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Community Health Nursing 1: Home Visits and Bag Technique

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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

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