Home visits allow you to focus on the entire family and see threats to health and safety.
Making home visits will increase your marketability after you graduate.
Our State Board of Nursing requires home visits as part of community/public health education.
The national accreditation policies require that students make home visits before they graduate.
Research has shown home visits save far more than their cost in decreasing child abuse, drug-resistant infections, and even emergency department visits.
The public health department staff members are the most knowledgeable concerning funding needed and how best to spend the funds.
The voters agreed on the tax levy funding the department. It would not be politically wise to act against voters obvious desires.
With all the fear about bioterrorism, it is an inappropriate time to cut funds to the public health department.
All nurses try to help people stay well, but I can also help you assess your home for any dangers to the baby.
Hospital nurses and I all try to be helpful, but I can also tell you how to obtain excellent child care.
In the hospital, you had a nurse focus on your baby and another nurse focus on your care. Ill be focusing on both you and your baby.
The other nurses in the hospital focus on helping you and the baby get off to a great start. Im going to repeat everything to be sure you really know it.
I am going to ask you to come back tomorrow to help the new mother further.
Why would the new mother experience any problems?
We have to assume that the new mother will be able to manage without us.
Well have another nurse stop by tomorrow to help the new mother.
To geriatric clients and the local senior citizen centers
To the neighborhood at highest risk in the city
To the neighborhood where the nurse lives
To wherever the nurse selects
Agreeing upon appropriate interventions with the family
Creating appropriate nursing diagnoses
Assessing the environment of the wider community
Confirming the information obtained with the client
Are these cats hungry? Or do they want something else?
Cats can really cause health problems. Would you like me to call the animal shelter for you?
Would you like to introduce me to your cats?
Would you please lock up your cats until were done?
To assess the health of all family members and the immediate environment
To discuss the time and financial limits to the care the nurse can give
To establish rapport with the clients and work with them to define mutually agreeable goals
To implement the nursing care plan established before hospital discharge
Confirming that all needed assessment data are obtained
Creating an accurate and appropriate list of nursing diagnoses
Establishing a systematic evaluation plan
Establishing trust for a productive relationship
Home visits are a new skill to be mastered, and learning is uncomfortable.
Home visits reflect a situation under the clients control and in the clients environment.
Home visits require lots of supervision, backup, and extra resources.
Home visits take much more time and effort than does giving care in the hospital.
Ambivalence because the nurse could be helpful but also judgmental of their situation
Glad because the nurse can be of immediate help
Fearful because the nurse is someone who has the authority to intervene in their lives
Angry because the nurse is essentially an intruder into their lives
Chart that the mother was noncompliant and would not let the nurse return.
Plan on returning in 1 week to answer any new questions the mother might have about her baby, how to care for him, or how infants grow and develop.
Stress how to get in touch with the public health agency if the mother ever has questions or needs assistance and then wish her the very best.
Try to find free formula, baby cereal, infant clothes, and other goodies to give the new mother so she will let the nurse back into the apartment.
Consistency with agency rules and procedures
Legally, whatever the medical referral requires
Unless a medical emergency, whatever the client believes is most important
What the nurses professional judgment determines to be the major threat to health
It demonstrated that the home-bound man was trying to be compliant with the nurses suggestion.
It made the apartment so much nicer for both the client and the nurse.
It was a successful short-term achievement toward the long-term goal of environmental safety.
The elderly gentleman obviously expected considerable praise for doing such a female task.
The nurse who had analyzed all of the background data
The hospital case manager who had coordinated the couples care
The elderly couple themselves
The nurse who had been the primary care provider in the hospital before discharge
Acceptance and sympathy
Enthusiasm and energy
Positive intent, supportiveness, and trust
Positive regard, empathy, and genuineness
It documents the cost of each nursing service.
It protects the nurse if the nurse is ever sued for malpractice.
It is legally binding for both parties.
It clarifies who will do what, when, where, and why.
It takes a long time and much effort to change peoples behavior.
The clients may not change today, but they may change tomorrow.
The nurse may have to change the clients values in order for the client to want to change behaviors.
The only person the nurse can change is the nurse.
I cant believe you even asked me that. I dont have any money!
I cant help with those items, but I can share with you some other resources that may help you adapt to having this new little person in your lives.
Ill ask at the home office and see if someone knows a resource for you.
My sister has some cloth diapers she isnt using anymore; I can bring those over, but I dont have any formula. Have you tried asking the hospital for free samples?
Before leaving his or her car, he or she should check the immediate surroundings for anyone or any situation that makes the nurse uncomfortable.
The nurse should intervene immediately with a family whose fighting is starting to become physical, before it escalates further.
The nurse should visit a family over the weekend, when no one is expecting an outsider to drop by.
When approached on the street by an unknown person, the nurse should stop and tell them how to reach the agency to be formally accepted as a client.
Apologizing and saying that the visit will be rescheduled when the client is feeling better
Focusing on client assessment and staying calm because filling out the necessary forms will not take long
Hurrying through the visit and finishing the documentation inside the safety of the nurses car
Using a low voice and slow, calm movements, and asking whether there is a problem
Indicating that he or she will return at another time and then leaving the home
Asking the man to stop and stress that the nurse cannot return if they are going to engage in illegal behavior while the nurse is there
Calling the police, reporting the illegal behavior, and agreeing to serve as a witness if the case goes to trial
Leaving and refusing to come back until all illegal drugs are out of the apartment
A married couple who have been having problems with independent living since the husband developed a staphylococcal infection
A client with acquired immune deficiency syndrome (AIDS) who is waiting for a hospice opening
A new admission who was discharged from the hospital with a diagnosis of pneumonia
A man with a draining chest abscess who is receiving intravenous antibiotics
Everything that might possibly be needed
Liquid soap, paper towels, educational materials, and assessment equipment
Nothing; the nurse should assess the situation and then get supplies
Agency forms and a pen
By ensuring that the agencies policies and procedures are correct
By confirming the nursing inferences that have been developed
By ensuring that appropriate referrals are made for the client
By confirming that the client understands the obligations of the agency