FAMILY

HEALTH CARE
SETTING

HOME
VISITING

DEFINITION

It is defined as the process of

assessing the needs of the
family and providing the care
to the family at their homes.

PURPOSES OF HOME VISITING

To assess the family health problems and
causes.
To promote the health of the family members
To prevent from illness
To establish working relationship with family
members.
To plan and implement care with family.

CONT.
To follow up treatment and care given by the
family.
To supervise and guide community health
workers in giving health care to the family
members.
To evaluate health care.

PRINCIPLES OF HOME VISITING

According to the need of the family
members.
Based on identifying the health problems of
the family.
Listen attentively.
Be empathetic and sympathetic.
Know the facts about the clients and
environment.
Use safe and technical skills.

CONTD.
In health teaching; be sure of what you
discuss i.e. scientific soundness.
Plan for regular home visiting program
according to priorities.
Be flexible.
It should be evaluative.

PHASES OF HOME VISIT

1.
2.
3.
4.

Assessment phase.
Planning phase.
Action phase.
Evaluation phase.

CONTD.
1. Assessment phase: Planning of data collection.
Data collection method $ technique.
Analyzing the data.
Family profile and diagnosis.
2. Planning : Analyzing health problems.
Establishing priorites.

CONTD.
Setting goals and objectives.
Formulating family health and nsg. Care
plan.

3. Action phase: Mobilization of resources facilitating the

working environment.
Implementing the intervention.
Documentation.

CONTD.
4. Evaluation phase: Try to evaluate what has been achieved
against the goals.
The questions to be raised are: How far the visit has been useful ?
What have been difficulties ?
What more needs to be done?

CLINIC
S

DEFINITION
Clinics are small public
health care setting where the
patients who are not
institutionalized
(hospitalized) come for check
up or treatment.

FEATURES OF CLINICS

It is planned and follows the time table.

Physician and members of health team
should specialist one and skilled in their work
and sufficient in numbers.
Proper arrangement of place, equipment,
furniture, medicine, toilet, drinking, water,
stationery etc.
Working hours of clinic should be more than
routine timing of health center.

CONTD..

Behaviour of medical staff should be

satisfactory while giving diagnosis, treatment
and queries of the patients.
Facility for follow up treatment should be
available after the treatment given in the
clinics.
Requirement of community should be kept in
mind while setting up the clinics and
conducting its work.
Arrangement should be made for effective
health education.

TYPES OF CLINICS
Clinics may be classified into various groups: General clinics.
Poly clinics.
Speciality clinics.
Maternal and child health clinics.
Sexual health clinics.
Fertility clinics.
Ambulatory clinics..

GENERAL CLINIC
These

are arranged for

general diagnosis and
treatment of minor ailments.
Many health activities can be
conducted through these
clinics such as immunization,
x-ray etc.

POLY CLINIC
Poly

clinic provides a
range of health care
services (including
diagnostics) without
need of overnight stay.

SPECIALITY CLINIC
Speciality clinics provides advanced
diagnostic or treatment services for specific
diseases or parts of the body.
Specialist doctors and nurses are essential
for conducting these clinics.
Some examples of these clinic are:
Diabetic clinic.
Cardiac clinic.

CHILD HEALTH
CLINIC
Maternal and child health services are
provided through these clinics.
Some important clinics of this category
are:Antenatal clinics.
Postnatal clinics.
Child guidance clinics.

SEXUAL HEALTH CLINIC

These

clinics deal with

sexual health related
problems, such as
prevention and treatment
of sexually transmitted
infections such as HIV, RTI
etc.

FERTILITY CLINIC
A

fertility clinic aims to

help women and couples
to become pregnant.
It deals with diagnosis and
treatment of infertility
problem.

AMBULATORY CLINICS
Ambulatory surgery clinic
offers outpatient or same
day surgery services
usually for surgical
procedures less
complicated than those
requiring hospitalization.

ROLE OF COMMUNITY HEALTH

NURSE IN CONDUCTING CLINICS

Assessing the health status of patients.

Providing nursing services to patients.
Educating the patients for improving
the health and skillful adjustment.
Assisting the doctor.
Selecting the place of clinic.
Taking care of availability of
medicines, equipments, and other
resources for the clinic.

CONTD..

Monitoring the records, which are

preserved at the clinic.
Supervising the other health and
nursing staff working at the clinic.
Handing over the responsibilities to
health workers, and health guide for
conducting the clinic.

CAMPS

INTRODUCTION
Camps are the mobile health
care service organised to
provide health care to
community people for short
term period.
Camps are organised by health
care agencies or nongovernmental organisation.

FEATURES
OF
CAMPS

Provides health services in a

mass population.
These are mobile.
These are conducted for a short
term period.
These are conducted in a large
area.
A mass population is required.

HOW TO CONDUCT
CAMP?

CONTD..
Select

the area.
Arranged the trained staff for
conducting the camp.
Take permission from the college
authority.
Ask for permission community
authority. If answer is yes.
Then arrange the refreshment for
the participants.

CONTD..
Size

of community area should

be kept in mind while
conducting the camp.
Documenting and maintaining
the records.

DIFFERENCE B/W CLINICS

AND CAMPS

CAMPS

CLINICS

These are fixed.

Follow up treatment
is provided.
No large population is
required.
Health care service is
more effective.
Follows the planned
time table.

These are mobile.

No follow up treatment
is provided.
Large population is
required.
Health care service is
less effective.
No time table is
followed.