NSCH 111 Study Unit 7: Home Visits in the Community

Flashcards about Home Visits in Community Health Nursing

Home Visit

A focused, purposeful event planned with specific goals and objectives, utilizing the nursing process as a framework.

Steps of the Nursing Process

Assessment, Diagnosis, Planning, Implementation, Evaluation, and Documentation

Dimensions of Nursing

Cognitive, Interpersonal, Ethical, Skills, Process, and Reflective dimensions

Dimensions of Health

Biophysical, Psychological, Physical environmental, Sociocultural, Behavioral, and Health system dimensions

Dimensions of Health Care

Primary prevention, Secondary prevention, and Tertiary prevention

Reasons for initiating home visits

Requests from healthcare providers, client-initiated requests, referrals from friends/family, and identification of needs by the community health nurse.

Preliminary Health Assessment

Review existing client information or gather available data for new clients to identify strengths and potential problems.

Deriving Nursing Diagnoses

Examine preliminary data and formulate a diagnostic hypothesis to explain the data, which is then evaluated during the home visit.

Positive Nursing Diagnoses

Reflects the strengths of the client demonstrated in the preliminary assessment.

Problem-focused Nursing Diagnoses

Data may reveal actual or potential problems.

Health Promotive Nursing Diagnoses

Reflect the need for health-promotive services.

Planning a Home Visit

Review previous interventions, prioritize client needs, develop goals and objectives, consider acceptance and timing, identify appropriate nursing interventions, obtain necessary materials, and plan for evaluation.

Types of Distractions During Home Visit

Environmental, Behavioral and Nurse-initiated.

Implementing the Planned Visit

Validate assessment, identify additional needs, mutual goal setting, modify the intervention plan as needed, perform nursing interventions, and deal with distractions.

Documenting Home Visits

Actual assessment, health needs, goals, interventions, client response, outcomes, and future plans of care (discharge summary if services are terminated).