1. Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Unit V Caring for Individuals and Families in the Community

2. Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 21 The Home Visit

3. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 The Home Visit Public health nurse Home health nurse

4. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Home Visit Advantages Disadvantages

5. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Phases of the Home Visit Contracting Entry Termination

6. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Home Visit Considerations Safety Fostering positive client response The nursing bag Health care team

7. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Safety Issues Appearance and communication Traveling During visits Defense techniques Nursing considerations

8. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Fostering Positive Client Response Dimensions of timing intervention Initiation of approach Persistence Timing

9. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Nursing Bag Assessment equipment Medical asepsis Waste disposal Bag technique

10. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Implementation of the Nursing Process in the Home Assessment  Client  Family Interviewing Observation

11. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Assessment Tools Family assessment Crisis assessment Cultural health practices

12. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Nursing Diagnosis and Planning Care Establish nursing diagnoses for client and family Mutual Contract with client and family

13. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Elements of a Client-Nurse Contract Purpose of the client-nurse relationship Roles, responsibilities, expectations of client and nurse Meeting times Confidentiality Conditions for termination

14. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Interventions Mutually determined by client and nurse Client and nurse responsibilities

15. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Common Types of Interventions Teaching Management of family stress Referrals Promoting family strengths

16. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Telehome Health Utilization of technology to monitor clients  e-mail  Cell phones Benefits

17. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Evaluation Ongoing Assess achievement of expected outcomes

18. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Termination Begins with the first visit Prepare client and family for termination Smooth transition

19. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 21 Summary of Components for the Home Visit Contracting phase Going to see phase Entry phase Termination phase