Class 10_HomeVisits_cvv_Studentv2025.pptx (1)

HOME VISITING

  • N3000 Class 10

THE HOME VISIT

  • Key points to remember:

    • Clients and/or families allow healthcare professionals into their homes during vulnerable moments.

    • Always empathize; put yourself in the clients' or families' shoes and consider their feelings.

PURPOSE OF HOME VISITING

  • Objectives of home visits:

    • To enter a client's home and understand their health needs from their perspective.

    • Develop a relationship with the client and possibly their family.

    • The nurse acts as a guest, working collaboratively to identify and meet health care needs.

    • Consider the necessity of the home visit for the client.

    • Understand the advantages (personalized care, direct observation) and disadvantages (client privacy, safety concerns) of home visiting.

PREPARING FOR THE VISIT

  • Essential steps before a visit:

    • Call and introduce yourself.

    • Schedule a convenient place and time for the visit.

    • Discuss the referral and the visit's initial reason.

    • Obtain detailed directions to the client's home.

    • Prepare for potential refusal of meeting by hypothesizing possible outcomes.

PLANNING YOUR VISIT: PRACTICAL TIPS

  • Prior preparations include:

    • Pack necessary items based on the type of visit (e.g., for a new mom or an elderly adult with complex care needs).

    • Have a reliable GPS system available.

    • Carry a cell phone for emergencies.

    • Check the weather to dress appropriately.

    • Ensure your vehicle is in good condition with a full tank of gas.

    • Bring hand sanitizer and prioritize personal safety.

RISK ASSESSMENT

  • Assessment of potential risks before visiting:

    • Determine if the neighborhood poses a high risk.

    • Assess for pets, history of violence, and substance misuse.

    • Evaluate client or family receptiveness and awareness of surroundings.

    • Safety practices include backing the car into the driveway and locking doors.

    • Be prepared to cancel the visit if personal safety is compromised.

STAGES AND ACTIVITIES OF A HOME VISIT

  1. Engagement

  2. Assessment

  3. Intervention

  4. Termination and Evaluation

  5. Post-Visit Documentation

  • Reference: Chapter 12, Pages 291-295

1. ENGAGEMENT

  • Key activities for engagement:

    • Introduce yourself and your professional identity.

    • Clarify the source of referral and the purpose of the visit.

    • Establish a shared understanding of the visit's purpose with the family.

    • Build the nurse-client relationship.

2. ASSESSMENT

  • Steps in the assessment phase:

    • Conduct assessments of the client or family.

    • Engage in the "seeing phase" to understand their needs.

    • Apply the Calgary Family Assessment Model (CFAM) to pinpoint family health concerns.

    • Set mutually acceptable goals and solutions.

    • Assess the home environment, understanding what to look for.

POTENTIAL RISKS FOR INJURY

  • Consider risk factors based on the environment:

    • Differences in risks between seniors and children/infants.

    • Specific hazards in the kitchen, bedroom, living room, bathroom, and stairs/entrances.

3. INTERVENTION

  • Intervention phase entails:

    • Implementing interventions with the CFIM framework.

    • Planning and prioritizing care in collaboration with the client/family.

    • Continuing to strengthen the nurse-client relationship.

4. TERMINATION AND EVALUATION

  • Finalizing the visit:

    • Review the visit with the family.

    • Assess whether the established goals were met.

    • Provide referrals to other community resources as necessary.

    • Plan for future visits based on ongoing needs.

5. POST-VISIT DOCUMENTATION

  • Follow agency policy when documenting the visit.

DEBRIEFING

  • Objectives of effective debriefing:

    • Recognize and release emotions experienced during visits.

    • Reinforce the objectives of care delivered.

    • Clarify information and enhance critical thinking and problem-solving skills.

    • Foster reflective thinking and link practical events with theory.

    • Relieve stress associated with home visits.

CONTRACTING WITH FAMILY

  • Contracting strategy involves:

    • Formally involving family in the nursing process.

    • Jointly defining roles of family members and the nurse.

    • Recognizing the advantages and disadvantages of this approach.

POTENTIAL OUTCOMES

  • Expected outcomes from home visiting in various contexts:

    • Public Health Nursing:

      • Increased rapport, parenting skills, health knowledge.

      • Decreased child abuse/neglect, maternal depression, hospital visits.

      • Better-adjusted children and enhanced social supports.

    • Continuing Care Nursing:

      • Improved rapport, understanding of illnesses, coping capacities.

      • Reduced unnecessary medical visits, length of stay in hospitals.

      • Enhanced client health and knowledge of available resources.

BUILDING EXPERTISE IN HOME VISITING

  • Strategies for enhancing home visiting skills:

    • Observe and learn from experienced nurses during joint visits.

    • Review and reflect upon communication and assessment skills.

    • Evaluate past home visits for accomplishments and areas of improvement.

    • Self-reflect on personal values and approaches.

    • Accept realities, seek common ground, and respect families' capabilities.

robot