Nursing Component Task
Nursing procedures & clinical learning

Public Health Nursing (PHN)

HOME VISIT TO A CLIENT WITH CEREBROVASCULAR ACCIDENT (CVA)

This is a visit made by the Public/Community health nurse to a CVA client at his/her home.

Purpose

  • Provide continuous care to client and family
  • Counsel/educate client and family on management of the condition
  • Counsel client on diet modification and adherence to treatment
  • Sensitize client and family on rehabilitation (speech and physiotherapy)

Indications

  • Client requires a client with cerebrovascular accident (cva) assessment or care.

Equipment

  • Refer to items in the well-equipped home visiting bag
  • Map of the area/community
  • Records of the client manually/electronically
  • Register of the area/community
  • Arrange for transportation

Preparation

  • Review client records and history.
  • Gather necessary equipment and supplies.
  • Plan the visit timing and logistics.

Procedure steps

  • Read map of the community
  • Knock, enter, greet and introduce self
  • Explain the purpose of the visit and ensure confidentiality
  • Observe environment for cleanliness, safety and comment
  • Enquire about the general condition from client/caretaker/relatives
  • Assist client to identify health needs
  • Check and use items in the home visit bag
  • Wash hands/alcohol hand rub with appropriate technique
  • Check Blood Pressure (BP) and compare with the previous one (if available)
  • Undress the client with assistance from the caretaker
  • Examine client from head to toe
  • Wash hands/alcohol hand rub with appropriate technique
  • Interview and counsel on:
  • Findings to caretaker
  • Personal health with emphasis on pressure areas
  • Frequent change of position and exercise d. Healthy diet
  • Medication and regular check-ups

Precautions

  • Maintain infection prevention and control measures throughout.
  • Respect client privacy and confidentiality.
  • Ensure cultural sensitivity and dignity.
  • Refer or escalate when complications arise.

Aftercare

  • Evaluate client response to interventions.
  • Schedule follow-up as needed.
  • Ensure client understands care plan.

Nursing considerations

  • Adapt care to client's unique circumstances.
  • Involve family members as appropriate.
  • Consider social determinants of health.

Patient education

  • Provide condition-specific health education.
  • Teach self-care strategies where applicable.
  • Reinforce importance of follow-up.

Documentation

  • Record all assessments and findings.
  • Document interventions provided.
  • Note client education given.
  • Report any referrals made.

References and further reading

Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.

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