?   
It consist of two or more individuals who share a residence or
live near one another ; possess some common emotional bond,
engage in related social position, roles and tasks; and share a
sense of affection and belonging. (murray&Zenster).
? 

6ursing is the unique function of the nurse, that is to assist the
individual (sick or well) in the performance of those activities
contributing to health or its recovery or to a peaceful death
that he would perform unaided if he had the necessary
strength,will or knowledge.(IC6)
?   

§ynamic changing relative state of wellbeing which
includes the biological, psychological, spiritual,
sociological and cultural factors of the family
system. (Hanson)
?  

It is a social contract between two individuals that
unites their lives legally, economically and
emotionally.
?  

 
it refers to an unmarried couple living together
with or with out children.
?   
 
It is the study of family and house hold structures
and the events that alter that structure.
?    

6ursing care directed to improving the potential
health of a family or any of its members by
assessing individual and family health needs and
strengths, by identifying problems influencing the
health care of the family as a whole and those
influencing the individual members, by using
family resources, by teaching and counseling and
by evaluating progress toward stated goals.
? 
 
mll the services and products provided to clients
in their homes to maintain, restore or promote
their physical, mental and emotional health.
? 
  

It refers to the provision of nursing care to acute
,chronic and terminally ill clients if all ages in their
home while integrating community health nursing
principles that focus on the environmental
,psychosocial, economic, cultural and personal
health factors affecting a clients health status and
well being.
? 
  
m community health nurse who provides skilled
nursing services focusing on physical nursing care
needed by the family members who are ill, injured
or in the acute or terminal phase of a disease
process.
? 

0isiting a family where they live in order to assist
them to achieve as high level of wellness as
possible.
? 
Hospice refers to the delivery of care for the
terminally ill clients either in health care
facilities or in the client·s home.
?   

 
It is defined as the combined and coordinated
use of medical, social, educational and
vocational measures for training and
retraining the individual to the highest
possible level of functional ability.
 
 a
?   



Vm ILY

HEE
6
CLEm I6
GE6EmI6
 Œ..
9
  Œ..
9
  
? pingle Parent Vamily
? 6on-raditional Vamilies:-
1.Heterosexual Cohabiting Vamily
2.Communal Vamily
3.Lesbian or Gay Vamily
4.Voster Vamily
    
    
V mI6

EXE6pI6

C PLEE EXE6pI6

C6mCI6

C PLEE C6mCI6

§IppL
I6
  
 
  




 







 
 V

  

   

 
  
  
? Healthy interaction among members.
? Enhancement of individual development.
? Effective structuring of relationships.
? mctive coping effort.
? Healthy environment and life style.
? egular links with the broader
community.
    

  
uork with families collectively

ptart where the family is.

mdapt nursing interventions to the family·s stage

of development
ecognize the validity of the family structure
variation

Emphasize family strengths

  
  


C P6E
C6EX CLIE6 pYpE 6 V
pCIEY


  
   


 !
V



"#$
!$ 
 
 


mppEpp E6

E0mL
mI6 §ImG6pIp

I PLE E6mI6 PLm66I6G

   

ptructure & Vunctions

Cultural background
Home environment
Genetic back ground
Health status

pupport systems
   

 

 
 

  




 
 


? Interrupted family process related to
structure change with in the home
? Care giver role strain related to ill parent or
spouse or child
? Impaired verbal communication related to
lack of family interaction time
? Compromised family coping related to
alcoholic parent ,ill family member
?  

?  

 
1.Health promotion
2.mcute care
3.estorative and continuing care.
?  


ë 
 V!$
%
 H E 6
pI6G
efers to the provision of nursing care to
acute, chronic and terminally ill clients of all
ages in their home while integrating
community health nursing principles that
focus on the environmental, psychosocial,
economic, cultural and personal health
factors affecting a client·s and family·s health
status and well being

 

 
0oluntary

Hospice Proprietary

ypes
Home Hospital
maker based

fficial

 
 

I6V mL
CmE GI0Ep
YPEp
V mL CmE
GI0Ep
 
 

 
? Client
? 6urse
? §octor
? Physiotherapist
? ccupational therapist
? ppeech therapist
? pocial worker
? §ietician
 ContŒ.
? Chaplain
? Home health aids
? Home makers
? Companion
? 0olunteers

  

 

Evaluation mssessment


 
Implementation   §iagnosis

utcome
Planning
Identification
 p

p pp


 


º.Q ality f . erf r a ce

3.Ed cati
care a raisal

4.C llegiality 5.Ethics 6.C llab rati

8.es rce
7.esearch
tilizati
 

 
? Less expensive and comfortable.
? Can provide continuous care.
? Helps to have a peaceful death.
? Client and family experience less
emotional strain.
 
 

  
? Ú

1.Generalist home health nurse
2. Home health clinical nurse specialist
3.6ursing care manager
4.Clinical specialist in community health
? 


 


    

mdvocate

Case Care
manager 6urse giver

Educator
  

Initiation Phase

Pre visit phase

In home phase

ermination phase

Post visit phase

 
  

? mssessing the individual.

? mssessing the family.
? mssessing the risk.
? mssessing the home.
? mssessing the community resources.
 Ú
   



 
 
? Patient education
? mdvocacy
? mesthetic/spiritual communion
? Care or case management
? mssessing community resources
 
 
  
 
? Confidentiality.
? mdvance directives.
? §urable power of attorney for health
care.
? Living will.
? ights of clients in home care
´w




 
 ights f Clients In Home Care
he right to:-
? Be treated with dignity, consideration and respect.
? Have their property treated with respect.
? eceive a timely response from agency to request for
services
? Be fully informed on administration of the care and
treatment that will be provided.(cost and payment)
? Know in advance if they will be responsible for any
payment.
 ContŒ
? Be informed in advance of any change s in
care.
? eceive care from professionally trained
personnel to know their names and
responsibilities.
? Participate in planning care.
? efuse treatment and to be hold the
consequences of this action.
? Expect confidentiality of all information.
 ContŒ
? Be informed of anticipated termination of
service.
? Be referred else where if denied service
solely based on the ability to pay.
? Know how to make a complaint or
recommend a change in agency policies
or services.
  

  
  
m


? uear uniform and name badge.
? Call clients in advance.
? equest that pets be secured before your arrival.
? §o not carry a purse.
M

? Keep car in good working condition.
?
se mobile phones for communication.
? mlways let the agency know your intended schedule.
 ContŒ
? Keep snacks and drinking water with you.
? Keep a blanket or sleep bag if you are travelling in
winter.
?
se common walk ways and avoid isolated stairs and
alleys.
? ualk in a professional business like manner and walk
directly to the clients home.


  
 
? ptandard precautions should always be in effect.
?
se good body mechanics.
 

  


? Establishing ethical committees to handle

ethical issues that arise in the home.
?
tilizing nurse pain specialists to assess
and manage pain in home.
?
tilizing electronic home visits.
? Providing third party reimbursement for
social workers.