Home visits

Frequent follow-up sessions are needed to determine compliance with the drug regimen. If a follow-up visit is not feasible, die nurse considers a telephone call or home visit. It is vital tiiat the nurse strive to develop a caring and nurturing relationship with the patient. Compliance is enhanced when a patient trusts the nurse and feels comfortable confiding any problem encountered during drug tiierapy. 

After discharge, all infants were followed by a team composed of a pediatrician with subspecialty training in Child Development, a public health nurse, and a social worker. In order to maintain contact with the foster families and relatives who had responsibility for the care of the infant, team members made regular home visits and had frequent telephone contact with the infants caretakers. During the first 3 months of placement, infants were seen (an average of twice per month) for follow-up visits at home or in the UCLA Child Development Clinic. Phone conferences with caretakers were held on a biweekly basis. During the foil owing 3 months, clinic and home visits were tapered to once per month and phone contacts were made biweekly. 

Language skills were more difficult to evaluate. The infants caretakers reported age-appropriate vocalizations. However, at clinic and home visits, we found the infants to be less vocal during the 1-hour session than we would have anticipated. 

Information on the withdrawal process is provided, along with schedules for the detoxification medications, and the treatment is also explained to anyone else who will be involved. Importantly, the detoxification takes place when the worker can fit in home visits through the period, preferably every day, and so it is not usually suitable to start a detoxification at a weekend. Given a well-organized service with competent drug workers. 

Lee attended for a short series of counselling appointments to do the preparatory work for a detoxification. His parents had become aware of the problem, and after initial distress they were keen to help him through his treatment With the counsellor s advice, Lee reduced his heroin use to the minimum which he needed to stop him withdrawing, and it was arranged that he had our standard detoxification regime of lofexidine and additional symptomatic medication. He had taken a week off work to do the detoxification, and daily home visits were undertaken. 

Meditation is absolutely recommended for MCS patients. Among other things, meditation can neutralize physical reactions to an exposure. It also has a deep impact on the spirit and helps foster inner peace. There are various options in this field, all of which can help and are easy to learn (at home). Visit the Internet for more information on the various methods. 

She ftowned. The sugetys cbsed. And fmaffaid the doctor isn t making home visits at the moment ... 

I didn t think places like this were around ary more. You know, small, femily doctor, home visits, all that sort of thing he said, looking around. His eyes settled on the bookshelves. Lot of stuff on psychology, I see. That an interest of yours ... 

But the envebpe s preseiKe stayed with me for the rest of the morning I could feel its tug throughout eveiy conversation, each examinatba After the last patient had cbsed the door I tried to distract n selfby writing up his i tes. Those finished, I went aib stared out ofthe French doors. Two home visits, and then I had the afternoon to ti K If there had been a breath of wind I could have taken the dinghy out on the lake. But as it was I d onfy be as becalmed on the water as I felt now, on dry land. 

In addition to the supply of medication on the NHS via individual prescription forms (see Chapters 2 and 3) or hospital order (see Chapter 4), and the supply of medication via non-NHS (private) prescription forms (see Section 5.1), it is also necessary to become familiar with other forms of supply. These are where a practitioner or other authorised individual requires a medicinal product for use during the course of their practice or business. This may not, at this stage, be for a named patient. This would include, for example, where a GP requests something for use during home visits or an optician requests a medicinal item for use during eye examinations. 

Hospices provide care for patients with advanced, irreversible disease and a life expectancy measurable in weeks to months as opposed to years. The defined unit of care is the patient and their family. The focus of care spans physical, psychological, social, and spiritual domains. This requires an interdisciplinary team. Nurses usually coordinate home visits and serve as team leaders. The patient s primary care physician normally continues to provide care, often in consultation with the hospice medical director. Other key members of the team are... 

Making home visits as needed to assess medication... 

To find out more about how to prevent radon pollution in your home, visit the Glencoe Science Web site. 

Including guidelines on IDD prevention and control in educational activities conducted in health service facilities and in home visits made by health practitioners on a routine basis ... 

Figure 125.4 The incidence of thyroid cancer in Huanghua between 1994 and 2004. At the baseiine and the foiiow-up study, home visits were made in the Huanghua area to aii the inhabitants who were oider than 13 years of age. inhabitants of Huanghua oommunity started to take iodized sait in 1993, and universai sait iodization was conducted in 1996 the incidence of thyroid cancer in Huanghua increased after 1999 and persisted for three years.

It may be necessary to ask patients directly for information (e.g., number and length of time of home visits by health professionals). Missing data can be estimated using meta-analysis to combine results from other studies. Alternatively assumptions can be based on expert opinion and then tested using sensitivity analysis. If data is collected from different sources then it will be important to use simulation models to combine the data and take account of the variation. 

Telephonic telenursing consultations often form an important part of nurse practitioners activities. They should be structured to provide maximum benefit, by including the following after assessment of the caller, advice and referral should be supplied as required (and this is often the core of the interaction) the caller should be always supported and strengthened and in addition taught (as appropriate) with necessary facilitation of the caller s prior learning [7]. Telenursing consultations can frequently substitute for on-site home visits, [8] and estimation indicates 45% of them can thereby be obviated [9]. 

Van Offenbeek, M. A., and Boonstra, A., Does telehomeconsultation lead to substitution of home visits Analysis and implications of a telehomecare program. Stud Health Technol Inform 157 148-153,2010. 

A public health service offered to all families with children up to 6 years of age focuses on prevention and early detection in child health, through health promotion and community support rather than treatment an initial home visit follows nearly 100% of births and further home visiting services are available for families in need [46]. 

---