8/25/10 with your understanding of the situation

Home visits/ego integrity and social interactions Learn about neighbors and family prior to visit to
Home visit maintains the fam health and individual reduce anxiety and helpp you remain calm and have self
health control
Emotions are irrational, automatic, and color our
Home healhtsupport systems, promotes effective
perception, never rule on emtion
care, normal development, strengthens family functioning,
promotes healthful environment, encourage use of resources, Be clear about who has access to the information they
educate fam of health and prevention, prevents give you
hospitalization Understand that what they do may be a reflection of
their illness not a liking or disliking of you
Safety is key when doing home care
Phases of Relationships
The purpose of the visit is not to provide care at all
1. preplanning phase - get phone number, clarify
costs,
who referred them and why, organize a visit, gather
Drug use and abuse or neglect must be reported initial pt data and share information w/ pt
Gardianship is highest above all rights 1. Introductory phase or initial phase - nurse and
Hnd sanitizer uses 4 x then must use water &soap family get to know one another and how the family health
Wound infections should be scheduled after visits to problems are defined
healthy or immune suppressed clints 1. Working phase or implementation phase - nurse
Goal of infection control is to prevent spread of disease provides care and educates the family
Airborne is spread through air, educate about coughing, 1. Ending phase or termination phase - summarizes
hand hygeine the accomplishments of the visit, discuss plan for next
Scabies spread on clothes and furniture visit, leave identification of self and agency with phone
Only take into home what you need for that visit numbers
An emergency situation is the nurses professional 5 phases of home visits
and legal responsibility to address and fix 1. Initiation phase - initial referral for care, specific
Community health nurse can make refereals to the steps, clarify the source, clarify the specific purpose,
family gather initial patient data, share info with client
Family members think concretely 1. Previsit phase - initial contact, share source of
referral, set up appointment, review method of payment,
Short frequent visits allow the nurse to deal with 1
confirm visit, overcome objections, establish goal of visit
or 2 problems at a time
1. In home phase - personal safety tips, lock
There is a legal presumption that clients should be able belongings in trunk, ask client to look for your arrival,
to give info w/o concern that it will be repeated. This getr accurate directions, check with other nurses, drive
priveledge belongs to the clinet. (only client can decide to with windows up and oors locked, be alert to your
give it up. surroundings, park in a wekk lighted location, have
Written permission of clint , parent or gardian of a access to a phone, once you arrive introduce yourself,
minor that allows for the release and receiving of client proceed with nursing process, build a therapeutic
info from other agencies or disciplines is a client concent relationship
Home visit makes stronger the potential for family 1. Termination phase - review the visit with client,
focused approach b/c nurses concerns consist of all health were goals met?, plan for future visit
issues identified w/ a specific family or group of families 1. Post visit phase - cocument the visit using the
Building trust in an essential foundation for a nursing process, data base reflecting assessment findings,
continued relationship, nurse identifies actual and nursing diagnosis and problem list, plan of care, nursing
potential problems or concerns of family members and interventions, evaluations
members as a whole
Nurse in a guest in the client home
Primary prevention - 1 LOP (level of prevention) -
altering susceptibility or reducing the exposure of persons
who are at risk for teaching, nurse intervention
Secondary LOP - early detection and prompt
treatment to cure a disease or slow its progression -
screening programs
Tertiary - 3rd LOP limiting disability in persons in
the early stages of the disease and providing
rehabilitation, nursing interventions are direct in this
stage, nursing care is given as well as referrals
Building trust is an essential foundation for a
continued relationship, nurse identifies actual and
potentia problems or concerns of family members and
members as a whole
Relationship between client and nurse must have an
emphasis on mutual agreement on the goal for success,
family retain control, goals are long term, nursing care is
interdependent with families and a pt can refuse to let the
nurse come in
Positive regard - chiastic of a helping relationship
(CHR) , treat others the way you want to be treated
Empathy - CHR - put ourselves in other persons shoes
Genuineness - CHR - what you and and do is consistant