Home visits by community health nurses aim to promote family health. Advantages include assessing the home environment, identifying needs, and teaching family members. Disadvantages include costs and distractions. Home visits have three phases - pre-visit planning, the in-home visit where the nurse assesses needs and provides care and education, and post-visit documentation. Nurses carry a bag containing supplies for infection control, assessment, and care. The bag technique helps provide care safely while maintaining infection control.
Home visits by community health nurses aim to promote family health. Advantages include assessing the home environment, identifying needs, and teaching family members. Disadvantages include costs and distractions. Home visits have three phases - pre-visit planning, the in-home visit where the nurse assesses needs and provides care and education, and post-visit documentation. Nurses carry a bag containing supplies for infection control, assessment, and care. The bag technique helps provide care safely while maintaining infection control.
Home visits by community health nurses aim to promote family health. Advantages include assessing the home environment, identifying needs, and teaching family members. Disadvantages include costs and distractions. Home visits have three phases - pre-visit planning, the in-home visit where the nurse assesses needs and provides care and education, and post-visit documentation. Nurses carry a bag containing supplies for infection control, assessment, and care. The bag technique helps provide care safely while maintaining infection control.
Home visits by community health nurses aim to promote family health. Advantages include assessing the home environment, identifying needs, and teaching family members. Disadvantages include costs and distractions. Home visits have three phases - pre-visit planning, the in-home visit where the nurse assesses needs and provides care and education, and post-visit documentation. Nurses carry a bag containing supplies for infection control, assessment, and care. The bag technique helps provide care safely while maintaining infection control.
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COMMUNITY HEALTH NURSING 1
HOME VISITS AND BAG TECHNIQUE
HOME VISIT- A PROFESSIONAL, PURPOSEFUL INTERACTION THAT TAKES PLACE IN THE FAMILY RESIDENCE.
• -aimed at promoting , maintaining or restoring the
health of the family and its members. • Advantages: • 1. assessment of home situation; family dynamics, environment affecting health, resources within the home • 2. seek out previously unidentified needs • 3.adapt interventions accdg to family resources • 4. promote family participation and focuses on the family as unit of care • 5 teaching family members in the home is made easier • 6. gives the family a sense of confidence in themselves and in the agency DISADVANTAGE OF HOME VISIT-
• 1.Cost related to time and effort
• 2. Unable to control environment • 3.More distractions in the home • 4. Nurse safety may also be a concern PHASES OF HOME VISIT
• I. Pre-visit phase- planning process is done in this
phase • Principles in planning a home visit. • 1.. home visit should have a purpose a. Assess accurately family’s living conditions b. Educate the family members c. Prevent the spread of infections- family and community d. Supplemental interventions- sick , disabled, dependent family member e. Provide greater access the health resources PRINCIPLES IN PLANNING A HOME VISIT.
• 2. Use information about the family collected from all
possible sources • 3. plan focuses on identified family needs particularly needs recognized by the family requiring urgent attention • 4. client and family actively participate in planning for continuing care • 5. plan should be practical and adaptable • Nurse should be prepared before home visit. • A. nursing bag –complete • B. comply with practices and policies- inform personnel • C. buddy system is suggested D. NURSE SHOULD INFORM THE FAMILY TO BE VISITED
• II. In-home phase- nurse seeks permission to enter
• A. Initiation- • B. implementation- involves • > assessment , physical care, nurse evaluates with the family what they have accomplished during the visit C. Termination- summarizing what was done , recording • III. Post-visit phase –nurse has returned to the clinic, documentation what transpired during the visit, personal observation and feeling of the nurse. Recording to help other members of the health team understand the family for continuity of care, NURSING BAG OR PHN BAG
• Contents of the PHN bag;
• 1. articles for infection control • 2. articles for assessment of family members • 3. articles for nursing care- sterile items, clean items piece of paper for lining PRINCIPLES IN THE USE OF THE NURSING BAG;
• 1. bag technique helps the nurse in infection
control • 2 allows the nurse to give care efficiently • 3. should not take away the nurse’s focus on the patient and the family • 4. may be performed in different ways ACTIVITIES OF THE NURSE IN INFECTION CONTROL DURING THE HOME VISIT.
• >start from clean to contaminated
• > contents of bag should be well protected from contact with any articles in the patient’s home • >line the table/ flat surface with a paper or washable protector • >wash hands before and after assessment and care • > bring only articles needed in the care of family • >do not put family articles on the paper lining • >wash articles is possible before returning to you bag • >after using the apron fold it with contaminated side inward • >wash the inner cloth lining of the bag as necessary