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Physical

Emotional

Experiential

Knowledge

Behavioral Outcomes

Brief Content Outline

Resources

Evaluation-Expected Outcome

Outcome #1

Outcome #2

Theory Assignment

Preparation for Home Visits

Points Possible: 5

Purpose/Overview

The purpose of this assignment is to prepare you for the upcoming home visits by identifying priority health concerns for a specified population and individual-family level focused assessment tools to help determine if an individual/family is at risk of those priority health concerns.

Instructions

Consider the type of individual/family you will choose for the home visits conducted within your community (an older adult with functional limitations or maternal child health client (MCH; pregnant/postpartum mom and infant).

If your client will likely be an older adult:

a. Visit NIH National Institute on Aging: https://www.nia.nih.gov/health/topics

b. Review focused assessment tools for older adults in D2L content area.

c. Review focused assessment tools for older adult clients in D2L content area.

d. Watch Healthy Aging: Promoting Well-being in Older Adults video: https://www.cdc.gov/grand-rounds/pp/2017/20170919-senior-aging.html

If your client will likely be a MCH client:

a. Visit U.S. Center for Disease Control: https://www.cdc.gov/reproductivehealth/index.html

b. Review focused assessment tools for maternal child health clients in D2L content area.

c. Watch Maternal, Infant & Early Childhood Nutrition – The Thousand Day Window of Opportunity video: https://www.cdc.gov/grand-rounds/pp/2019/20190618-early-childhood-nutrition.html

If your client will likely be a person with a disability:

a. Visit HP 2023 People with Disabilities: https://health.gov/healthypeople/objectives-and-data/browse-objectives/people-disabilities

b. Visit HP 2023 Search your Population such as children and identify objectives related to disability: https://health.gov/healthypeople/objectives-and-data/browse-objectives/children

c. Centers for Disease Control and Prevention: https://www.cdc.gov/ncbddd/disabilityandhealth/people.html

Grading Rubric/Criteria

For this assignment you will complete the Preparation for Home Visiting Worksheet on the following pages.

Assignment Submission

.

Population [0.5 point]

Which population do you intend to choose for your home visiting client?

______ Older adult with functional limitations

______ MCH pregnant/postpartum family

______ Person with a disability (adult or child/family)

Provide a brief general description of this population.

Priority Public Health Concerns [1 point]

Identify 3 priority public health concerns for your specified population (aging or MCH). These should be health concerns for which you can target an individual/family level intervention during your home visits. Describe why these are priority concerns. What public health-based strategies may help save future healthcare expenditures for these priority concerns?

Concern

Description of concern and public health-based strategy

1.

2.

3.

Policy Map [1.5 points]

Using library database Policy Map, search your community on information that could be of concern for your home visiting client. For example, search information on quality of life, incomes, spending, and health. Describe resources and data that can impact your home visiting client.

Resources and Data

Focused Assessment Tools [1.5 points]

Identify and describe 3 focused assessment tools (i.e., checklists, survey, etc.) that may be used with your chosen population to determine if your individual/family is at risk of your above specified priority public health concerns (use readings, referenced websites, and/or other sources). The focused assessment tools should be appropriate for use on an individual/family at your upcoming home visits. See sample assessment tools in D2L content area.

Focused Assessment Tool

Description

1.

2.

3.

Family Assessment Tools [0.5 point]

What are some of the nurse’s leadership qualities? Identify and describe a full or partial family assessment tool that may be used with your client/family.

Experiential Learning Assignment

Home Visiting

Either an Older Adult or Pregnant/Post-Partum Mom and Infant or Person with a Disability (Adult or Child/Family)

Points Possible: 23

Purpose

The purposes of this assignment are:

· Develop skill in conducting home visits within a home setting.

· Conduct a family assessment.

· Analyze family assessment data to identify individual-specific priority health needs and interest to improve health outcomes.

· Complete an intervention with the family to address a mutually agreed upon topic related to health promotion and disease prevention at the primary prevention level.

Preparation

For this activity, you will select either an older adult or pregnant/post-partum mom and infant individual/family to complete your 3 virtual or in-person home visits. To ensure timely completion of conducting the home visits, it is important to identify an individual and schedule these visits early in the semester. The three home visits are summarized below:

Visit 1 - Introductions, review contract, build relationship, conduct family assessment, identify

health issues/priorities of individual/family.

Visit 2 - Conduct focused assessment, mutually agree on specific health need/interest for 3rd visit,

completed an emergency preparedness assessment

Visit 3 - Implement Public Health Nurse Intervention (teaching, counseling, referral, etc. related to

primary prevention)

Instructions

Below are instructions for the preparation, implementation, and reflection for each home visit (HV).

HV1 [Preparation] : Orientation Phase

· Readings [relevant content should be included in assignment]

· Schoon et al. (2019), Chapters 3, 5, 6, 8, 9, 10, & 11

· Review your week 2 discussion related to the Omaha Case Study.

· Review your feedback from the Preparation for Home Visiting Worksheet.

· What is the specific priority concern(s) for this population? (See your Preparation for Home Visiting Worksheet assignment.)

· Contact the individual to schedule visits. During the initial contact, be sure to:

· Give a brief overview of the 3 visits

· Inform the individual that you will bring an authorization form for him/her to sign

· Time frame in which you will complete all 3 visits

· Length of time of each visit (approximately an hour)

· Emphasize confidentiality of visits

· Review and bring to initial visit:

· Authorization form (found on course D2L site)

· Select and review a family nursing assessment tool (may be a tool used in NURS 362)

· If you have not been to this individual’s home or apartment before, check out neighborhood to make sure it is a safe environment and to find a parking place.

· Review p. 214 in Schoon et al. (2019) regarding personal safety in home visiting.

HV1: Orientation Phase

· Introduce yourself to the individual/family, and share professional information about yourself (education, work experience, etc.). Share your expertise with the individual/family, which may be helpful if they have particular questions about improving his/her family health outcomes.

· State the plan for your visit.

· Obtain verbal permission to continue.

· Review and sign authorization form (stress confidentiality). Virtual meetings: if unable to obtain signature include individual’s name, phone number, and email address on signature line.

· Conduct family assessment, which will help determine focused needs assessment for visit two. Provide a summary of the family assessment results.

· Mutually select a health topic for focused assessment for visit two.

· Ask individual or other family members present if they have any questions or concerns. Thank them for their time and inviting you into their home.

· Arrange date for 2nd [and if appropriate 3rd] visit.

HV1 [Reflection]

· What went well during the initial visit? What did not go so well?

· What are strengths/protective factors of the individual/family?

· What are health risk and active health problems of the individual/family?

· How did the individual/family benefit from this home visit?

· How did you use nursing theory to guide your nurse-individual interaction?

· What did you learn from this experience?

HV2 [Preparation]

· Based on the individual/family mutually agreed upon topic, needs, priorities, and/or health determinants choose an appropriate focused assessment tool (checklist).

· Familiarize yourself with chosen focused assessment tool. Download and bring the assessment tool to 2nd visit.

· Familiarize yourself with health behavior change. See Schoon et al. (2019) pages 185-188.

HV2: Working Phase

· Reestablish relationship and introduce yourself to any new family members who are present.

· State the plan for your visit and obtain verbal permission to continue.

· Conduct the focused assessment; and review assessment findings with individual/family.

· Based on assessment findings, identify a mutually agreed upon topic for an intervention/health teaching at the 3rd visit

· Arrange date for 3rd visit.

HV2 [Reflection]

· What went well during the 2nd visit? What did not go so well?

· How well did the tool work to assess the area of concern?

· What did you learn from this experience?

HV3 [Preparation]

1. Review MDH, 2019, Public Health Interventions: Application for Public Health Nursing.

· Intervention: Health Teaching, starting on page 131.

· Intervention: Counseling, starting on page 142.

· Other MDH interventions as appropriate for topic of concern.

· Research your topic using journal articles and other available printed materials.

· Prepare your Assure Model PEEK Learner Assessment using information gathered on first visit and/or with follow-up phone call. See attached PEEK Learner Assessment form within the Assure Model for Planning, Implementation, & Evaluating Health Teaching Interventions (Table 9.6). See examples of completed PEEK in the D2L content area associated with this assignment. See pages 188 -190 in Schoon et al. (2019) textbook.

HV3: Working & Resolution and Termination Phase

· Reestablish relationship and introduce yourself to any new family members who are present.

· State the plan for your visit and obtain verbal permission to continue.

· Conduct the intervention (health teaching, counseling, referral, etc.).

· Ask individual/family if they have any questions or concerns, and if they would like some follow-up information.

· Thank them for their time and inviting you into their home and providing you the opportunity to further your education.

HV3: [Reflection]

Reflect on the final home visit, your intervention, PEEK Learner Assessment, Teaching Plan, and responses to the following questions:

· What went well during the final visit? What did not go so well?

· Was anything left undone that you would like to complete in person or by phone?

· What was the benefit of the home visit and teaching to the individual/family?

· How did you use theory on teaching and counseling to guide you in your home visit and health teach? Cite sources from MDH (2019) content on Health Teaching and Counseling.

· What did you learn from this experience?

· If you were going to do this teaching again, what would you leave the same and what would you change?

Grading Rubric/Criteria

1. Orientation Phase: [2 points]

Discuss preparation for 1st home visit, to include:

· Initial contact

· Establish a trusting relationship

· Communication with individual

· Concerns about this population

· Reflection

2. Orientation & Working Phase: [10 points]

In addition to a summary of the 1st and 2nd home visits, include the following information in your paper:

a. First Visit : Individual/family Assessment

· Identify and describe family assessment tool used, and provide rational for this choice

· Provide a summary of the family assessment results

· Strengths/protective factors of individual/family

· Health risk and active health problems

b. Second Visit: Focused Assessment

· Identify focused assessment tool used, and provide rationale for this choice

· Results of focused assessment

· Mutually agreed upon health concern

· PEEK Learning Assessment [submit]

3. Working & Resolution and Termination Phase ( Third Visit): [5 points]

· Describe your visit, and how you implemented your intervention.

· Teaching Plan [submit]

4. Reflection [5 points]

· What went well during the final visit? What did not go so well?

· Do you feel the home visit was beneficial for the individual/family? Explain why.

· What were specific challenges you faced to conducing the home visits?

· What did you learn from this experience?

5. Authorization Form submitted in D2L [1 point]. Please note assignment may not be graded without submission of this form.

Assignment Submission

1. APA formatted paper; please use the bolded assignment criteria for paper headers.

- See below instructions for submitting the three versions of this paper to the assignment dropbox.

2. PEEK Learner Assessment

3. Teaching Plan

APA formatted paper (only):