Home Visit - 5

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Disadvantage:

 Travel time is costly.


 Less efficient for nurse that working with
groups.
 Difficult to deal with emergency cases.
 Difficult to control distraction such as noisy
children, television.
 Clients may be resistant or fearful for the
intimacy of home visits.
 Nurse safety can be an issue.
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Nurse – Family Relationship
Principle of nurse – client relationship with
family
1. By definition, the nurse focuses on the family.
2. The health focus can be on entire spectrum of
health needs and all three level of prevention.
3. The family retains autonomy in health-related
decision. (family member participation in
home care rather than depended on nurse)
4. The nurse is a guest in the family's home.
2
Phases of Relationships
1. A pre – initiation or Preplanning Phases:
The methods consist of through preparation and
assimilation of all data before making the visit.
 Reading of family folder in order to become familiar
with family and the unique consideration of cultural,
ethics, religious and social condition.
 Talking with other nurses who know the family, also
helps the nurse to form a mental image of the family
 When family has a telephone can arrange for visit at
appointed time.
2. An initiation or Introductory Phases.
3. Working Phases.
4. Termination or Ending Phases. 3
Phases of Home Visit:
1. Preplanning
2. Initiation
3. Implementation
4. Termination
5. Post home visit and preplanning

4
Nursing activities during three phases of home visit
Initiation phase of home visit
1. Knock on the door and stand where you can observed.
2. Identify self as name, the nurse from , name of the
agency.
3. Ask for person to whom where you refereed.
4. Observed environment as regards your own safety.
5. Introduce yourself to these presents and acknowledge.
6. Sit where family direct you.
7. Discus purpose of the visit or service to be provide.
8. Have permission forms to initiate services.
5
Implementation phase of home visit
1. Complete health assessment database for the
individual client.
2. On return visit assess for changes since the
last encounter, explore that family was able to
follow up on plans from previous visit,
explore barriers if follow up did not occur.
3. Wash hand before and after conducting any
physical assessment and direct physical care.
4. Conduct physical assessment as appropriates
and perform direct physical care. 6

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