It is a purposeful visit by the RCPN to the home of client suffering from mania. The nurse renders care with respect to the client’s/family identified health needs.
Aims
· Meet the specific health needs of the client and family in their home environment
· Monitor the progress of treatment, recovery and coping strategies of the family
· Monitor the progress of care rendered to client by caregivers
· Prevent client from relapsing
· Maximise client, family and societal level of independence of health or wellbeing
· Assess and identify stressors in the environment
· Build confidence of the client and family
Requirements
· A Well-Equipped Home Visit Bag
· Community Map and or GhanaPost Global Positions System (GPS)
· Manual/electronic area register/ records of the client
· Means of Transportation
Steps
1. Read map of the community and identify the home of the client
2. Announce your presence, enter on response, greet and introduce yourself to client, family and significant others
3. Establish rapport (refer to procedure) and enquire about the general health of client
4. Observe the client’s environment for cleanliness and safety
5. Approach patient in a calm and respectful manner to gain his cooperation
6. Enquire and Counsel on:
Health of client and relatives
Occupation and or schooling
Disease condition to family and other tenants (if necessary)
Personal and environmental hygiene needs and safety
Nutritional needs
7. Assess mood, behaviour and signs of exhaustion
8. Enquire if client participates in family and social activities
9. Enquire about social support system available for client
10. Educate client and family on his condition
11. Educate client’s family to be supportive in the care of the client
12. Emphasis on signs and symptoms of relapse to client and family
13. Inform client and family of other support systems in the community if available
14. Explain the importance of adherence to medications and reviews
15. Refer problems beyond scope to the nearest unit or health facility
16. Inform client and family about your next visit
17. Leave your contact with client and caregiver and encourage them to call in case of emergency
18. Document the care and findings in report book
19. Express appreciation and depart
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