Undertake Home Visits - Assignment Example

Undertake Home Visits Undertaking of home visit will be done by the following steps Prepare for home visit Introduction Nurses should be prepared before meeting the client. The steps It is the duty of the nurse to establish a clear therapeutic relationship with the client. Violation of professional boundaries can harm the relationship with the client. As a nurse a trust factor and respect factor has to be developed on the mind of the client. The nursing care plan should be developed based on the needs of the client. The client should be addressed by the title of the client and proper care will be taken to introduce to the client. The client should be informed much earlier about the visit and the client should be given certain tasks to be completed before visiting. Moreover the needs of the client will be listened for and steps will be taken to understand the belief and cultures followed by the client. The concerns of other family members will be understood before visiting the client. The nurse legal responsibility should be also addressed. The patient should be cross checked by phone on the date whether the client is comfortable if nurse visits. Conclusion The purpose of the home visit should be do provide and implement the nursing care plan developed for the patient based on the clinical need of the patient. The history of the client should be understood with interaction with family members and the problems the patient may be having with medication like allergy to certain medicines should be also understood. The equipment for a patient who has been suffering from cardiac arrest will be different from the patient suffering from illness of old age and this should be understood in the nursing care plan. The documents should include the diagnosis of the client, the case history of the patient and the contingency measures that has to be taken in case of emergency that occurs. The treatment that has been undertaken in the home should be documented with the time schedule recorded daily. The other members of the team should be passed on the information and all members of the team should be having contact numbers of each other to have the contact process. The other members should be passed on the information before starting the home visit. Undertake home visit Introduction There will be certain elements that the nurse has to address while visiting the home of patient The Steps As a nurse the primary thing that has to be addressed inside the home is the handling of chemicals and medicines. There will be potential side effects with these medicines and the risk of exposure to these medicines should be addressed by nurses. The question of hazardous cleaning, disinfecting and sterilizing agents and potent medications should be addressed by nurses. The standard precaution as a nurse should take is to minimize the potential of hazardous chemical risks and steps should be taken to destroy the medicines that are unused in a safe manner. For this the respect of the members of the home members should be taken and open communication with the family members should be taken and as a nurse, proper care should be taken not to humiliate the family members. The culture sensitivity should be properly understood by the nurse. Proper gloves and bandages should be used by the nurse so as to prevent the spread of disease from the patient body. Proper care should be taken by the nurse to wash the body and hand after treatment is given to the patient. Only when needed needles and other instruments should be used and this should be sterilized after using. The needles should be thrown out in puncture proof containers and proper care should be taken that the medicines and other materials are kept away from the reach of children. The visitors role should be monitored and steps should be taken so that they do not contaminate the patient and this message should be passed very diplomatically and this has to be addressed by the nurse using the power nurse has over the client. The spread of disease through insects cannot be written off and proper cleaning measures should be taken. The room of the patient should be well ventilated and care should be taken to ensure that the air flow is normal and the medicine smell is removed from the room. It should be room having a positive energy and steps should be taken to remove the negative energy that is in the room. The client can be given machine for lifting and cleaning if the client is confined to bed rest. The cleaning should be done in proper manner. There should be proper way in which the patient is cleaned and the waste is disposed and there should be proper steps that have to be taken when the nurse shifts duty. Even a piece of concrete falling on the nurse head due to faulty roof in the room can be considered as an accident and all these has to be watched by the nurse and steps should be taken to prevent it. Conclusion It is the duty of the nurse to prevent damage or to ensure safety of the patient, family and self while doing the job. For that the nurse should be willing to look at all possible angles. Establish client relationship in the home Introduction The client should be given a sense of feeling of trust that the feeling of the client will be respected and the client should be given an opportunity to address their feelings on how the treatment should be undertaken. Steps and examples There are certain clients who will be abusive to the nurse. It is very easy to flare up back to the client but what is required is the diplomatic handling of the client. For example as a nurse we would have developed a nursing care plan for the patient and we are sure that the client or patient will benefit immensely from it. The problem starts with when client refuses to obey and the family members refuse to undertake the plan. The family members may be abusive in their treatment towards us and this has to be addressed diplomatically. The nursing plan can be changed keeping in mind the final objective and this should be changed by taking inputs the difficulty faced by the patient when the original nursing plan was implemented. The role of the family members is critical and proper diplomatic relationship with family members should be done. The role of the nurse is not to bend over to the demands of the family members, but to make the family members see the advantage of the point raised by the nurses. Nurses can be sexually abused or physically abused inside a house and this has to be met sternly and proper corrective actions should be taken by the nurses so that future actions can be stopped. Conclusion Corrective actions have to be taken with health care authorities so that proper guidance will be taken. Follow up home visit Introduction The follow up action should be taken by the nurses so that corrective measures are continued and the safety of the patient is ensured. The Steps The steps should be taken to ensure that the authorities are informed promptly about the complication that has arisen on the treatment and steps should be taken to improve the treatment. The intervention programme may be dependent on the treatment meted out. The patient who has been given basic training programs should be seen whether improvement has been made. Steps should be taken to understand client or patient, nurse and the family is sharing the common nursing plan or not. Steps should be taken to ensure that changes in nursing plan should be made if the plan has not been working to the desired level. Changes in the patient condition and changes in the patient home environment also should be made under feedback process. Conclusion Only a proper feedback process will ensure the safety of the patient. Practise in the domiciliary health care environment Multi-disciplinary health care team Introduction The concept of health care system, by getting input participation from nursing staff and that has changed the way nurses work in a team.( John Daly, Sandra Speedy, Debra Jackson,2005) The Steps The health systems are diverse and multifaceted. If the departmental communications are absent, the patients will have to take responsibility for coordinating among departments for taking the care forward. The problem with this method is that not all patients are comfortable with this method. The communication failures will result in a situation that the patient will be forced to increase his or her stay in the hospital and that can create a condition of death or other discomfort. The complex needs of the patient can be addressed only by nurses who are ready to work in a multi-disciplinary team. A multi disciplinary health system may be one that consists of nurse, physician, and physician assistants, the team may include nutritionists, occupational and physical therapist and x-ray technologist. In case of emergency health situations, the client will be having contact with health care system. The patient becomes the main stay of the multi disciplinary team and the advantage of multi-disciplinary system is that creative solution can be found, the quality of the decision will be improved and that can increase the job satisfaction among team members. The success of the team will be dependent on the ability of the team members to forgo the traditional roles attached to it and the ability to share knowledge with each other. The interests in acquiring new skills are a prerequisite for achieving success. As a nurse ,who is working in the domiciliary health care ,extreme care will be taken to provide the holistic care and will be working closely with the client,families,friends and health care team so that effective package is provided. The clients will be provided with accurate and easy information so that client can take informed decision about the health. The client will be provided treatment with in their preferred environment and steps will be taken to reduce the admission to hospital or institutional environment. The client may be showered, dressed and assisted in daily activities. Conclusion By the term team, what is meant is group of common people who are interested in achieving common objective. Team in health care is not meant as a way out of assigning work within group Team work in the health care is considered as a way in which team interest are always kept on top above personal interest.Partcipating in multi-disciplinary team can be challenging for nursing profession if they are part of it for the first time. The nurses are supposed to mix with other health professionals to promote health care. Health professionals must be able to demonstrate the effectiveness of work and should be clear about purpose and outcome needed. Recognize the impact of a health problem on the client in the domiciliary health care environment Introduction The health problem has to be understood from the social and psychological point of the view from the patient and how the treatment is affecting the patient daily. Psychosocial factors have been seen affecting the disease of the client. This has to be overcome by open communication and flexibility shown by the nurses. The role of the nurse should be to strengthen the psychosocial skill of the patient and family members so that the health can be helped. The Steps Nurse can take the process of reflection so that the patient will have the ability to move positive towards health. Questions like what are the feelings of the patient towards treatment should be probed by the nurse. This can increase the personal insight by the nurse and that can bring new insights of the treatment. Conclusion The aim of the nurse should be to improve the mental aspect of the person. Perform nursing interventions that support client health care needs Introduction An old patient may be having trouble in getting up and a patient suffering from dementia may be having trouble in remembering things and this is the area that a nurse should be careful with. The steps that nurse should take Nurse should be willing to accommodate the sentiment of the families and the nursing should be willing to accommodate the gender and cultural feelings of the patient and should be willing to adjust to physical and psychological needs of the patient. Conclusion The nursing intervention has to be made in accordance to legal needs and the ethical needs. Assist to evaluate the outcomes of planned domiciliary health care Introduction Proper recording of documents should be done by the nurses. The Steps The nurses should be ready to record the outcome of the interaction with the client and first aid and emergency treatment. This has to be discussed with the client and family members. Work in the nursing profession Apply the principles of primary health care delivery and apply the principle of wellness Introduction For every health care to be successful, the role of family members is crucial. The steps The health care should be provided in fair and equitable and public participation with family participation should be made. There should be inter sectoral and trans- disciplinary collaboration with equality of all health care members. Conclusion The aim should be to health protection, health promotion and illness and injury prevention. Work in the context of professional nursing practice Introduction The role of nurses has changed over the years with more and more help needed for old age patients. The world has become grey and that has made that older aged patient and illness are increasing and the needs for skilled nurses are on increase. It is in these contexts that the demand for skilled nurses has to be understood. Conclusion Nursing professional teaching has undergone change with emphasis on soft skills has been placed due to the fact that nurses are meant to interact more with patient now a days and they are the real buffers between patient and doctor.( Carolyn J. Humphrey,1998) Handle issues arising in health care Introduction Death should be considered as serious thing that would happen to the family of client and nurse should be well prepared for that calamity. Disability to patients can be in many forms and it is the duty of the nurse to treat the disabled patients well. The Steps The normal procedure is that the family will be saddened and the nurse should be able to complete the medical procedures needed and steps should be taken so that family members will be out of the grief as fast a possible. There are many types of disability that the nurses should be content with, Certain disability occur when the child has been born like not having eye sight or not being able to speak or not having hearing ability and so on. There are several learning disabilities that can happen in course of time and autism is one such disease. The disease of Down syndrome will be having at the time of birth and that also has to be handled well. Disability in hand can cause a lot of problem for the client and the client should be helped by the nurse and this principle is applicable to all disability. Disability can also mean the flawed mind also when the patient cannot think properly mainly due to old age problem and in certain cases due to patients illness. Disability should be considered as a personal tragedy and should be treated as such by nurses.Diasbled persons should not be neglected by the nurses and the family members should be taught to deal with them effectively. Conclusion The aim of the nurses will be to bring the patient back to normal life at least mentally. The family should be taught to meet emergency situations of disabled members. Death should be dealt professionally by nurses. Contribute to professional work team Introduction Every opportunity should be taken by the nurse that will ensure the success of multi-disciplinary team. The Steps The team meetings has to be attended by the nurse and proper contribution has to be undertaken by the nurse by effectively discussing the problems faced by the clients and that can help the other team members also. Conclusion Nurses should be ensuring that the future has to be kept in ready and only when nurses throw light on the problems faced in client situation and other factors, new knowledge will be gained. Participate in professional skills development Introduction Nurses should be willing to undertake training programs that can improve the efficiency of the nurse and nurses should be undertaking all development programs so that the interaction with the patient will improve and the interaction with family members will improve. The Steps The communication skill development can be undertaken as the communication is the most important process that the nurse should be undertaking and the art of negotiating also should be undertaken. Any course or development programs that help develop group skills or team building skills should be undertaken. The art of working together in a team that has wide diverse of professionals is important for nurses and courses that outlines these roles should be undertaken. The interview process should be undertaken to get new employment opportunities for nurses in the area of community development. The interview and the materials needed for the nurses who are applying for the community program will be the experience of having worked in the nursing profession. Conclusion Interview process and skill development should be taken in the right earnest by all. Apply understanding of the Australian health care system Apply the Scope of Nursing Practice Decision Making Framework Introduction Nurses are given legal protection in the job already done. The Steps Western Australia has been found to be the only one place that demands the health care and this should be understood as jurisdiction of nurses. Better decision making has been planned for nurses in Australia. The change in the work force has changed the status of the enrolled nurses and they are given better legal protection. There is various documentation from Australian nursing body and that has to be followed. Practice within the Australian health care system Introduction The political system will outline the health policy that has to be followed in a country and it can vary from state to state in a country. The interaction of nurse with family members has to be taken into account. Non western treatment areas The some of the non western treatment areas that has been followed is the Homeo, Ayurveda and the Chinese treatment methods like acupuncture and so on. The standard of care has to be maintained by every nurse in such a way that the nurse properly documents the interactions with the client and will give the medicine at the prescribed dose and at the prescribed time only. It has to be made sure that the nurse should be interacting with family members in an effective manner and proper respect is given to the feelings of the patient. Conclusion Proper legal documentation will help prevent any problems in future. Apply an understanding of the funding sources for health in Australia Introduction How the health care in Australia is funded and the problems that the disabled persons face. Public health care is the best source of funding in Australia. There is lot of private health source insurance schemes.( Public health care) Take into account a range of factors affecting health The disabled persons has difficulty in doing things faster and they may be facing problems of anger which has to be addressed by the nurses and the community well being program should be meant to make sure that the patient will be bought back to social well being. The aim of the program is to help the disabled person to cope with life reality in the most practical manner and realistically. Reference Carolyn J. Humphrey,1998,"preparing for visit",Home care nursing handbook,pp.17 John Daly, Sandra Speedy, Debra Jackson,2005,"Multi team”, Professional nursing ,pp.234-240. “Public health care”,viewed on May 28,2009,retrieved from http://www.healthinsuranceinfo.com.au/ Read More