COMMUNITY ORIENTED NURSE IN

HOME CARE

DEFENISI
v Cannot be defined simply as care at home
v It includes: an arrangement of disease prevention, health promotion,
and episodic-illness

v Provided to people in their places of residence/home

v ANA (1999): refers to the practice of nursing applied to a client with
a health condition in the clients place of residence.. Home health
nursing is a specialized area of nursing practice with its roots firmly
placed in CHN

v The National Association of Home Care (2002): a broad spectrum of

health and social services offered in the home environment to
recovering, disabled, or chronically ill person

v Involves: primary-preventive, secondary and tertiary prevention

v Preventive-promotive focus same as focus of the care of the
community-oriented nurses

v Secondary-tertiary focuses on the care of individuals in collaboration

with the family and other caregivers.

v Involves the individual, family, caregivers, multidisciplinary health

care professionals

v Goals: to assist the client to return to an optimal level of health and

independence.

Levels of Prevention Applied to Home Care

v PRIMARY PREVENTION
v The nurse implement nursing care, visiting new mothers and babies to
assess and provide counseling about at-risk problems of the new baby

v SECONDARY PREVENTION
v The nurse provides counselling on diabetes diet and insulin injections
to the newly diagnosed diabetic

v TERTIARY PREVENTION
v The nurse provides direct care services to the stroke victim to avoid
complication

Nursing Role in Home Health Care

v Wear many hats: clinician, educator researcher, administrator, and
consultant

v Standards of Care: assessment, diagnosis, outcome identification,

planning, implementation, evaluation

v Standards of Profesional Performance: Quality of Care, performance

appraisal, education, collegiality, ethics, collaboration, research,
resourse use.

v Educational requirements: minimum baccalaureate degree with a

qualified and mature professional

Theoretical Frameworks for Family Nursing

v Structure Function Theory
v System Theory

v Developmental Theory
v Interactionist Theory

APPROACHES TO FAMILY NURSING

v Family as a context
v Family as a system
v Family as a client
v Family as component of society