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home visit is a purposeful

interaction in a home (or residence)
directed at promoting and maintaining
the health of individuals and the
family (or significant others).

major distinction of a home visit is

that health professional goes to the
client rather than the client coming to
the health professional

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Home

visiting involves a process of initiating

relationships
with
family
members,
negotiating & implementing a family-focused
plan of care, & evaluating health outcomes
& family satisfaction

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home visit is a purposeful interaction in a home

directed at promoting and maintaining the health of
individuals and the family.

Home

visit is the process of providing nursing care

to the clients own setting. The setting may be in a
single or multiple unit structure and may be located
in a rural or urban setting.

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 Efficiency

is increased when community & public health nurses

wisely manage their time and equipment.

comprehensive range of community nursing services is

provided by Community Health.

The

main focus of this service is to enable people to be cared

for in their own homes rather than as patients in hospitals.

Home

health care, broadly denied, refers

to all of the services and products provided to
clients in their homes to maintain, restore, or
promote
their
physical,
mental,
and
emotional health.

Its

purpose is to maximize the clients level

of independence and to minimize the effects
of
existing
disabilities
through
noninstitutional services.

Its

primary goal is to use these supportive

services to decrease rehospitalization and
prevent or delay institutionalization
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Basic goals of home visit:

Promoting support systems that are adequate and
effective & encouraging use of health-related
resources.
Promoting adequate, effective care of a family member
who has a specific problem related to illness or
disability.
Encouraging normal growth and development of
family members and the family and educating the
family about health promotion and illness prevention
Strengthens family functioning and relatedness
Promoting a healthful environment
Case finding and referral
Health promotion and illness prevention

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Advantages
1)

Home setting provides more opportunities for

individualized care

2)

most people prefer to be cared for at home

3)

environmental factors impinging on health, such

as housing condition & finances, may be observed
and considered more readily

4)

Information collection and understanding lifestyle

values are easier in families' own environment

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5)

Participation of family members is facilitated

6)

Individuals and family members may be more

receptive to learning because they are less anxious
in their own environment and because the
immediacy of needing to know a particular fact or
skill becomes more apparent

7)

Care to ill members in the home can reduce overall

costs by preventing hospitalizations & shortening
the length of time spent in hospitals or other
institutions

8)

A family focus is facilitated

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Disadvantages
Travel time is costly
2. Distraction such as TV and noisy children
may be more difficult to control
3. Clients may be resistance or fearful of the
intimacy of home visits
4. Nurses safety can be an issue
1.

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Phases of Relationships

A pre-initiation or preplanning phase

2. an initiation or introductory phase
3. Previsit activities
4. A working phase
5. An ending phase
6. Post visit activities
1.

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Principles for Home Visiting

Planned

with purpose

Regular

& flexible

Educative
Give

opportunities to nurses to perform

skills
Voluntary

participation and collaborative

relationships.

Promote personal and program goals.

Address

multiple goals, long-term as

well as short-term gains in health
status.

Include sensitivity to client diversity.

Address realistic expected outcomes.

Evaluation focuses on outcomes,

cost-effectiveness,
used.

and

processes

Nursing Care Is More

Interdependent with
Families

Because

families have more control over their health in

their own homes, & because change is usually gradual,
greater emphasis must be placed on mutual goals if
the nurse & family are to achieve long-term success.

Except

in emergency situations, the client determines

the priority of issues with which to be dealt

Families

are sometimes unaware of what they do not

know. The nurse must suggest health related topics
that are appropriate for the family situations

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Challenges of Home Visits

Unforeseen events

Client diversity

Multiplicity of problems

Maintaining balance

1.
2.
3.
4.
5.
6.
7.

Parenting education and support

Information regarding their childs
health.
Safety information.
Developmental information.
Nutrition education.
Community resources.
Assistance with appropriate referrals as
needed

What can I expect during a

home visit?
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