Community nurses

1. Sahar Balla
MSc CHN

2. Why we doing home visiting in
our community?
1- Majority of the patients are found in
the home.
2- The home is utilized for many reasons
in relation to health of family.

3. 3- to give a more accurate assessment
of the family structure and behavior
in the natural environment.
4- home visiting provide
opportunities to observe the home
environment.

4. Home visit:
1- A process of providing nursing care to
clients at their doorsteps.
2- Home visiting is a purposeful interaction
in a home directed at promoting and
maintaining the health of individuals and
the family.

5. 1- should be Planned with purposes and
beneficial to clients or patients.
2- Purpose should be clear and must be
meet the need of clients or patients.

6. 3- Home visiting should be regular and
flexible according to need of clients or
patients.
4- Home visiting should be educative.
5- Home visiting should be convenient
and acceptable.

7. 6- The nurse should make an attempt to
include each family member while using
nursing process.
7- The nurse must be flexible and must
respect the patient's right to accept or reject
care.
8- Home visit should be recorded in diary and
family folders.

8. 1- provide excellent opportunity to
implement the nursing process.
2- provide an excellent opportunity to
study the home and family situation.

9. 3- create a good understanding between
nurse and family and builds good image of
nurses.
4- clarify the doubt raised by the family
member.
5- help to prevent and handling the
problems.

10. 6- Home visiting are convenient for the
patients.
7- Home visit is best option for patient
unwilling or unable to travel.
8- Home visit provide natural
environment for the discussion of
concerns and needs.

11. 1- Consumes lot of time and energy:
overcome by proper street map or
guidance
2- Unforeseen events:
e.g. some family may be rowdy sycophant,
may be addict or alcohol, What we do?
Gradually build relationship by getting
assistance from neighbors or leader of
community

12. 3- Non acceptance:-
Family may not accept the nurse due to:
a - cultural deference.
b - Personal characteristic of the
nurse.
To overcome this problem , the nurse
give an accurate and complete
description of the purposes and the
natural of home visit and the nurse must
be careful while communicating to
family

13. 4- Problem of local language:-
5- Role confusion:

14. the following group of people should
given priority in home visiting:-
 pregnant, postnatal and lactated
mothers.
 mothers of premature infants or
twins.

15.  very young mothers(teenage
pregnancies).
mothers less babies.
Single parent families.
Families with special
problems(handicap child, elderly.)..
Continue risk group:-

16. Children under five .
 families with an infectious illness e.g.
Families with TB, leprosy, mental
health problems .
 elderly people living alone.

17.  non clinic attendant.
 malnourish mothers and
children.
 families with poor health history
e.g. recurrent hospital admission.
Continue risk group

18. follow up visit following discharge
from hospital to insure that
treatment is being carried out e g.
Diabetics have been following the
correct course of treatment..

19. Any Question?