services in the home requires technical skills, knowledge of preventive and therapeutic measures, teaching ability, judgment and a full understanding of human relations Home visit refers to meeting the health needs of people at their doorsteps. Health services given at home for patient, family and the community in general for nursing service and health counseling CONCEPTS OF HOME VISITING • Home visiting provides opportunity to make direct observation on home environment, family structure, familial roles and relationships, life style, cultural practices, group dynamics, etc. and make family health assessment. • In home visiting the members are relaxed, have more time and privacy and feel free to raise questions, seek clarifications and sort out their problems • It provides opportunities to make direct observation of care given by family members in planning and implementing family health care services • It provides opportunities to contact and interact with most of the family members and establish report with the family as a whole • It also make possible to have active pa...

Clinic Visit • process of checking the client’s health condition in a medical clinic Home Visit • a professional face to face contact made by the nurse with a patient or the family to provide necessary health care activities and to further attain the objectives of the agency Bag Technique • a tool making of the public health bag through which the nurse during the home visit can perform nursing procedures with ease and deftness saving time and effort with the end in view of rendering effective Thermometer Technique • to assess the client’s health condition through body temperature reading Nursing Care in the Home • giving to the individual patient the nursing care required by his/her specific illness or trauma to help him/her reach a level of functioning at which he/she can maintain himself/herself or die peacefully in dignity Isolation Technique in the Home • Separating the articles used by a client with communicable disease to prevent the spread of infection: • Frequent washing and airing of beddings and other articles and disinfections of room • Wearing a protective gown, to be used only within the room of the sick member • Discarding properly all nasal and throat discharges of any member sick with communicable disease • Burning all soiled articles if could be or contaminated articles be boiled first in water 30 minutes before laundering Intravenous Therapy • Insertion of a needle or catheter into a vein to provide medication and fluids based on physician’s written presc...

With the advent of effective home health programs, an increasing proportion of medical care is being delivered in patients' homes. Since the time before World War II, direct physician involvement in home health care has been minimal. However, patient preferences and key changes in the health care system are now creating an increased need for physician-conducted home visits. To conduct home visits effectively, physicians must acquire fundamental and well-defined attitudes, knowledge and skills in addition to an inexpensive set of portable equipment. “INHOMESSS” (standing for: immobility, nutrition, housing, others, medication, examination, safety, spirituality, services) is an easily remembered mnemonic that provides a framework for the evaluation of a patient's functional status and home environment. Expanded use of the telephone and telemedicine technology may allow busy physicians to conduct time-efficient “virtual” house calls that complement and sometimes replace in-person visits. The low frequency of home visits by physicians is the result of many coincident factors, including deficits in physician compensation for these visits, time constraints, perceived limitations of technologic support, concerns about the risk of litigation, lack of physician training and exposure, and corporate and individual attitudinal biases. Physicians most likely to perform home visits are older generalists in solo practices. Health care providers who have long-established relationships wit...

Home Visiting Home visiting is the back bone of all MCH services. Purposes · To carry out simple nursing care in home. · For the prevention of disease · promotion of health of the members of the family. · To investigate the service of an infection disease · To make use of the inter – referral system Principles Of Home Visiting · Based on the needs of the people. · Planned prior to the visit · Collect the background information regarding the family and community (family size, occupation, income religion, resources, customs and culture). · Identify the health problems of the family. · Use safe technical skills and nursing procedures. · In health teaching be sure of what you teach to the family. · Be kind and courteous to the family will help to gain the confidence. Planning And Evaluation Of Home Visit The purpose of planning is to achieve definite objectives within a specified time and with the available resources. · First make survey and prepare a map of the area with following details a. Topography(Area Map) b. Location of the village c. Population d. roads · Prepare the family folders and individual cards with adequate information. · Identify the families or individuals in need of home visiting e.g. Antenatal, postnatal, toddlers, infants, sick and those who are not in a position to reach the health care settings. · Treat minor illness with the help of community bag. Refer if necessary. · Follow up to find out how far the instructions given were followed. · Evaluation - ...

Provided photo. In the upcoming years, experts are preparing to see a pronounced shift in the supply and demand ratio of 1 More patients are choosing virtual care models, and the need for in-home care is increasing as 2 Most assume nurses will fill that need as that profession has monopolized home care models for decades. That is no longer the only option. Amid this supply and demand asymmetry, an unlikely hero is emerging to fill this need within Carle Regional EMS’s system, located in Urbana, Illinois. The Mobile paramedic services showcase a variety of skill sets dependent on their goal and mission in addition to their training and experience level. Most provide services to underserved populations and do home visits for wellness checks, BLS calls, and simple health assessments. It is easy to forget that paramedics have the training and experience to be more comfortable in the home care environment than many other healthcare professionals. As traditional resources dwindle in city and rural environments, tapping into the prehospital realm has become part of a more comprehensive access solution. Arrow’s MIH program demonstrates that focused collaboration with members of a dynamic healthcare team elevates patient care and outcomes to the next level. When designing the outreach program for the MIH program, Coordinator Zach Green, EMT-P, and Medical Director Dr. William Weir decided against a general approach and instead focused on a singular goal: CHF patient readmission rat...