Home Visit Record (HVR) #2: Baseline of Data

HOME VISIT RECORD (HVR) #2
Name: Phoebe Lynn S. Posecion

Year and Section: BSN2C
BASELINE OF DATA:
Name: Mona Carbonel Age: 46 years old_ Sex:_F___

Address: Purok Balabag, Hacienda Sto. Domingo, Brgy. Granada
Date of Visit: September 9, 2021 (Thursday)
OBJECTIVES PLAN OF ACTIVITIES EVALUATION

After three days of After three days of
Nurse-Client Nurse-Client
interaction, the client interaction, the client
will be able to: will be able to:
1. Acknowledge the  Greet the family of  Identifying the
student nurse by the client and name of the
knowing her name introduce self student nurse and
and know the politely recognize the
purpose of the  Inform family purpose of today’s
home visit. The about the purpose activity. The client
client will also be of the home visit. was able to
able to establish  Speak in a well- establish rapport
rapport against the modulated voice by listening and
student nurse. and use simple acknowledging the
language adapted student nurse in
to the family’s her home
level of
understanding GOAL MET
2. To understand her  Prepare and  Cooperate with the

body more by perform bag student nurse
knowing what is her technique when the vital
vital signs  Take the vital signs are being
signs of the client taken and
 Document the acknowledge the
findings results as
evidenced by her
verbalization “ Dali
lang kwaan taka
gamay na lamesa
para sa bag mo…..
Mayo kay normal
lang man akon
nga temperature”
GOAL MET
3. Cooperate in the  Explain what is  Determine the
Alay Linis alay linis to the importance of
community activity client cleanliness in the
 Explain the surroundings and
purpose of alay participate in the
linis to the client alay linis
 Teach the client community activity
how to maintain by performing the
the cleanliness of activities that was
the surroundings been instructed
 Teach the client and guided by the
what products or student nurse with
materials is safe a verbal evidence
as a cleaning of “Gani man
material importante gid nga
 Allow the client to limpyo ang atun
perform the palibot….. salmat
activities with my gd nurse phoebe
assistance nag tinlo nagid
amon balay”
GOAL MET
4. Cooperate and state  Explain the  Cooperate with the

to the student nurse purpose of the student nurse and
all the necessary worksheet to the know what is the
information needed client overall status of
for Worksheet C  Ask the client their health and
permission for the the possible
Interview threats as a verbal
 Interview the evidence of “ Oo
client based on nurse kalain man
the questions on gid tuud sa cabinet
worksheet C lang namon
 Gather all data nabutang amon
necessary for the pagkaon pero kay
worksheet wala gd kami bi
ref”
GOAL MET
5. Comprehend about  Explain the  Determine the
the topic for the objectives of the causes, forms,
health teaching plan health teaching signs and risks of
which is Self-  Explain what is self-medication
medication. health teaching and find ways on
 State the causes how to cope up a
of self-medication healthy way with
 State what are the the evidence of
forms of self- “Delikado man gd
medication gali kung ga
 Explain the signs mato2 ka, ma
and risks of self- amat-amat nako
medication pundo sa akon
 Inform the client bisyo nga pag
about self-help inom kag
tips in self- panigarilyo”
medication.
GOAL MET
6. Participate and  Invite the client to  Recognize the

cooperate in our participate in the time, date and
culminating activity culminating venue of the
activity culminating
 Ask for client’s activity and
availability participate in the
 Explain the whole activity with
purpose and the verbal
importance of the evidence of
culminating “Manghimos ko
activity aga pa para
 Inform the client kakadto ko tu sa
that the sabado timprano .
culminating Mamati gid ko
activity will be sang mayo ah,
held at September Salamat gd”
25,2021 around
8:00 am at their GOAL MET
barangay’s
basketball court
 Inform the client
to arrive early
because of the
registration
process
 Encourage
participation in the
culminating
activity
7. Express her  Inform the client  Share her thoughts
thoughts all through about my last visit regarding the
out the home visit  Remind the client home visit and
and acknowledge to apply all the anticipate my next
that the culminating teachings and tips visit for the next
activity is our last that was done in semester with the
visit for the the activity. verbal evidence of
semester  Inform the client “Salamat gd sa
that I will be back tanan2 nurse
next semester phoebe. Mahulat
gid kami sa dason
mo na pagbalik”
GOAL MET
_______________
Student’s Signature Client’s Signature

Home Visit Record (HVR) #2: Baseline of Data

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Home Visit Record (HVR) #2: Baseline of Data

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HOME VISIT RECORD (HVR) #2

Name: Phoebe Lynn S. Posecion

Name: Mona Carbonel Age: 46 years old_ Sex:_F___

OBJECTIVES PLAN OF ACTIVITIES EVALUATION

2. To understand her  Prepare and  Cooperate with the

4. Cooperate and state  Explain the  Cooperate with the

6. Participate and  Invite the client to  Recognize the

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