SISTER NIVEDITA GOVERNMENT

NURSING COLLEGE

INDOOR REPORT ON

COMBINED VISIT REPORT

SUBMITTED TO SUBMITTED BY

MRS. RANJANA VERMA SHIVANI

CI CUM ST MSC (N) 1ST YR
SNGNC, IGMC, SHIMLA SNGNC, IGMC, SHIMLA
CHESHIRE HOMES INDIA- DELHI UNIT

INTRODUCTION
I Neha Choudhary student of Msc Nursing 1st year visited the Cheshire Home Delhi Unit on
15th Jan 2019 along with my 4 other group mates as per the criteria of Community Health
Nursing. We learnt various new things about the Cheshire Homes and the services provided
by them. The head of the department Mr. Vinod Verma welcomed us and gave us the
orientation of the Cheshire Home. We met the residents of the Cheshire home and talked to
them.
OBJECTIVE:
The main objective of the visit was to know about the care provided to the special persons
with disabilities. To know about their life style and services provided to them in the Cheshire
Home, how they are taken care by various health care providers. To know about the
rehabilitative services provided to them.
SPECIAL CHARACTERSTICS
Established in 1957
Houses 79 residents that include men, women and children
Provides shelter to the physically handicapped, mentally ill, austistic and cerebral palsy and
Multi-disabilities patients
Runs solely on donations
Offers a learning centre for over 70 residential and non-residential children
Has over 50 administrative and caregiving staff that includes a doctor, a nurse and special
educators

STAFF MEMBERS
Mrs. Mira Pradeep Singh – Chairperson
Mr. Vinod Verma – Administrator
Mr. Prabhat Krishna – Chartered Accountant
Gen O P Malhotra, PVSM – Ex Chief of the Army Staff
Mrs. Goldy Malhotra – Educationist
Dr. K P Jain – Senior Doctor

The Cheshire organization is an International organization. Today Cheshire Homes are

functioning in 54 countries, a total 346 Homes. In India there are 25 such Homes the
Cheshire Homes India – Delhi Unit is the biggest home.

MISSION:
It is to assist people with disabilities regardless of their colour, race or creed, by providing the
conditions necessary for their physical, mental and spiritual wellbeing.

BELIEF:
That each person, whatever his or her disability, is a uniquely valuable individual and that
people with disabilities should have personal freedom to pursue their aspirations and take
their own place in the world.

AIM:
Is to offer those with disabilities:
● Unquestioning recognition of their full human rights.
● Standards of excellence in all aspects of care from staff and volunteers
● The support of a forward- looking and responsive organisation, aware of their needs
and those of their careers.
● The opportunity to take an effective part at every level in running their services
● Partnership in a continuing endeavour to help others, wherever the needed.

In keeping with the aims and objects of the society the Delhi Cheshire Home is providing a
home to differently abled and disadvantaged persons who suffer from some of the disabilities
listed below:

● Development Disabilities
● Cerebral Palsy and Mental Retardation
● Speech impediment and Hearing impairment
● Post-Polio paralysis
● Chronic auto-immune disorder affecting movement, sensation & bodily functions
 DAY CARE CENTRE
The purpose of the day care centre is to keep the resident and non-residents and disabled
persons gainfully and purposefully occupied. Besides learning beneficial skills, they also
earn money. The work covers as diverse a range as tailoring, making brown paper bags,
candle making; divas, production of greeting cards.They make Diaries, Sahgun
envelopes, decorative pieces, woollens, photo albums, frames, folders, neem pencils and
other handmade items on the workshop.

PHYSIOTHERAPY CUM DEVELOPMENT CENTRE

The Cheshire Home India Delhi Unit consists of a physiotherapy department with many
facilities. The foundation stone of this department was laid down by Lord Leonard Cheshire,
VC, OM, DSO, DFC on 16 th March 1991. The aim and purpose of this centre is to provide
the urgently needed physiotherapy treatment. The centre has full time physiotherapists. This
centre extends the following facilities:

● Physiotherapy
● Hydrotherapy
● Library
● Education cum training programme
● Plays/ shows
● Hobbies like painting and indoor games etc.

NURSES: They have 3 fully trained nurses at the Cheshire Home India Delhi Unit. They
are dedicated nurses who ensures that all the residents are well cared for and their medicines,
food and other needs are fully satisfied.

AIM TO ZERO DAY CARE CENTRE

The Maheshwari Day Care Centre for all
Cheshire Homes India Unit started a Day Care Centre (Maheshwari Centre) for children with
severe to moderate disabilities on 9th July, 2011 at the Cheshire Home premises. The aim of
the centre is to improve access to education for disabled children, support children to learn
about disability and play together in child to child clubs, guide parents in how to provide
physiotherapy for their children. Currently the centre has 31 residents living in nearby slum
areas and in neglected poverty stricken colonies.
The day care provides basic pre- school education, art and craft , dance. Speech therapy,
physical education, social awareness and also mid day meal and snacks. Their focus is to
make children happy, independent and confident. They also educate the parents to take better
care of these special children with the help of trained staff.

BLIND RELIEF ASSOCIATION DEHLI

INTRODUCTION

Established in the year 1944, the Blind Relief Association, Delhi is a premier non-
governmental organization in the country serving the visually impaired. Over seven decades
of its existence the Association has built up a complex of services managed by professional
and skilled staff.  In its green campus located prominently in the heart of national capital city
of New Delhi, the Association is providing quality school education and conducting training
programmes to prepare teachers for the visually impaired; running a range of vocational skill
training courses in light engineering and other industrial trades; multi-skill training
programme covering bookbinding/paper craft, candle making, packaging, sewing, chair
caning, relaxation massage, making soap and cottage industry products etc; besides
conducting computer training programmes for the visually challenged.

The Association is a recipient of "National Award for the Empowerment of Persons

with Disabilities - 2012" as the "Best Institution working for the Cause of Persons
with Disabilities".  The Award instituted by the Ministry of Social Justice and
Empowerment, Government of India was presented by the President of India Sri.
Pranab Mukharji at a ceremony held in New Delhi on 17 February 2013.     

Mission
Children and adult with visual impairment and other disabilities are invaluable human assets.
They need opportunity and recognition in an inclusive environment. Blind Relief Association
Delhi, aspires to provide need based services for the visually impaired to enable them to
develop their talents and realize their highest potential.

Training
Vocational Training
ONE-YEAR MULTI-SKILL TRAINING PROGRAMME
For Visually Impaired youth (both male and female)
Residential Programme (Starting from July 2018)
Skills: Stationary Making/Paper Craft, Candle Making, Sewing, Basic Relaxation Massage,
Chair Caning, Packaging
Supplementary Training: Orientation & Mobility, Braille, Computer Basics, Basic
Communication English, Cottage/Home Products (Soap, Chocolate making)
Eligibility: Age: 18 to 35 years
Education: No minimum requirement
No Fee 
Services
Job Counseling and Placement
The Association has a Placement Cell that gives job counseling to the trainees and other job
aspirants and helps them in securing suitable employment. The newly employed are also
extended necessary advice and help on workplace familiarization and for ensuring optimum
productivity. The Cell maintains constant interaction with industrial establishments, public
and private sector offices, service organizations etc. and networks with various agencies to
break psychological barriers and to convince the prospective employers on why it makes
good business sense employing a qualified visually impaired person. Many employers have
found engaging the Association-trained visually impaired persons a profitable and
economical proposition. The Association is proud that as many as 14 of its trainees have won
National Awards for outstanding performance.

RELEXATION MASSAGE WEEKLY CAMP BY BLIND

MASSEURS IN NEHRU PLACE
A team of visually challenged masseurs trained by the Blind Relief Association are running
Relaxation Massage Camp every Friday at New Delhi’s famous Nehru Place under the aegis
of Nehru Place Market Welfare Association. The professionally trained masseurs' team under
the banner Shyam Massage Services operates every Friday from 11 am to 7 pm at an open
space provided free by the Market Welfare Association. The service is gaining popularity as
scores of persons benefit from the relaxing Thai, Swiss, Oil, Aroma massage and foot
reflexology services offered by these deft professional masseurs. The team is led by
experienced masseur Sri Shyam Kishor, a graduate from the Delhi University, who besides
receiving relaxation massage training at the Blind Relief Association has also learnt foot
reflexology, naturopathy, Sujoku and Japanese Amma Massage.
STUDIO FOR RECORDING OF TEXT BOOKS
The audio books recorded in the studio cater to the JPM School for the Blind as well as to
university students in and around Delhi. Recorded audio material is also provided on request
to other institutions and visually impaired individuals. A large number of volunteers from the
community help in recording of textbooks and other reading material.

Health Care Unit

The medical inspection center, with a doctor and round the clock male/female nurses,
undertakes regular check up of students/trainees with free provision of medicines. Major
hospitals/clinics help in detailed health/ophthalmic services to the children on a periodical
basis. In 2009, a well-equipped Dental Care Unit was established and run by SGT Dental
College, Gurgaon. A team of doctors and support staff from the college do regular inspection
and provide free care and dental treatment services.

Promotion of sports
The Indian blind sports association (IBSA) is a BRA initiative formed in 1986. It is a
national level body for the promotion of athletics and other sports for the blind. IBSA
represents India in the International Blind Sport Federation, the apex world blind sport
organization and is affiliated to Paralympics committee of India. BRA and IBSA co-host the
bi-annual National sports meet for the blind, as well as tournaments and training camps
programms.

SULABH INTERNATIONAL
MUSEUM OF TOILETS
Introduction
The Sulabh International Museum of Toilets in Delhi is run by the Sulabh International,
dedicated to the global history of sanitation and toilets.  It was established in 1992 by
Dr. Bindeshwar Pathak, a social activist, founder of Sulabh Sanitation and Social Reform
Movement, recipient of national and international awards including the Stockholm Water
Prize in 2009. His objective in establishing this museum was to highlight the need to address
the problems of the sanitation sector in the country, considering the efforts made in various
parts of the world in this field since the third millennium BC.
Dr. Bindeshwar Pathak is a great humanist and social reformer of contemporary
India. He has the vision of a philosopher and the undying zeal of a missionary. He is the icon
of sanitation and social reform who has made a difference in the lives of millions of people.
With his efforts erstwhile untouchables have been allowed by the society to intermingle with
them and to live at par with them, dine with them and offer prayers in temples. He has created
a new culture which embraces the poor and extols the dignity of labour .
Dr. Bindeshwar Pathak, Sociologist and Social Reformer and Founder of the
Sulabh Sanitation Movement, envisioned the need for setting up a museum of toilets in the
sprawling campus of his central office at Mahavir Enclave, on Palam-Dabri Road, New
Delhi, India. The idea engaged his mind for long, eventually leading him to make a hectic
worldwide search for the minutest details of the evolution of toilets, as also of various toilet
designs used in different countries at different points of time. More than 100 Embassies and
High Commissions of different countries, based in New Delhi, were contacted. Letters were
sent out to each of them with a request to furnish information on the subject and also to
provide details/photographs of various toilet designs used in their respective countries. More
than 60 Embassies and High Commissions responded to the request and sent valuable
information.
Taking personal interest in his dream project, Dr. Pathak searched vigorously for literature
and photographs of historical significance. In each of his visits to several countries around the
globe, he made it a point to collect information, bit by bit, from anyone and any institution
that had in its possession the material envisaged for setting up of the Museum. The intense
search resulted in accumulation of a significant reservoir of information on the subject. All
this information, (books, pamphlets, photographs) have now been imaginatively arranged and
chronologically displayed in the Sulabh International Museum of Toilets. It took over three
years to fulfill the ambition to establish the Museum.

The partners are:

● Central and State Governments.

● National funding agencies – PFI, NACO, Delhi State AIDS Control Society.
● International funding agencies – WHO, UNICEF, USAID, AIDSCAP, PSI etc.
● People: Volunteers trained to act as leaders in slums and villages to promote a sense
of people’s participation.

School Health and Hygiene:  It has also been observed that School Sanitation plays an
important role in the Total health care programme As such if students and teachers are given
awareness programme on health, hygiene, sanitation and safe drinking water and measures in
totality in various schools that will be the best line of action.

We have completed Project YOSA (YEAR OF SCIENTIFIC AWARENESS 2004 at the year
of 2004 with the Delhi Heart Care Foundation in which 10 School  and 2432 students  were 
taken up. 8 Places were taken up for JATHA activities.    In YoSA (Year of Scientific
Awareness) action plan, we have experienced of taking up various schools and activities like
essay competition procession, quiz competition, drawing competition   and developing model
in schools etc.
Some activities have been taken up in schools is as below:

     

 I.E.C material (Information, Education and Communication): Developed Publications

and write ups, brochures etc. on awareness: education and training programmed and also
model and modules for the community.  It is essential because it creates interest and
awareness to the people and they can adopt appropriate measures for reducing the incidence
and improving health status. Total 26 publications have been developed.

Safe drinking water: Safe drinking water is elixir of life. It is considered that hygiene of
common food and drinking water; hygienic habits particularly in kitchen, bathroom and
toilet are the key components in reducing the transmission of infectious diseases in the
human. We have completed a project on Safe water system in India: A pilot for the reduction
of diarrhea in the 15 urban slums, collaboration with PSI/WHO regarding Information
regarding disinfections and Use of safe water system. Health information to prevent diarrhea.
 Developing Public Amenities as Health Centre and Awareness-cum-Training Centre
With the backing of adequate infrastructure, manpower and space, We have developed a
“Health Centre” for preventive, curative and rehabilitative medical care of the poor and
needy. This centre also provides Homeopathic and Ayurvedic treatment. In short, we have
tried to establish that awareness, education and training to various community groups,
especially to women, students and children, is what matters most in implementing
programmes related to health, hygiene, and sanitation. This is especially so with women
groups and the local youth, who can make the programmes sustainable with people’s
participation.
TRAINED NURSES
ASSOCIATION OF INDIA
INTRODUCTION
It is a national association of nurses.The Association had its beginning
in the “Association of Nursing Superintendents” which was founded in
1905, at Lucknow.At the Annual Conference held in Bombay in
1908, a decision was taken to establish Trained Nurses’ Association. The Association was
inaugurated in 1909.
In 1922, the Association of Nursing Superintendents and Trained Nurses’ Association were
amalgamated and called The Trained Nurses’ Association of India (TNAI).
The Association has established within its jurisdiction the following organizations : Health
Visitors’ League (1922) Midwives and Auxiliary Nurse-Midwives Association (1925)
Student Nurses Association (1929-30).
In 1974 the TNAI became a member of the Commonwealth Nurses Federation (CNF)
The first handbook of TNAI was publish in 1913.
The Nursing Journal of India is the officially publication of TNAI & publish monthly.
Headquarters of The Trained Nurses' Association of India, New Delhi.
Foundation stone for TNAI Headquarters   Inaugurated by Smt. Indira Gandhi laid by
Dr. S Radhakrishnan

Vision statement of TNAI:-

“To develop nursing as a profession & another need to provide a form where professional
nurses could meet in counsel & plan to achieve those ends”

Dr. Anita Deodhar Mrs. Evelyn P. Kannan

President, TNAI Secretary-General, TNAI

Objective of TNAI:-
 To uphold in every way the dignity & honor of nursing profession.
 To promote a sense of spirit de corps among all nurses.
 To enable member to counsel together on matters related to there profession.
 Upgrading, developing & standardization of nursing education.
 Improvement of living working condition & educational condition for nurses.
 Improve economic status of nurses in the country.
 Recommends the state government to appoint a nurse as a nursing director.

Function of TNAI:-
 To publish Nursing Journal of India.
 To raise funds.
 Professional visits
 Welfare funds
 Scholarship for education

Challenges of TNAI:-
  Mushrooming of nursing institution.
 Dilution of quality
 Inadequate staff in government institution.
 Lack of nursing involvement in policy making
 Need for nursing leadership establishment.

Future plan of TNAI:-

 Furthering service education program.
 Furthering continuous nursing education program.
 Centre to care for senior citizens.
 Role in community development program
 Adoption of village of health centers.

Membership
A life member is a person who is a registered Nurse and Midwife (equivalent of midwifery
training in case of male nurse), trained from an institution recognized by the Indian Nursing
Council/State Nursing Council and holds a certificate of training issued by a Nursing
Registration Council or Board of Examinations recognized by the Indian Nursing Council.

BENEFITS FOR TNAI MEMBERS

 Participate in National and State workshops and conferences: for this. TNAI awards
credits hours to the nurses.
 Scholarships: TNAI has been granting scholarship iof INR 24000/- years since 1943 to
student nurse members and life members for pursuing ANM/Diploma/Degree/Post
Graduate Degree. (for details. write to us on sna@tnaionline.org
 Welfare Grant: Welfare grant is being provided since 1939 for the members who are
critically/terminally ill. (for details write to us on prim@tnaionline.org
 Railway Concession: Railway concession of 25% since 1991 is being given to TNAI
members during the service and leave period.
 Publication of articles: Members get a chance to publish articles/research papers in the
Nursing Journal of India.
 TNAI Publication to SNA units: One set of the TNAI Text books, Nursing Journal of
India and TNAI Bulletin are suplied to Student Nurses Association Units free of cost.
 Guest room facilities: Accommodation facilities for nurses are provided in the TNAI
Headwuarters and in TNAI's Greater Noida campus at subsidies rates. (For details, write
to us on helpdesk@tnaionline.org)
 Support for nurses: TNAI support the nurses in the disaster-affected areas at
indivisual/State/National and Internation level.
 Central Pay Commission (CPC): TNAI has been wiriting and submitting the CPC
memoranda since the inception. Carious economic issues are addressed through these
memoranda.
 Elderly Care Home and Day Care Centre: TNAI had started Day Care Centre at
Greater Noida for Nurses, senior citizens and general public.
TNAI Publication:-
 A Community Health Nursing Manual
 Fundamental of Nursing - A Procedure
 History & Trends in Nursing in Nursing Administration and Simplified Microbiology
 Nursing in India
 SNA Diary
 SNA Badge
 SNA Rules Regulations & Bye Laws
 TNAI Hand Book
 TNAI Badge
 The Nursing Journal of India
 BADGES
TNAI/HVL Badges
 SNA Badges

CONCLUSION
We learned various new things from all institutions. As we visit various institutions we gain
different knowledge and different experiences from all that institutions. From Cheshire home
we learned that how they handle physically and bedridden children. They also care the old
age people. They give them proper treatment and care according to need. From blind relief
association we learned how they trained blind children and they also provided education to
them. Students from blind relief association also participate in various sports programme they
are also state and national level champions in sports. From Sulabh international toilet
museum we have learned various ways to dispose faecal material in different way and
different level. And The Trained Nurses' Association of India (TNAI) is a national
organization of nurse professionals at different levels and the benefits of TNAI for the nurses.
Overall we gained much knowledge and better experience from visiting all those institutions