Nursing Component Task
Nursing procedures & clinical learning

Public Health Nursing (PHN)

HOME VISIT TO A CLIENT WITH ELEPHANTIASIS

This is a visit to a client with elephantiasis by the Public/Community health nurse in his/her home.

Purpose

  • Encourage client to do daily washing and drying of affected parts to prevent acute attacks, reduce unpleasant odour and heal entry lesions
  • Counsel client and family to avoid social isolation, stigma and misconceptions about the condition
  • Encourage client to adhere to treatment therapy
  • Support client to live an independent life

Indications

  • Client requires a client with elephantiasis 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
  • Ask about general health
  • Observe environment for cleanliness, safety and comment
  • Ensure privacy and confidentiality
  • Assist client to identify health needs
  • Check and use items in the home visit bag
  • Wash hands/alcohol hand rub with appropriate technique
  • Wash and dry affected part with antiseptic solution
  • Wash hands/alcohol hand rub with appropriate technique
  • Interview and counsel on:
  • Diet
  • Bowel movement
  • Sleep pattern
  • Medication and regular check-ups
  • Care of affected part/Exercise and Rehabilitation
  • Prevention of mosquito bites/use of ITN
  • Relationship with family/community members
  • Personal health
  • Schooling/occupation
  • Any special concerns

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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