Today our topic of discussion is Steps in Home Visiting.
Steps in Home Visiting
Steps in Home Visiting
Initial phase: The community health nurse should collect information from clinical and other records before planning for a visit. During home visit, she has to assess or observe and make a note in initial visit.
The community health nurse should introduce and establish a friendly relationship by using simple language. Assess physical and environmental status, family’s cultural background, occupation and income of family members, age, educational factors and psychological factors influences.
Action phase: The interpersonal relationship starts when nurse enters into the house. The nurse should use ther effective communication skills to implement the nursing process. During home visit, nurse practice a variety of roles when interviewing in patient care.
The community health nurse has to take a role as collaborator, consultant, co-coordinator, preventor of disease, promoter of health, health educator and an epidemiologist, and takes steps to implement nursing process.
During action phase the community health nurse provides nursing care, e.g. taking temperature, physical examination and dressing, etc. Demonstrating and teaching, eg, teaching insulin self-administration. She makes diagnosis and tentative nursing care plan based on establishing priorities.
Termination phase: Nurse-patient goals are reached. health is restored and the patient can function without actions. The nurse records the important events in the family and reports the problems of the family. Evaluation of home visit is a continuous process.
Advantages of Home Visit
- The nurse can directly observe home and family atmosphere.
- The nurse can directly observe the care given to patient by the family members
- It is possible to discover new health problems
- The family members will be more relaxed in their own surroundings
- The family gains confidence and feels to clear their
- This helps to apply the gained knowledge and skills in the homes assisting and solving individuals and families health problems.
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