COLLEGE OF MEDICAL SCIENCES

NURSING DEPARTMENT

COMMUNITY HEALTH NURSING

PHASES OF THE HOME VISIT

BY : SAAD MESFER ALI ALKHATHAMI SUPERVISION OF :DR.D.V.SWAMMY

ACADEMIC NO : 438800131
OBJECTIVE

 Introdaction
 Meaning &Definition
 Purposes
 Phases of Home Visit
 Introduction to the family, or social phase.
 Preparation phase for the visit.
 Nurse's behavior in the home.
 Implementation phase: taking actions to meet the identified needs.
 Closing phase.
 Documentation phase.
 Research Article
 Conclusions & results
 Reference
INTRODUCTION

the home visit is one of the most important aspects of community health services. and It is
the backbone of community health nursing.
the Home visiting is very essential and important aspect to the community health services,
because majority of the patients are found in the home.
and The home is utilised for many reasons in relation to the health of the family. The home
is also utilised frequently to provide nursing services.
but The services in the home requires technical skills, knowledge of preventive and
therapeutic measures, teaching ability, judgement and a full understanding of human
relations.
 MEANING & DEFINITION

Meaning Definition
 Home visit means visiting the family at their  It is defined as providing the services to family
place to assess the health needs, to provide at their door step to maintain the health & to
services such as preventive, promotive , reduce the mortality & morbidity in family.
curative or rehabilitative services at their
door step by the community health nurse or
health workers.
PURPOSES

 Protection against diseases.

 Providing essential treatment.
 Providing comfort and relief from pain to the patient.
 Giving a support and empathy to the patient and his family.
 Using domestic equipment for the nursing.
 Providing health education.
PHASES OF HOME VISIT

 Introductory/ Social Phase or Initiation Phase

 Preparatory phase of the visit or Pre-visit Activities

 Implementation phase of the visit or Activities during Home Visit

 Closing phase of the home visit or Termination Phase

 Documentation phase of the visit or Post-visit Activities

INTRODUCTORY/ SOCIAL PHASE

In the introductory or social phase, the nurse should:

 State her name clearly and that of the health facility.
 Explain the reason for the visit and source of referral for the visit.
PREPARATORY PHASE OF THE VISIT
 Collect data about the mother/newborn' needs and problems.
 Review the family file, and records to understand the family's condition.
 Discuss the case with other health team members who are concerned with the family's health care.4
 Communicate with other community agencies or leaders about the family to be visited.
 Identify the client's needs (physical, emotional, medical, developmental, dietary, and educational).
 Review previous interventions for the problems and needs identified.
 Set priorities according to the impact of the problem.
 Plan for nursing intervention according to the problems identified.
 Prepare equipment and supplies needed to implement the planned interventions
NURSE'S BEHAVIOR IN THE HOME:

 When entering a home, the nurse should:

 Choose a suitable time.
 Be respectful to all members of the family.
 Establish rapport with the family. Be tactful.
 Be natural. Be observant.
 Be alert for the health and welfare of all family members
 Use indirect questioning.
 Answer questions clearly.
 Teach by demonstration.
 Never talk to other people about what goes on in a house.
 IMPLEMENTATION PHASE OF THE VISIT

 The nurse should first introduce herself to each member of the family, shake hands.
 Efforts should be made to assist all members of the family to feel comfortable and relaxed.
 The nurse should state the purpose of the home visit clearly and ask family members to correct or
add to the information according to their individual understanding.
 The nurse should talk directly to each individual member of the family in a way that communicates
that each one is valued.
 Clear questions must be asked and family members are expected to give clear answers. When
answers are vague, the nurse should seek clarification until the answer is clear.
 The nurse should always be a model of confidence.
 She should collect any necessary additional data about the family.
 She should identify any new problems that may have developed.
 CONT…

 Work at mutual goal setting for solutions to any identified problem with the client and family.
 Restructure priorities based on new data.
 Utilize the bag technique for carrying out the practical part of the home visit such as physical assessment, baby
weighing, checking vital signs, and the home assessment checklist.
 Use home facilities as much as possible.
 Implement nursing interventions as planned, or modify the plan as the situation dictates.
 Refer to community health facilities and resources if needed.
 Evaluate the effectiveness of the nursing interventions in terms of the client's response.
CLOSING PHASE OF THE HOME VISIT

 Terminate the visit with a brief review of the important points made.
 Stress the positive aspects, emphasizing family strengths.
 Repeat the plans the client and family will carry out in the nurse's absence.
 The nurse and the family schedule the next visit together. This includes establishing a date and time
convenient for the family and the nurse.
DOCUMENTATION PHASE OF THE VISIT:

 If the visit is not recorded, it has not been made.

 Accurately record the problems and needs that have been identified, interventions employed, and
their effectiveness. Include future plans and recommendations for subsequent home visits.
 When visual aids have been used during the visit, the name of any pamphlet, guide or aid should be
recorded.
 The appropriate use of the patient and family record enables the nursing staff to provide continuity
of care in the case of vaccinations, emergencies or staff absences.
 The record is frequently used as a supervisory tool. It is helpful in reviewing and tracing the nurse's
professional growth and development, and to determine the needs for additional help in working
with families
RESEARCH ARTICLE :”HOME VISIT”

Over the past decade, a body of qualitative research has been developed which describes the home
visiting practice of public health nurses (PHNs) to maternal-child clients.This article reports a
synthesis of these studies.The purpose of the synthesis was to identify common elements and
differences between the research reports that would lead to theory development or support of
existing theories. Methods were based on Miles and Huberman's (1994) text on qualitative data
analysis. Results of the synthesis indicated that building and preserving relationships with the client is
the central focus of home visiting and provides a foundation for problem identification and problem
solving. Clients control access to their homes as well as the information they are willing to share with
the nurse.The goals of home visiting relate to empowering mothers, supporting their independence
and decision making. Similarities to Peplau's theory of Interpersonal Relations and Cox's Interaction
Model of Client Health Behavior (IMCHB) are noted.
 CONCLUSIONS & RESULTS
Conclusions
 Home visitation by paraprofessionals is an
intervention that holds promise for disease high-
risk families . Initiating the intervention and
increasing the number of visits improves
development and health outcomes for particular
groups of patients. Future studies should
consider what dose of the intervention is most
beneficial and address retention issues.
Results
 Studies that scored 13 or greater out of a total
of 15 on the validity tool (n = 21) are the focus of
this review. All studies are randomized
controlled trials and most were conducted in the
United States. Significant improvements to the
development and health as a result of a home-
visiting program are noted for particular groups
However, overall home-visiting programs are
limited in improving the lives of socially high-risk
children who live in disadvantaged families.
REFERENCE

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Retrieved from https://www.parinc.com/Products/Pkey/332.
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AAPI-2: Administration and development handbook. Retrieved
from http://www.nurturingparenting.com/ValidationStudiesAAPI.html.
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abuse screening tests among adolescent medical
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