Makati Medical Center College of Nursing

144 Legaspi Corner V.A. Rufino St., Libran House, Legazpi Village, Makati City

Home Visit Plan

Family name: Acuña Name of the Student: Villa, Kristoffer

Address: 7157 M. Ocampo Year/section: 2nd year/ A

Date and Time: 7/15/15 1:00 Phase of relationship: Working Phase

General objective: To implement all interventions to Rotation Area: 1st / Pio Del Pilar

the patient and their family.

Specific Objectives Activities of the Nurse Evaluation

At the end of the 1st hour of the nurse-family interaction, the family would be able to:

The family has to acknowledge the student and to understand the purpose and objectives of the visit.

The patient and family needs to agree with the health objectives and cooperate with the student nurse he/she carries out the planned nursing intervention.

The patient and family needs to

Introduce yourself to the family and state the purpose of the visit.

State the interventions that should be done. These would include the health teaching of the following issues: - The importance of adequate

living space, cleanliness / hygiene, and pest control.

Work with the family on the steps and how they can do it themselves by guiding them in planning.

1) The family understood the purpose of the visit

2) The family was able to understand how to have a clean environment and pest control

3) The family also understood the need for an adequate environment

4) The family learned how to have a proper environment for the newborn baby

5) The family learned how to have proper hygiene

state their understanding of the health teaching.

To make sure that they can carry out the intervention in a proper way.

Discuss the health problems that were identified by you to the family regarding the following:- Inadequate living space and

ventilation- Presence of vectors (lice,

cockroaches) Carry of the health teaching plan

to the family and patient which is the following:- Teaching them open a

window or door to facilitate air circulation in their home

- Teaching them the importance of having adequate living space and cleanliness

Ask the family to state the health tasks that they have learned and understood from the health teaching plan

End the home visit by asking for permission to have another visit on July 22nd at 1 pm.

Makati Medical Center College of Nursing

144 Legaspi Corner V.A. Rufino St., Libran House, Legazpi Village, Makati City

Home Visit Progress Report

Family name: Acuña Name of the Student: Villa, Kristoffer

Address: 7157 M. Ocampo Year/section: 2nd year/ A

Date and Time: 7/27/15 1:00 pm Phase of relationship: Termination Phase

General objective: At the end of the visit, the student nurse will Rotation Area: 1st / Pio Del Pilar

Implement the intervention for the identified problems.

1st Level Assessment Activities of the Nurse Recommendation for Future Nurses

1) Living space dirty causing irritant to newborn baby

2) Risk for Sickness due to unsanitary living space

3) Vectors running rampant around the living space

Taught the family about proper home ventilation and also about having proper home living space for a newborn baby.

Teach family the proper way of pest control

Teach the family about proper pet management

Monitor family’s progress on a implementing proper home ventilation

Monitors family’s progress on proper home environment

Monitors family’s animals to see if they are clean

Monitors family’s surrounding environment

4) Animals in household has fleas & or lice

5) The lighting in the household is dim.

Makati Medical Center College of Nursing

144 Legaspi Corner V.A. Rufino St., Libran House, Legazpi Village, Makati City

Home Visit Plan

Family name: Acuña Name of the Student: Villa, Kristoffer

Address: 7157 M. Ocampo Year/section: 2nd year/ A

Date and Time: 7/15/15 1:00 Phase of relationship: Orientation Phase

Rotation Area: 1st / Pio Del Pilar

General objective: To orientate all interventions to the patient and their family.

Specific Objectives Activities of the Nurse Evaluation

At the end of the 1st hour of the nurse-family interaction, the family would be able to:

The family has to acknowledge the student and to understand the purpose and objectives of the visit.

The patient and family needs to agree with the health objectives

Introduce yourself to the family and state the purpose of the visit.

State the interventions that should be done. These would include the health teaching of the following issues: - The importance of adequate

living space, cleanliness / hygiene, and pest control.

and cooperate with the student nurse he/she carries out the planned nursing intervention.

The patient and family needs to state their understanding of the health teaching.

To make sure that they can carry out the intervention in a proper way.

Work with the family on the steps and how they can do it themselves by guiding them in planning.

Discuss the health problems that were identified by you to the family regarding the following:- Inadequate living space and

ventilation- Presence of vectors (lice,

cockroaches) Carry of the health teaching plan

to the family and patient which is the following:- Teaching them open a

window or door to facilitate air circulation in their home

- Teaching them the importance of having adequate living space and cleanliness

Ask the family to state the health tasks that they have learned and understood from the health teaching plan

End the home visit by asking for permission to have another visit on July 15th at 1 pm.