Event 4: Community Health Nurse

A community health nurse makes a home visit to determine which services might be helpful to the family and also to do a home safety check.

Community Health Nurse Visit

  • Community-based nursing
  • Occurs in home or clinic
  • Focus is on needs of individual or family
  • Involves safety needs & acute and chronic care of individuals / families
  • Enhances capacity for self-care
  • Promotes autonomy by incorporating patients/families in decision making 
  • Community health nurses (CHN), sometimes called Visiting Nurses, assess health status, diagnose responses to health problems, plan care, implement interventions, and evaluate outcomes of care where patients / families live, work, and play
  • Often care for most vulnerable of the population

Reference

Perry, P, & Potter, A. (2013). Fundamentals of Nursing, Eight Edition. St. Louis: Elsevier

Areas to be evaluated by the Home Assessment Tool

  1. ­­Home Environment
  2. Sleep Environment
  3. Home Safety

Community Health Nurse Visit Outcome

Using the Pediatric Home Environmental Assessment instrument, Nestor’s home surveyed very favorably particularly in the area of safety (adequate lighting, storage of supplemental oxygen, fire evacuation plan, medication dispensation, storage and access to Poison Control number). 

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Home observation checklist showing favorable conditions in Nestor's home for his care.
Nurse Observed Information, Page 1
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Home observation checklist (continued) showing favorable conditions in Nestor's home for his care.
Nurse Observed Information, Page 2

The completed survey may then be utilized by a CHN to anticipate health problems, concerns of the patient / family and to then plan education, support for those under their care.

See a template of a nursing action plan here.

Karen Parker Thanks Nestor's Mother for the Visit

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