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Nursing Home Visits

Nursing Home Visits

Nursing Home Visits

QUESTION
1) Define Home visit

2) Enlist the skills required for home visit

3) Describe the role of a nurse during different phases of home visit

4) Explain the family health assessment during home visit
Nursing Home Visits

ANSWER
Nursing Home Visits

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Nursing Home Visits
The nursing practice entails various approaches to care, such as inpatient works, outpatient care, and also the aspect of a nursing home visit. Family nurse practitioners particularly carry out nursing home visits. It is an interaction between a family nurse and the specific family that enables the health worker to assess the family and provide the necessary interventions to improve all the members’ health and wellness. The nurse has to be proficient in communication, interpersonal relations, and careful observation and assessment. In addition, the FNPs need to have a well-structured plan of the visit to address the clients’ needs and attain desired outcomes effectively. Below is an overview of the characteristics of home visits, FNP roles and skills needed, and families’ assessment during home visits.
Review of the Aspects of Nursing Home Visits and Family Assessments
The nursing home visits are conducted for various healthcare-related purposes. The visits often target specific populations such as the post-delivery mothers and their unborn visits under home care. Also, patients with chronic conditions may be visited to evaluate their progress. During the visits, he nurses my offer guidance to the family on how to take care of the patients. It allows for assessing the living conditions of the patient and the family to identify gaps for improvement in care (Osakwe et al., 2020). Besides, the visits may be for health promotion and education purposes. In some instances, home visits are in place to create public agencies and families’ connections. It may also entail persuading or linking families with inter-referral systems and promoting proper utilization of available community health services. Family visits form a core part of community health nursing.
It is also conducted to assess the patient and family’s living conditions and offer relevant teaching or assistance. The nurse may provide ways for controlling and preventing some of the diseases. For instance, they may visit to assess the coronavirus situation and offer measures to protect themselves and their entire families. The nursing practitioner must have an objective or purpose when conducting home visits. By using records and planning, the nurses will be able to facilitate effective needs evaluation and offer reliable interventions.
Enlist the Skills Required for A Home Visit
Nursing practitioners need to develop several competencies in the field of home visits. These are the skills required to oversee the effective implementation of the nursing care visits and meeting objectives. Professionalism is paramount and skills in communication, record keeping, interpersonal relations, organizational skills, punctuality, task-taking, and being competent in the nursing field. It is also required that the nurse also understands the legal requirements and policies in conducting family evaluations. (Bjerring et al., 2020).
Organizational skills are needed to maintain accountability for the various activities and the clients assigned to my practice. For instance, you should be well organized to understand and manage supplies required, such as stethoscopes and any medicine if necessary. Note-taking is also essential to keep a well-ordered record of events, issues identified, and the subsequent interventions. Therefore, the nurses need to be excellent record-keepers with physical and even electronic forms of managing patient information. Besides, the nurse needs to be timely and responsible enough to respond to home visits as required. Another aspect that nurses need to have excellent skills id that of interpersonal relations. One needs to be polite, understanding, and understand the dynamics of family relations. This is seen in interactions with the clients, whereby respect has to be paramount together with active listening and meaningful conversations. Notably, it is resourceful to be well-versed in the cultural beliefs or ways of the family visited. Therefore, the nurses’ communication skills such as verbal cues and the appropriate mannerisms during evaluations. Communication is at the core of the FNP home visits, and its efficiency should be prioritized. Most importantly, the nurse needs to be competent in her field and understand the various dynamics between diseases, families, and appropriate treatment. Exemplifying the above skills in one’s repertoire will guarantee effective home visits and the identification of useful interventions to enhance the family’s health and wellness (Osakwe et al., 2020).
The Role of a Nurse During Different Phases of a Home Visit
The nursing practitioner roles commence before the actual visit through rigorous preparation and organization of inputs. The nurses do proper planning and initial contacting of the target family. Additionally, the nurse then sets out and meets with the family. An evaluation or history of the patients is made depending on the scope of the visit. Also, interviewing the patient or family is done to get the progress and identify the areas of needs. One gets an opportunity to evaluate the kind of care offered to a patient in their natural setting. Besides, they may note the hazards or the unhealthy practices carried that may contribute to ill health. The nurse needs to take all the notes and ensure they record information shared during the assessment phases. The final in-visit activities involve offering solutions to the family based on the observations (Bjerring et al., 2020). The nurse should carefully identify the needs of the family and accord the needed solutions subjectively to every member of the household.
The Family Health Assessment During the Home Visit
There are five phases of nurses’ home visits that are defined by specific nursing roles. The phases are initiation, pre-visit, in-home, termination, and post-visit stages. During the initiation phase, the nurse clarifies the purpose and probable sources of referral. This is done by coordinating with the relevant family members, whereby the reason and purpose of the visit are shared (Osakwe et al. 2020). The pre-visits phase is characterized by the nurse initiating contact with the family and establishing shared perceptions. Here, there should be the establishment of a willingness or contractual agreement for the home- visit. During the in-home visit, the practitioner introduces themselves and establishes a healthy nurse-client relationship. Consequently, the nurse proceeds with the stages of the nursing process, whereby evaluation and diagnosis of potential needs are carried out. After evaluation, the visit enters the termination phase characterized by the nurses’ review of assessment and necessary interventions. In the post-visit stage, the nurse reviews the findings and issues identified and makes plans for the next visit or any action plan, such as transferring the patient to a nursing home.
Conclusion
Community health nursing entails home visits to carry out an evaluation, health promotion, and offering home-based clinical care interventions. The FNP or visiting nurse needs to have a certain skill set to carry out home visits effectively. Some skills required in conducting these home-based visits are communication, interpersonal, organizational, and reporting skills. Proficiency in the nursing field is also crucial to promote congruence with best intervention practices and compliance with relevant community, facility, or healthcare policies. In assessment, nurses need to consider the care provided and offer recommendations for improvement or referrals if necessary. Nursing home visits are an integral community health aspect that promotes family health and wellbeing and offers health education and promotion.

References
Bjerring, O. S., Larsen, M. K., Fristrup, C. W., Lundell, L., & Mortensen, M. B. (2020). The role of home visits by a nurse to improve palliation in patients treated with self-expandable metallic stents due to incurable esophageal cancer. Diseases of the Esophagus, 33(5), doz076.
Osakwe, Z. T., Aliyu, S., Sosina, O. A., & Poghosyan, L. (2020). The outcomes of nurse practitioner (NP)-Provided home visits: A systematic review. Geriatric Nursing.

Nursing Home Visits

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