home visit assignment

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KEY COMPONENTS IN HOME VISITS

1. Assessment:

• Conduct a thorough assessment of the home environment, including living conditions, safety hazards, and available support systems.

2. Purpose of the Visit:

• Clearly define the purpose of the home visit, whether it is for routine check-ups, health education, medication management, post-discharge follow-up, or addressing specific health concerns.

3. Appointment and Consent:

• Schedule home visits at convenient times for the client and obtain consent for the visit. Respect the client’s privacy and autonomy.

4. Communication:

• Establish effective communication with the client and their family. Listen actively, address concerns, and encourage open dialogue to better understand their needs.

5. Cultural Competence:

• Be culturally competent and respectful of the client’s cultural practices, beliefs, and values. Consider cultural factors when planning and delivering care.

6. Safety Precautions:

• Assess and address safety concerns in the home, including fall risks, fire hazards, and other environmental factors. Provide education on maintaining a safe living space.

7. Medication Management:

• Review medications with the client, ensuring proper administration and understanding. Address any concerns or questions regarding medications.

8. Health Education:

• Provide individualized health education on topics such as chronic disease management, nutrition, hygiene, and preventive care. Use visual aids and written materials as needed.

9. Family Involvement:

• Involve family members or caregivers in the care plan, as appropriate. Consider their support and collaboration in maintaining the client’s health.

10. Health Promotion: – Encourage and facilitate healthy lifestyle choices. Discuss strategies for maintaining or improving health and preventing illness.

11. Assessment of Activities of Daily Living (ADLs): – Evaluate the client’s ability to perform daily activities, such as bathing, dressing, and eating. Provide assistance or make recommendations for improvement as needed.

12. Monitoring and Follow-up: – Establish a plan for ongoing monitoring and follow-up. Determine the frequency of home visits based on the client’s needs and the nature of the healthcare issue.

13. Documentation: – Document the home visit thoroughly, including assessments, interventions, education provided, and any changes in the client’s health status. Maintain accurate and up-to-date records.

14. Collaboration with Other Healthcare Providers: – Collaborate with other healthcare professionals involved in the client’s care, such as physicians, therapists, and social workers. Ensure a coordinated and holistic approach.

15. Respect for Autonomy: – Respect the client’s autonomy and involve them in decision-making regarding their care. Encourage them to express their preferences and goals for health and well-being.

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Nursing Home Visit

Description

A nursing  home visit is a family- nurse contact which allows the health worker to assess the home and family situations in order to provide the necessary nursing care and health related activities. In performing  home visits, it is essential to prepare a plan of visit to meet the needs of the client and achieve the best results of desired outcomes .

• To give care to the sick, to a postpartum mother and her newborn with the view teach a responsible family member to give the subsequent care.
• To assess the living condition of the patient and his family and their health  practices in order to provide the appropriate health teaching.
• To give health teachings regarding the prevention and control of diseases.
• To establish close relationship between the health agencies and the public for the promotion of health.
• To make use of the inter-referral system and to promote the utilization of community services

The following principles are involved when performing a home visit :

• A home visit must have a purpose or objective.
• Planning for a home visit should make use of all available information about the patient and his family through family records.
• In planning for a home visit, we should consider and give priority to the essential needs if the individual and his family.
• Planning and delivery of care should involve the individual and family.
• The plan should be flexible.

The following guidelines are to be considered regarding the frequency of home visits:

• The physical needs psychological needs and educational needs of the individual and family.
• The acceptance of the family for the services to be rendered, their interest and the willingness to cooperate.
• The policy of a specific agency and the emphasis given towards their health programs.
• Take into account other health agencies and the number of health personnel already involved in the care of a specific family.
• Careful evaluation of past services given to the family and how the family avails of the nursing services.
• The ability of the patient and his family to recognize their own needs, their knowledge of available resources and their ability to make use of their resources for their benefits.
• Greet the patient and introduce yourself.
• State the purpose of the visit
• Observe the patient and determine the health needs.
• Put the bag in a convenient place and then proceed to perform the bag technique .
• Perform the nursing care needed and give health teachings.
• Record all important date, observation and care rendered.
• Make appointment for a return visit.
• Bag Technique
• Primary Health Care in the Philippines

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Thanks alots for the impressive lessons learnt from the principal of community health care and nursing home

Home visit nursing

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Home Visits

Consistently provide quality patient care during home visits and address safety concerns as they arise.

Home Visit Checklist

• Eliminate paperwork with digital checklists
• Generate reports from completed checklists
• Free to use for up to 10 users

Home visit checklists are used by healthcare professionals when conducting house calls to assess the medical condition of patients and provide patient care. This digital home visit checklist covers the patient’s immobility, nutrition, home environment, other people, medications, examination, safety, spiritual health, and other services needed (INHOMESSS). Used with SafetyCulture (formerly iAuditor) on a mobile device, this home visit checklist allows you to:

• Make notes on corresponding areas of concern during house calls
• Take optional photos (with patient approval) for tracking of treatment and other medical concerns
• Generate reports on the spot for easy documentation of house calls
• Do not miss another house call with SafetyCulture’s scheduling feature
• Geotag completed house calls for reference

What is a Home Visit?

A home visit or a house call in the medical field is the practice of medical professionals visiting patients at their homes to address medical conditions and provide patient care. It also aims to educate young children with health or developmental concerns to be familiar with their environment. It provides clear, regular, and flexible terms considering the needs of the patient and family.

Home visits are also conducted in the fields of education, early childhood development, social services, and real estate, but this article will focus on the medical house call.

What is a Home Visit Checklist?

A home visit checklist is a tool used by medical professionals when conducting house calls. It helps ensure that all aspects of a home visit are checked and that they are in line with the goal of the home visit, which is to address the medical concerns of the patient and improve overall patient care.

The Benefits of Home Visits

Only around 13% of doctors in the US currently conduct home visits, but the demand for the practice is expected to increase due to the aging population. Home visits have advantages over conventional medical appointments done at the doctor’s office. Below are the three main benefits.

Improved patient care

Home visits help improve patient care and prevent more serious and possibly more expensive medical issues. Medical practitioners that visit patients’ homes can help address patient mobility and safety and assess the patient’s living conditions. By observing a patient’s daily routine, the medical practitioner can recommend modifications that address the patient’s needs. Patients in a house-call program report to have fewer hospitalizations and visits to the emergency room.

Satisfied patients

Home visits contribute to higher levels of patient satisfaction . Patients save time and enjoy doctor’s appointments in the comfort of their own home, instead of having to go out and wait for their turn at the doctor’s office.

Satisfying medical practice

The medical practitioners who conduct house calls are reportedly more satisfied with their medical practice and have a more positive attitude for conducting home visits than those who do not.

Types of Home Visits

Home visits are tailored according to the needs of the patient. Here are the 4 types of home visits that address the needs not only of the patients but also of their family members and help create an environment conducive to providing quality patient care.

Illness home visits

For this type of home visit, the medical professional visits the patient to assess the illness and provide appropriate care. These visits are usually done for patients with acute or chronic illness.

Dying patient home visits

This is conducted for terminally ill patients who are at home so the health practitioner can provide palliative care and make conditions as comfortable as possible for the patient and family members. Medical professionals also provide emotional support to the coping family members of the dying patient.

Assessment home visits

The medical professional assesses the patient’s living conditions and aims to ensure that the home is safe and conducive to the well-being of the patient.

Hospitalization follow-up home visit

This type of home visit is for follow-up of major events such as the birth of a baby or after treatment of a major illness or post-surgery. This home visit helps the patient and family members cope and ensure that the home is made ideal for patient care.

Components of Home Visits

The objective of home visits is to provide medical service at your doorsteps. According to 2013 home visits health care benchmark, the following are the top components of home visits:

• Medication Reconciliation – is a process of accurate listing of patient’s medication that has been compared to medical orders or patient’s records.
• Clinical Assessment – is a process of diagnosing, evaluating, and planning treatment for patients who have psychological problems.
• Patient / Caregiver Education – caregivers provide all-around support to the patient’s needs including personal assistance.
• Fall Assessment – is a process of evaluating the likelihood of falling for elderly patients.

Home Visits Inspection Tool

With a lot to cover during home visits, medical professionals need to be prepared even before heading out for house calls so they can appropriately address medical concerns. Using paper home visit checklists can get in the way of delivering seamless patient care and use time that could have been better spent addressing the concerns of patients. With the SafetyCulture app on your iPad, smartphone, or other mobile device, you can:

• Proactively identify all possible safety issues to improve patient care
• Receive prompts for scheduled home visits
• No more re-entering of information from paper forms to computers. Preview a sample web and PDF home visit report.
• Use for free with small home visit groups. Unlimited reports and storage for Premium accounts .

Download Free & Customizable Home Visit Templates

Home visit assessment checklist.

Conduct home visit assessments using this checklist and ensure that the patient home is safe and conducive to the patient’s wellness. Include optional photos so you can show to patients or their family members what needs to be addressed or what is the ideal situation for the patient.

House Call Equipment Checklist

Use this checklist before going out for home visits to ensure that all equipment and documents are prepared and ready for the house call. All SafetyCulture templates are customizable to fit the house call needs of medical professionals.

Home Visit Safety Checklist

A home visit safety checklist is used to document the patient’s medical alerts, consent, and home conditions including communication lines, house access, premisses, and parking. It helps prepare emergency teams in case of an incident.

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Home Visits: Reaching Beyond the Classroom

Get to know your students and strengthen the home-school partnership with these seven tips for reaching out to parents and meeting families.

As a teacher at a small Oakland, California public high school called Life Academy , where each teacher also holds a mixed-grade level advisory class of about 20 students, I began conducting home visits for my advisees as a way to clarify my relationship to them as more than a teacher. After all, we would be together for the next four years. I would be their advocate when they struggled in other classes, the one who would write their letters of recommendation, announce them at graduation, and ask them about their day, every day. Part of this relationship was an initial visit to each student's home.

Seeking Home-School Partnership

To make home visits manageable, I only visited the homes of the four to five ninth graders who were new to my advisory class. The first year I did this, there was a lot of pushback from students who weren't used to having a teacher visit their home, but in the second year, the tenth graders were able to sell the idea for me. They'd say, "Yeah, she came to our house, too. It was cool!"

Once there was buy-in from the class, the home visits were relatively easy to set up. The student would check with their parent and find a good time for me to stop by. Often the parents were relieved to hear that they didn't have to get off work early or find time to come to me. In fact, some of my students' parents began to request home visits, and I happily obliged. I always gave myself a full hour, but rarely needed it. I visited homes after school, in the evening, or on the weekend, whatever was best for the family. While I've heard the advice to conduct home visits with a partner teacher, I personally felt that going alone made it more comfortable for the family.

One time, when I was visiting the home of soccer star Angela, her mom had prepared a full meal for me, and the visit lasted well into the evening when she invited me into the back yard to pick lemons for my own family. After that visit, despite the language gap (I am proficient but not fluent in Spanish), whenever I saw Angela's mom at school events or at on-campus parent conferences, it was more like seeing an old friend. We were comfortable with each other. She felt accepted by me, and I felt respected by her. We were partners in her daughter's education.

Of course, it didn't always go so idyllically. Once I visited the home of Payton, whose mom was volatile and even hostile in meetings. I had met her several times before the home visit because Payton was in trouble at school early and often. At his house, I was formally welcomed but felt out of place as we sat in the living room and his numerous brothers clamored for his mother's attention. His mom told me about how three of Payton’s male role models had been killed in the last few years. I was glad to have had a glimpse at his home life, even though its reality made me feel more powerless than before. I imagined that as out of place as I felt in his mother's home, she must also feel the same way when visiting the school. If nothing else, the visit allowed me to empathize more clearly with Payton and his family.

The Power of a Visit

Whenever I coach new teachers, I encourage them to visit the homes of students as early as possible. It's just about the quickest way to understand a student better. Home visits should also be considered when a student is new to a school due to a transfer. While I made it a personal policy to visit the homes of all my ninth grade advisees, I also recognized that the impact of home visits could have been multiplied had it been a school-wide practice. Can you imagine if every ninth grader got a visit from his or her advisor, and if each family felt personally welcomed to the school? At my school, we've made time for on-campus parent conferences by modifying our schedules, but we haven't yet prioritized home visits. I think meeting parents and guardians where they are most comfortable could make a big difference. It certainly did for Louise Rocha-McCarthy and Annie Huynh .

In my own experience, visiting my student Diego at his house when he had been out of school for several weeks is what got him to come back to school, albeit briefly. I saw the power of home visits again this year when one of our most challenging students had missed several weeks of school. An email chain revealed that no one had been able to reach the family to find out why he had been away. Students were starting to ask where he was and why none of his teachers knew the answer. That very afternoon, three of his after-school mentors went together to his home and by the next day he was back in class. While the visit clearly had a positive impact on the young man, this impact rippled throughout school, too. Students saw without a doubt that the adults at school, not just classroom teachers, cared for even the most troubled student, and that being absent didn’t mean being invisible.

7 Suggestions for Visiting

Here are a few tips to get the most out of your home visit:

• Make home visits a part of your classroom or school culture so that no one feels singled out.
• Systematize who gets home visits to keep the practice manageable for you.
• Set aside strategic times during the year for home visits.
• Be flexible about when you do a home visit. Let the parent or guardian decide the date and time.
• Be prepared to share one concrete example of a way that you've seen the student shine.
• Don't discuss grades or behavior. This is a time for getting to know the family. Ask them open-ended questions. Ask your student to show you where they do their homework.
• Thank the family for allowing you in to their home.

Have you visited your students at home? Please share your experiences in the comments below.

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Analysis of an interprofessional home visit assignment: student perceptions of team-based care, home visits, and medication-related problems

Affiliation.

• 1 South East Alaska Regional Health Consortium, Ethel Lund Medical Center, Juneau, AK.
• PMID: 25058544

Background and objectives: Interprofessional education (IPE) is recommended by many as a means by which to prepare clinicians for collaborative practice and a mechanism by which to improve the overall quality of health care. The objective of this study was to determine the impact of an interprofessional medicine-pharmacy student home visit experience on students' self-assessments of skills and abilities related to team-based care and identification of medication-related problems.

Methods: Third-year medical and fourth-year pharmacy students completed an interprofessional home visit centered on identification of medication-related problems. Students were surveyed before and after the IPE assignment to assess changes in self-assessed skills and abilities. Survey items consisted of Likert-type statements on a 5-point scale (1=strongly disagree, 5=strongly agree) and free-text responses. Students also completed reflection papers regarding their experiences.

Results: Twenty-two medical and 20 pharmacy students conducted medication-focused interviews of 22 patients at home as interprofessional teams. Medical and pharmacy student self-assessments of skills and abilities related to team-based care and identification of medication-related problems improved after completion of the assignment. Both groups of students perceived an improvement in confidence regarding communication skills, both with patients and with other health professions students. Changes were reported on 12 survey items. Student feedback on the IPE experience was positive.

Conclusions: Students' self-perception of skills and abilities related to interprofessional team-based care and identification of medication-related problems are improved after IPE medication-focused home visit assignment. Student feedback supports the value of interprofessional patient care clinical experiences.

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Analysis of an interprofessional home visit assignment: student perceptions of team-based care, home visits, and medication-related problems.

L. Michelle Vaughn , East Tennessee State University Brian Cross , East Tennessee State University Follow Larissa Bossaer , East Tennessee State University Emily K. Flores , East Tennessee State University Jason Moore , East Tennessee State University Follow Ivy A. Click , East Tennessee State University Follow

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Publication date, description.

BACKGROUND AND OBJECTIVES: Interprofessional education (IPE) is recommended by many as a means by which to prepare clinicians for collaborative practice and a mechanism by which to improve the overall quality of health care. The objective of this study was to determine the impact of an interprofessional medicine-pharmacy student home visit experience on students’ self-assessments of skills and abilities related to team-based care and identification of medication-related problems. METHODS: Third-year medical and fourth-year pharmacy students completed an interprofessional home visit centered on identification of medication-related problems. Students were surveyed before and after the IPE assignment to assess changes in self-assessed skills and abilities. Survey items consisted of Likert-type statements on a 5-point scale (1=strongly disagree, 5=strongly agree) and free-text responses. Students also completed reflection papers regarding their experiences. RESULTS: Twenty-two medical and 20 pharmacy students conducted medication-focused interviews of 22 patients at home as interprofessional teams. Medical and pharmacy student self-assessments of skills and abilities related to team-based care and identification of medication-related problems improved after completion of the assignment. Both groups of students perceived an improvement in confidence regarding communication skills, both with patients and with other health professions students. Changes were reported on 12 survey items. Student feedback on the IPE experience was positive. CONCLUSIONS: Students’ self-perception of skills and abilities related to interprofessional team-based care and identification of medication-related problems are improved after IPE medication-focused home visit assignment. Student feedback supports the value of interprofessional patient care clinical experiences.

Citation Information

Vaughn, L. Michelle; Cross, Brian; Bossaer, Larissa; Flores, Emily K.; Moore, Jason; and Click, Ivy A.. 2014. Analysis of an Interprofessional Home Visit Assignment: Student Perceptions of Team-Based Care, Home Visits, and Medication-Related Problems. Family Medicine . Vol.46(7). 522-526. https://www.stfm.org/FamilyMedicine/Vol46Issue7/Vaughn522 ISSN: 0742-3225

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This document discusses home visiting as a core part of community health nursing. It defines home visiting as providing nursing care to patients in their homes, requiring technical skills and judgment. The purposes of home visits are to assess individual, family, and community health needs and provide services like health education, counseling, and basic care. The key steps of home visits are fact-finding, data analysis, planning, taking action and providing health education, closing the visit, recording details, and evaluating the impact. Home visits aim to establish relationships and address priorities like maternal and child health. Read less

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• 1. HOME VISITING SUBJECT: COMMUNITY HEALTH NURSING Ms. SAHELI CH. LECTURER. IACN.
• 3. INTRODUCTION • A home visit is one of the essential parts of the community health services because most of the people are found in a home. • Home visit fulfils the needs of individual, family and community in general for nursing service and health counselling. • A home visit is considered as the backbone of community health service.
• 4. • A home visit is a family–nurse contact which allows the health worker to assess the home and family situation in order to provide the necessary nursing care and health-related activities. • The services in the home requires technical skills, knowledge of preventive and therapeutic measures, teaching ability, judgement and full understanding of human relation.
• 5. DEFINITION • A home visit is defined as the process of providing the nursing care to patients at their doorsteps. It requires technical skills, resourcefulness, judgment, relationships. • It is defined as providing the services to family at their door step to maintain the health & to reduce the mortality & morbidity in family.
• 7. PRINCIPLE When carrying out the home visit, the community health nurse should follow certain basic principles which are as follow: • The home visit should have a purpose and objectives. • The home visit should be planned according to the priority. • The purpose of the home visit should be clear, regular, and flexible according to the needs of the family. • First of all, introduce yourself, your institution, your purpose of a home visit, and collect facts about an individual, family and environment.
• 8. • Home visit should be educative. • Home visit should give excellent opportunities for nurses to demonstrate hygienic principles. • Home visit should be convenient, acceptable and educative to the patients. • Establish a good interpersonal relationship between families and be polite, courage, friendly. • Carefully listen the family and understand the others person view. • Health education, nursing care should be scientific.
• 9. • Use safe technical skills and scientific nursing procedures. • Involve whole family members as much as possible during nursing care. • The nurse and family member must develop a positive interpersonal relationship in their work to achieve present goals. • Evaluate your own work periodically. • The nurse must respect the patients right. • Home visit should be recorded in the diary and family folder.
• 10. PURPOSES • To find out needs of individual, family and community in relation to health, socioeconomic and cultural aspects. • To provide domiciliary midwifery as care for pregnant, delivery, and puerperal mother and infant. • To give care to the sick, to a postpartum mother and her newborn with the view to teach a responsible family member to give subsequent care. • To assess the living condition of the patient and his family and their health practices in order to provide the appropriate health teachings.
• 12. • To provide basic health services for minor ailments. (i.e. injury, boils, abrasions) • To provide counselling on family planning, immunization, nutrition. • To give health teaching regarding the prevention and control of diseases. • To establish a close relationship between the nurses and the public for promotion of health. • To make use of an inter-referral system and to promote the utilization of community services.
• 20. STEPS IN HOME VISIT Ms. SAHELI C LECTURER IACN
• 21. STEPS IN HOME VISITING Home visit refers to meeting the health needs of people at doorsteps. The steps of home visiting are as follow:- 1. Facts finding. 2. Data finding 3. Planning for a visit. 4. Action and health education. 5. Closing the visit 6. Recording the visit 7. Evaluation of the visit.
• 22. (A) FACTS FINDING • Facts findings are the first steps during home visiting. • It helps to study the clinical and other records to get an understanding of what has to be done which is given below: 1. Prepare a map of the area to be visited and i.e. location, house, road, temples etc and prepare family folders. 2. Collect information of the family member regarding number of family member, occupation, education, date of birth, religion, income, past history, present illness, use of family planning, immunization etc.
• 23. 3. Use technical skills and nursing procedure. 4. Establish an interpersonal relationship, be polite and courage, show the interest towards the family. 5. Identify the needs of individual and family members. 6. Discuss the problem with the family members and find out the possible solutions to problems.
• 24. (B) DATA FINDINGS • After completing the fact finding; the process of analysis begins. • The data of the members should be honest and based on the facts and not an opinion. • The personal, emotional, spiritual aspects should be involved which are taken together and also constitute the usual health problem. • The problem and facts should show exact problems and what he is expected to do.
• 25. • Discuss the point step by step and examine the matter critically. • Then only comes to the conclusions. • Do not jump and do not make hasty conservation. • After that, the nurse helps the family to plan and use local and outside resources.
• 26. (C) PLANNING FOR A VISIT Community health nurse should assess or consider many factors while making a visit to the family such as: a) First priority should be given to essential basic need such as hunger, then only for personal hygiene or safe water or sanitation. b) Family’s cultural background. This helps the community health nurse to understand their attitudes, beliefs, practices regarding medical practice and diet.
• 27. c) Occupation and income of family to determine and assist in budgetary problems. d) Age. e) Psychological factors- this includes family relationships. f) Educational level. g) local resources available in a family in order to be practical. h) Planning should also be based upon short term or long term objectives of the family. i) Some alternatives plan or suggestions are also helpful. j) Do respect the individual’s ideas, suggestion or solution. k) Good planning always leads to doing a good action and achieve objectives.
• 28. D) ACTION AND HEALTH EDUCATION I. APPROACH TO FAMILY:  Locate the right house.  Knocking at the door and call out.  Introduce yourself, your agency and the purpose of your visit.  Establish good rapport- being courteous, polite, warm and friendly.  Good observer of verbal and non-verbal response from family.  Use (words) ‘How’, ‘what’, ‘when’, ‘why’, while questioning.  Be a good listener.
• 29.  Keep in mind agency’s policies during visit regarding fees and care.  The talk should be informal, giving plenty of opportunities to ask a question and provide a platform for discussion.  Do not force information.  Observe local customs eg. Removing shoes or chappals before entering the house is necessary in Indian Communities.
• 30. II. INTERVIEWING THE FAMILIES:  Interview is defined as a conversation with a purpose; an exchange of ideas between two people ; a process of giving and receiving information.  The nurse should be sensitive to the other person’s point of view.
• 31. PRINCIPLES OF INTERIEW TECHNIQUE:  Provide privacy.  Establish a good rapport.  Must maintain an intellectual an alert attitude  Understand the client’s and families problem and their socio cultural background.  Relieve anxieties and fears by providing a conducive environment.  Speak the language of the client and use simple terms which can be understandable.  Be a good listener.  Follow through on the interview.  Record the interview.  Evaluate the interview.
• 32. III. Activities during home visit:  Providing nursing care with comfort g. Taking temperature, for giving bath.  Observing and assessing patient’s condition.  Knowing the family fully well - assists and guides them in making plans for solving health problems.  Demonstrating and teaching eg. Giving insulin injection.  Making nursing diagnosis and tentative nursing care plan.  Establishing priorities.  Giving assurance to the individual and family appropriately.
• 33. IV. HEALTH EDUCATION:  The action and health education should be as per family time schedule.  Find out what is the best time for teaching them.  For example, if they are drying food in a yard, then you should teach about food storage, and help them for proper drying.  This help to provide effective teaching as you are helping them.  It also builds good interpersonal relationships.  Emphasis should be given on practical more often than theoretical.
• 34. (E) CLOSING THE VISIT • The nurse should summarize the contents of her visit and plans for next visit. • For example, say that you will visit next day or next week.
• 35. F) RECORDING THE VISIT • Record the activity carried out and the services given specifically. • For eg. Record what foods were advised regarding nutrition instead of recording ‘discussed well balanced diet’. • Describe what was done and the reasons for doing the specific procedure. • For eg. What demonstration was carried out, what was discussed, explained, explored, suggested or reviewed. • A clear, concise and skilfully written records helps in better patient care.
• 36. G) EVALUATION OF THE VISIT This is necessary in terms of- A. Was good relationship established ? B. Was the point of view of community health nurse understood ? C. How effective was the teaching? D. Was the community health nurse able to recognize and identify the needs of the family?  These questions should be raised an answered at the end of each home visit.
• 37.  FREQUENCY OF HOME VISIT • Making decision regarding frequency of visit is a matter of judgment. • It will depend upon the extent of health problems of the family Priorities are established on the following guidelines:  Visits in response to the need felt by the family such as mother in labour, acute and serious illness etc.  Visit to premature infants and infants with defects  Regular visits to post natal mother and antenatal mother
• 38. Visits to chronically ill patients Supervisory visits to infants, toddler, and eligible couple Collection of family information and investigations. Information, education, counselling and guidance purposes

Call or Text the Maternal Mental Health Hotline

Parents: don’t struggle alone

The National Maternal Mental Health Hotline provides free, confidential mental health support. Pregnant people, moms, and new parents can call or text any time, every day.

Start a call: 1-833-TLC-MAMA (1-833-852-6262)

Text now: 1-833-TLC-MAMA (1-833-852-6262)

Use TTY: Use your preferred relay service or dial 711 , then 1-833-852-6262 .

Learn more about the Hotline

• Programs & Impact

Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program

The MIECHV Program helps pregnant people and parents of young children improve health and well-being for themselves and their families. The Program does this by partnering trained home visitors with families to set and achieve goals. This work is part of our Early Childhood Systems programming .

Key summary documents

• Program Brief: Maternal, Infant, and Early Childhood Home Visiting Program (PDF - 320 KB)
• State Fact Sheets
• FY 2022 Home Visiting Infographic (PDF - 208 KB)

How does the Home Visiting Program help families?

Home visitors and families develop strong relationships and trust. They meet regularly to address families’ needs.

The Program aims to:

• Improve the overall health of mothers and children
• Get children ready to succeed in school
• Improve families’ economic well-being
• Connect families to other resources in their community (for example WIC , Medicaid, employment and educational resources, housing support, parenting support classes, and resources on how to stop smoking)

The Program works to prevent:

• Child injuries, abuse, and neglect
• Crime and domestic violence

What happens through home visiting?

Home visitors:

• Support healthy pregnancy habits
• Give advice on things like breastfeeding, making sure babies sleep safely, avoiding accidents with children, and eating well
• Show parents how to be positive and supportive with their children by reading, playing, and praising good behavior
• Encourage talking to babies and teaching them things from a young age
• Work with parents to plan for the future, continue their education, and find jobs and childcare
• Connect families to other services and resources in their community

How does the Program work?

Watch our video that explains this work.

HRSA and the Administration for Children and Families (ACF) fund states, jurisdictions, and tribes to develop and conduct home visiting programs. We provide funds to states and jurisdictions. ACF provides funds to tribes .

These programs must be based on evidence showing that they can meet the needs of families.

How do you ensure these programs work?

We use the Home Visiting Evidence of Effectiveness (HomVEE) review . ACF reviews home visiting program models to ensure they meet families’ needs.

There are 24 home visiting models that meet HomVEE and other eligibility criteria . States, jurisdictions, and tribes can select the best models for their communities.

How do you know how awardees are doing?

Awardees must report on how their program performs. The law requires them to do this across six benchmark areas, which include 19 performance measures (PDF - 137 KB) . They must show that they’ve improved in at least four of the six areas.

Do you offer to help awardees?

Yes. We want our awardees to succeed. Our program officers share their expertise to help improve the quality of the programs .

How is Home Visiting different from the Healthy Start program?

The Home Visiting Program and the Healthy Start program both reach pregnant women and families. But they’re different in terms of both funding and approach.

Funding differences

The Home Visiting Program awards grants to 50 states, the District of Columbia, and five territories to create state-wide networks that support and carry out HHS-approved evidence-based home visiting models.

Healthy Start provides direct funding to local entities . Healthy Start awardees serve communities in which babies die more often than the national average.

The 2023 funding increase for Home Visiting Program is the result of a five-year, bipartisan reauthorization of the Program by Congress. As such, this reauthorization further defines how the Home Visiting Program differs from Healthy Start.

Program differences

While both programs play a vital role in improving maternal and child health, they do so in distinct ways .

The Home Visiting Program:

• Preventing child abuse and neglect
• Promoting positive parenting
• Supporting school readiness
• Allows states to choose evidence-based models that fit their community’s needs

The Healthy Start program:

• Focuses on reducing infant deaths
• Providing both clinical and non-clinical health services
• Offering well-woman, maternity care, and doula services
• Helping with transportation and housing needs

And each program emphasizes different parts of the life course:

• The Healthy Start program focuses on the periods before, during, and after pregnancy.
• While some Home Visiting models focus on the time before birth, many models serve families throughout the early childhood period up until kindergarten.

Additional information

• Fiscal Year (FY) 2022 MIECHV Program Reauthorization
• Demonstrating Improvement in the Maternal, Infant, and Early Childhood Home Visiting Program: A Report to Congress (PDF - 1 MB) (March 2016)

Past funding awards for home visiting programs

• FY23 Formula Funding Awards
• FY22 Formula Funding Awards
• FY21 American Rescue Plan Act Awards
• MIECHV Innovation Awards

Resources for our awardees

• Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Notice of Funding Opportunity (PDF - 685 KB) *
• MIECHV FY24 Notice of Funding Opportunity FAQs
• MIECHV FY24 Notice of Funding Opportunity Technical Assistance Webinar recording
• MIECHV FY24 Notice of Funding Opportunity Technical Assistance Webinar slides (PDF - 491 KB)
• COVID-19 Resources and FAQs for Home Visiting
• Data and Continuous Quality Improvement for Programs
• MIECHV Evaluation and Research
• MIECHV Program Reauthorization
• MIECHV Base Grant Awards FY23 Non-Competing Continuation Update (NCC Update) (PDF - 272 KB)
• MIECHV Formula Awards FY22 Non-Competing Continuation Update (NCC Update) (PDF - 434 KB)
• FY22 American Rescue Plan (ARP) Act Round 2 Award Instructions (PDF - 204 KB)

*Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email Rachel Herzfeldt-Kamprath or call 301-443-2524 .

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