Angelica M. Revil Ms.
Krista Liza Besario RN, MAN
BSN 202 Sept. 4, 2020
COMMUNITY HEALTH NURSING
LEARNING FEEDBACK DIARY(LFD #18)
What we discussed for today was still the continuation of the previous
topic we had last meeting and it’s all about under family health nursing in
chapter 6, so we started from page 116 and end until page 120. It’s
another fun day to learn again about family nurse-contacts. Family nurse
contacts is developed through family-nurse relationship there we can
gather and assess our clients which are the family either through forms of
clinic visit, group conference, telephone,written communication or home
visit. Among the five forms the most accessible is the home visit. I will
define the five, first is the clinic visit which takes place in baranggay
health station,health center, or ambulatory clinics(this are the bus or van
like clinics). Group conference, this are like intended for such specific
group for example group of mothers in the neighborhood. It provides
initial contact between the nurse and target families of the community, it
means you will have to call population subgroups or conference of
teenagers for example related to your health teaching intended for, so
before establishing a conference there must be establish group and leaders
too that could help facilitate the group as well. The telephone
conference(mobile phones or landline, it allows nurses and families to
contact with each other through calls, video calls, or even messaging
services however the only bad side of this contact is that, aside from a
disruption of the signals, you cannot also see and diagnose the family as
well as members of the family actually, so it is really important for you to
encourage your client to even describe their condition or their health as
much as possible. Written communication is used to give specific
information to families, such as instructions given to parents through
school children, it refers to brochures, pamplets, and other health teaching
forms, make sure that it will reach to your intended recipient and that they
will able to keep them. Last is the Home visit which the interaction takes
place in the family’s residence aimed for promoting, restoring, and
maintaining the health of the family. Not just that, but as a nurse you will
also have to check surroundings and hazards that the family are not aware
of at least you can instruct them what to do, you can guide them or even
give them tips for alternatives that they can use which is under their
residency. This contact is the most common for us students in the CHN,
we do health teaching plans, you also have to re-evaluate the family and
the condition which promotes family participation and focuses on the
family as a unit. The personalized nature of a home visit gives the family
a sense of confidence in themselves and in the agency which means to
say that, they will trust you, they will really feel that you are doing your
job and they will remember you in some instances, you build connection
with them. I learned about the phases of a home visit, there we have
previsit phase, in-home phase, and postvisit phase. During the previsit
phase, a nurse if possible he/she will contact the family ahead of time for
their willingness for a home visit, and sets an appointment with them. We
have the primary and secondary data. The home visit plan focuses on
identified family needs, particular;y needs recognized by the family as
requiring urgent attention. The in-home phase is where a nurse seeks to
enter and lasts with permission until he/she leaves the family’s home. In-
home phase consists of initiation, implementation, and termination. In
initiation, as a nurse you need to state your purpose, acknowledge family
members with greeting and introduces himself or herself and the agency
he or she represents. In implementation, assessment comes in, where you
check home hazards, look the family members not only their health but
also if they have enough resources at home, the kids if they are
malnourished, not enough clothes, or even slippers. A nurse must
evaluate his/her implementation like having return demonstration with the
family or other physical examination you can perform in the home. You
must also assess the home and as much as possible a nurse must evaluate
with family what they have accomplished during the visit. Then last is the
termination, it is like making a summary, a nurse must also explain to the
family what happened after the implementation, it can either be the nurse
would re assess the family like after 3 days he will come back and assess
the family’s health condition or it’s either the family will go to the health
center for re consultation. The last phase is the postvisit phase, it takes
place when the nurse has returned to the health facility. That is all for
today, I have to feed again my dog, watch the business, study again, rest,
laugh, pray and sleep. Fighting for tomorrow.
