Home nursing interventions provide multidimensional care to patients in their homes. Home health nurses create individualized care plans with preventative, therapeutic and rehabilitative actions based on a client's diagnosis. Some key responsibilities of home health nurses include promoting health, administering medications, educating patients, providing emotional support, basic care, and coordinating services from other disciplines. Barriers to effective home nursing include working alone, potential unsanitary home environments, and ensuring medication adherence outside of a hospital setting.
2. Definition
• Home health nursing is a nursing specialty in
which nurses provide multidimensional home
care to patients of all ages.
• It is cost efficient way to deliver quality care in
the convenience of the clients home.
• Home health nurses create care plans to
achieve goals based on the clients diagnosis.
• These plans include: preventive, theurapeutic,
rehabilitative actions.
3. • The professional nursing organisation for
home health nurses is the “home health care
nurses association” (HHNA).
4. Functions of home nursing
intervention
• Its intended for clients that are well enough to
be discharged home, but still require skilled
nursing personnel to assess, initiate and
oversee nursing intervention.
5. Roles and responsibilities
• A wide range of services that are performed
by many different professionals include:
wound care, disease management, patient
education, therapy, medical social services.
6. Responsibilities
some responsibilities that home health nurses tale on include:
• Promotion of health and disease prevention
• Medication administration
• Educating patients on their current diagnosis
• Providing emotional support
• Providing basic care e.g. personal hygiene
Nurses also step into the role of case managers, meaning that they
coordinate services from different disciplines for the patients.
These include: rehabilitation, pharmacy, community resources and
more.
Providing the most up to date and effective care for a patient is also
very important part of home nursing intervention. Nurses do this by
continually keeping up to date on the latest research and evidence
based practices.
7. Education and certification
• Home health nurse can have a nursing
diploma, be a licensed practical nurse, an
associate of science in nursing or a bachelor of
science in nursing.
8. Scope and standard of practice
• Scope of home health nursing is directly
related to the nursing process. This include
assessment, diagnosis, planning,
implementation and evaluation.
• Standards of home health nursing integrate:
Research, education, proper use of resources,
quality care provided, team collaboration, and
ethical principles.
9. Barriers in home nursing intervention
• When out visiting the client, the nurse is alone and is not able to
rely on others most of the time, therefore, a nurse must learn to be
autonomous.
• Home condition can also present problems, cleanliness & safety
play a large roles in client care, not all homes are equipped to
provide a clean environment for client. Environment issues at home
include: unsanitary conditions that allow the risk of falling sick for
the client.
Education regarding this, is important for the nurse to share with the
client.
• Medication adherence is also more complicated at home. Unlike a
hospital setting, medication is scheduled around the clock and is
readily available.
• Its also dependent on clients resources and financial situations
• Eligibility: home nursing interventions are generally less expensive
and more convenient than in the hospital.
10. Family values and beliefs
Guiding questions:
• What are family values?
• How do family values help make a family
happy and strong?
• Where do family values come from?
• How do you establish good values in a family?
• Is Your values make a difference?
11. Definition
• Family values are traditional/ cultural values
passed on from generation to generation within
families that pertain to the family’s structure,
functions, roles, beliefs, attitudes and ideals.
Some examples of family values:
Social values
Civic values
Work values
Religious values
General values
12. Family values
Social values
• Respect &courtesy
• Volunteer work
• Kindness to others
• Appropriate discipline
• Attitude towards others
• Choice of language
Civic values
• Opportunity
• Equality
• Patriotism
• Freedom
• Individual rights
• Respect for the law
13. Family values cont……
Work values
• Cooperation
• Commitment to excellence
• Creativity &expression
• Satisfaction in achievement
• Financial security/stability
• Spending philosophy
• Productivity
• Education and knowledge
Religious values
• Reverence for God
• Adherence to
commandments
• Church/mosque attendance
• Abstinence before marriage
• Dress &appearance
14. Cont…………
General values
• Positive attitude
• Quality time together
• Trustworthiness
• Compassion
• Honesty
• Courage
• Integrity
• Patience
• gratitude
• Persistence
• fun
15. Family values can become engrained
• When family values are well defined and
reinforced at home, they become part of who we
are and how we act.
• Moral values when intentionally taught and
followed can help a family work together towards
common goals.
• Moral values are ultimately instilled at home and
that’s a big responsibility for parents
• Family values influence individuals behavior, they
help direct a person’s choices
16. How do family values make a family
happy and strong
• Family values influence individuals behaviour
• Values can help sociality and identify our families-
family values are an important place of a family’s
identity. E.g. the reputation of an infamous
criminal is often associated with his/her family
name for years, regardless of how either family
members may behave.
• Family values help keep the society strong; when
moral values are not firm in place that help
clearly define right &wrong, people flounder and
communities suffer.
17. Where do family values come from?
• Parents generally establish values
• Having similar values is important to a
successful marriage and family
• You can always have an impact on the family
morals
18. How do we establish a good values in
the family
• Own our values; what do we want our families
to believe?
• Reinforce our values; don’t define our family
values and the simply forget them, Talk about
them often.
• Establish a family traditions and habits that
support your values
• Your values make a difference.