HOME VISIT

IS A FAMILY MIDWIFE CONTACT WHICH

ALLOWS THE HEALTH WORKER TO
ASSESS THE HOME AND FAMILY
SITUATIONS IN ORDER TO PROVIDE THE
NECESSARY NURSING CARE AND HEALTH
RELATED ACTIVITIES

PURPOSE OF HOME VISIT

1. TO GIVE NURSING CARE TO THE SICK, TO
A POST PARTUM MOTHER AND HER
NEWBORN WITH THE VIEW TO TEACH A
RESPONSIBLE FAMILY MEMBER TO GIVE
SUBSEQUENT CARE.
2. TO ASSESS THE LIVING CONDITION OF
THE PATIENT AND HIS FAMILY AND THEIR
HEALTH PRACTICES IN ORDER TO
PROVIDE THE APPROPRAITE HEALTH
TEACHING.

3. TO GIVE HEALTH TEACHINGS

REDARDING THE PREVENTION AND
CONTROL OF DISEASES.
4. TO ESTABLISH CLOSE RELATIONSHIP
BETWEEN THE HEALTH AGENCIES AND
THE PUBLIC AND THE PUBLIC FOR THE
PROMOTION OF HEALTH.
5. TO MAKE USE OF THE INTERREFERRAL SYSTEM AND TO PROMOTE
THE UTILIZATION OF COMMUNITY

PRINCIPLES INVOLVED IN PREPARING

FOR A HOME VISIT
WHEN WE PLAN TO GO ON A HOME VISIT, IT
IS NECESSARY TO ASSEMBLE THE RECORDS
OF THE PATIENTS AND LIST THE NAMES TO
BE VISITED.
1. A HOME VISIT MUST A PURPOSE OR
OBJECTIVE.
2. 2. PLANNING FOR A HOME VISIT SHOULD
MAKE USE OF ALL AVAILABLE
INFORMATION ABOUT THE PATIENT AND
HIS FAMILY THROUGH FAMILY RECORDS.

3. IN PLANNING FOR A VISIT, WE

SHOULD CONSIDER AND GIVE
PRIORITY TO THE ESSENTIAL NEEDS
OF THE INDIVIDUAL AND HIS FAMILY.
4. PLANNING AND DELIVERY OF CARE
SHOULD INVOLVE THE INDIVIDUAL
AND FAMILY.
5. THE PLAN SHOULD BE FLEXIBLE.

GUIDELINES TO CONSIDER REGARDING

THE FREQUENCY OF HOME VISITS

THERE IS NO DEFINITE RULE TO BE

FOLLOWED ON THE FREQUENCY OF
HOME VISITS.
1. THE PHYSICAL NEEDS,
PSYCOLOGICAL NEEDS AND
EDUCATIONAL NEEDS OF THE
INDIVIDUAL FAMILY.
2. THE ACCEPTANCE OF THE FAMILY
FOR THE SERVICES TO BE
RENDERED, THEIR INTEREST AND

3. THE POLICY OF A SPECIFIC AGENCY

AND THE EMPHASIS GIVEN TOWARDS
THEIR HEALTH PROGRAMS
4.TAKE INTO ACCOUNT OTHER HEALTH
AGENCIES AND THE NUMBER OF
HEALTH PERSONNEL ALREADY
INVOLVED IN THE CARE OF A SPECIFIC
FAMILY.
5. CAREFUL EVALUATION OF PAST
SERVICES GIVEN TO A FAMILY AD HOW
THE FAMILY AVAIL OF THE SERVICES.

6. THE ABILITY OF THE PATIENT AND

HIS FAMILY TO RECOGNIZE THEIR OWN
NEEDS, THEIR KNOWLEDGE OF
AVAILABLE RESOURCES AND THEIR
ABILITY TO MAKE USE OF THEIR
RESOURCES FOR THEIR BENEFITS.

STEPS IN CONDUCTING HOME

VISITS
1. GREET THE PATIENT AND
INTRODUCE YOURSELF
2. STATE THE PURPOSE OF THE VISIT
3. OBSERVE THE PATIENT AND
DETERMINE THE HEALTH NEEDS.
4. PUT THE BAG IN A CONVENINT
PLACE THEN PROCEED TO PERFORM
THE BAG TECHNIQUE.

5. PERFORM THE NURSING CARE

NEEDED AND GIVE HEALTH
TEACHINGS.
6. RECORD ALL IMPORTANT DATA,
OBSERVATION AND CARE RENDERED.
7. MAKE APPOINTMENT FOR A RETURN
VISIT.

CLINIC VISIT
THE PATIENT VISITS THE HEALTH
CENTER/CLINIC TO AVAIL OF THE SERVICES
THERETO OFFERED BY THE FACILITY PRIMARILY
FOR CONSULTATION MATTERS THAT AILED
THEM PHYSICALLY. NOWADAYS, ARE
BECOMING AWARE OF OTHER SERVICES THAT
THE HEALTH CENTER OFFER SUCH AS
PRENATAL AND POST PARTUM CARE, WELL
BABY CHECK UP, IMMUNIZATION, FREE
MEDICINES UNDER DOTS AND OTHER HEALTH
CARE

STANDARD PROCEDURES
PERFORMED DURING CLINIC VISITS
I. REGISTRATION/ ADMISSION
1. GREET THE CLIENT UPON ENTRY AND
ESTABLISH RAPPORT
2. PREPARE THE FAMILY RECORD OF NEW
PATIENTS OR RETRIEVE RECORDS OF OL
CLIENTS
3.ELICIT AND RECORD THE CLIENTS CHIEF
COMPLAINT AND CLINICAL HISTORY.
4. PERFORM PHYSICAL EXAMINATION ON
THE CLIENT AND RECORD.

II. WAITING TIME

1. GIVE PRIORITY NUMBERS TO
CLIENTS
2. IMPLEMENT THE FIRST COME,
FIRST SERVEDPOLICY EXCEPT FOR
EMERGENCY/URGENT CASES

III. TRIAGING
1. MANAGE PROGRAM BASED CASES
2. REFER ALL NON PROGRAM BASED
CASES TO THE PHYSICIAN. FOR ALL OTHER
CASES WHICH HAS NO POTENTIAL DANGER,
TREATMENT/MANAGEMENT IS INITIATED BY
THE MIDWIFE AND SHE DECIDES TO DO HER
OWN DIAGNOSIS AND THEN REFER TO THE
PHYSICIAN FOR MEDICAL MANAGEMENT.
3. PROVIDE FIRST-AID TREATMENT TO
EMERGENCY CASES AND REFER WHEN
NECESSARY TO THE NEXT LEVEL OF CARE.

IV. CLINICAL EVALUATION

1. VALIDATE CLINICAL HISTORY AND
CLINICAL EVALUATION
2. THE MIDWIFE ARRIVES AT
EVIDENCE-BASED DIAGNOSIS AND
PROVIDES RATIONAL TREATMENT
BASED ON DOH PROGRAMS.
A.IDENTIFY THE PATIENTS PROBLEM
B. FORMULATE/WRITE DIAGNOSIS
AND VALIDATE
C. GIVE/PERFORM MIDWIFE
INTERVENTION

D. EVALUATE THE INTERVENTION IF

IT HAS ENABLED THE PATIENT TO
ACHIEVE THE DESIRED OUTCOME.
V. LABORATORY AND OTHER
DIAGNOSTIC EXAMINATIONS.
1. IDENTIFY A DESIGNATED
REFERRAL LABORATORY WHEN
NEEDED.

VI. REFERRAL SYSTEM

1. REFER THE PATIENT IF HE NEEDS
FURTHER MANAGEMENT FOLLOWING
THE TWO WAY REFERRAL SYSTEM(BHS
TO CITY HEALTH, CITY HEALTH TO
HOSPITAL)
2. ACCOMPANY THE PATIENT HEN AN
EMERGENCY REFERRAL IS NEEDED.

VII. PRESCRIPTION / DISPENSING

1. GIVE PROPER INSTRUCTIONS ON
DRUG INTAKE

VIII. HEALTH EDUCATION

1. CONDUCT ONE-ON ONE
COUNSELING WITH THE PATIENT
2. REINFORCE HEALTH EDUCATION &
COUNSELING MESSAGES
3. GIVE APPOINTMENTS FOR THE
NEXT VISIT.