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Clinic Visit

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CLINIC VISIT

PRE-CONSULTATION CONFERENCE

1. Take clinical history after greeting and making


client at ease.
2. Take temperature, blood pressure, height and
weight.
3. Perform thorough physical assessment.
4. Do selective laboratory examinations such as
urinalysis for sugar and albumin as necessary,
sputum exam, stool examination for parasites,
vaginal smear for STD screening after taking the
necessary training.
5. Write the findings on client’s record.
MEDICAL EXAMINATION

1. Assist client before, during and after


examination by the physician.
2. Inform physician of relevant findings gathered
in pre-conference.
3. Work with the physician during the examination.
4. Ensure privacy, safety and comfort of patient
throughout procedure.
5. Observe confidentiality of examination results.
NURSING INTERVENTION

1. Carry out physician’s orders as giving


medication or injection.
2. Explain and reinforce physician’s orders and
advises.
3. Teach patient/client measures designed to
promote and maintain health as proper diet,
exercise and personal hygiene.
4. Seek information regarding health status of other
family members. Example: immunization status of
children, health and problems of elderly if any,
health of husband.
5. Counseling
POST CONSULTATION
CONFERENCE
1. Explain findings and needed care or intervention
.
2. Refer patient/client to other health related
staff/agency if necessary.
3. Make appointment for next clinic/home visit.
4. Referral as needed.
HOME VISIT

DEFINITION
A home visit is a professional face to face
contact made by a nurse to a patient or family to
provide necessary health care activities and to
further attain an objective of agency.
Principles in preparing for a Home Visit

Planning for a home visit is an essential tool in


achieving best results.
1. Planning for a home visit should have a purpose
or objective.
2. Planning for a home visit should make use of all
available information about the patient and
his/her family through family health records.
Knowledge of the health center personnel,
including those from other agencies that may have
rendered services to this particular patient or
family.
3. Planning should revolve around the essential
needs of the individual and his/her family but
priority should be given to those needs recognized
by the family itself.
4. Planning of continuing care should involve the
individual and his/her family.
5. Planning should be flexible and practical.
Factors to be considered in determining the
frequency of home visit

There is no definite rule of the frequency of a


home visit. Since the population in a given
community is much more than what the nurse can
handle, prioritization of needs for a home visit is
necessary.
SPECIAL CONSIDERATION

1. The physical, psychological and educational needs of


the individual and family.
2. The acceptance of the family of the family for the
services offered; the willingness and interest to
cooperate
3. Take into account other health agencies and the number
of health personnel already involve in the care of a
specific family.
4.The policy of a given agency and the emphasis placed on
a given health programs
5. A careful evaluation of past services given to a family
and how this family made use of such nursing services
6. The ability of the patient and his/her family to recognize
their own needs, their knowledge of available resources
and their abilities to use these resources on their own
accord.
PROCEDURE

1. Greet client or household member and introduce


yourself.
2. Explain purpose of home visit.
3. Inquire about and welfare of client/patient and
other family members. Ask about any and health
related problems.
4.Place the bag in a convenient place before doing bag
technique.
5. Wash hands and wear apron and put out needed articles
and/or medicines, dressings from bag.
6. Perform physical assessment and nursing care needed. If
more than one member of the family is for health
supervision and care, start with the ill/sick member to
avoid transfer of infection.
7. Give necessary health teaching and advice based
on client’s/patient’s need and condition.
8. Wash hands and close the bag.
9. Record findings and nursing care given .
. Make appointment either for a clinic or home
10
visit.
11. On succeeding home visit and when nurse has
gained the family’s trust and confidence, she/he
may look into more detailed aspects of the
household and surroundings and other health
problems/concerns
THANK YOU

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