BY: Firoz qureshi

Dept. psychiatric nursing

HOME NURSINGAND WOMEN

EMOWERMENT

DEFINITIONHealth care nursing is defined as ―the

delivery of specialized nursing care services in the home health care setting.

OBJECTIVESProtection against diseases. Providing essential treatment. Providing comfort and relief from pain to the

patient. Giving a support and empathy to the patient and

his family. Using domestic equipment for the nursing. Providing health education. Giving as much respect as possible to the faiths

and beliefs of the family during the procedure.

ROLE OF COMMUNITY HEALTH NURSE

Recording the history of family to ascertain the cause and duration of illness.

Providing treatment and related care.Demonstrating the nursing procedure to educate

the family members. Giving medicines as per the standing orders and

providing essential nursing care in the grave situations.

Supervising the nursing procedures provided by family members.

Cont…Including the patient himself in taking care of

chronic illness (heart, arthritis, cancer, diabetic patients, etc) and giving them mental support.

Preparing plans to carry the patient to the hospital or clinic and then bringing him back to his home.

GENERAL INSTRUCTIONS FOR HOME NURSING

While nursing the patient at home, one should remember what Florence nightingale said; first objective of home nursing is to provide nursing, second is to keep the patient and his room in the nursing order and the third is to remove all those shortcomings of cleanliness, which can cause the illness or death.

Try to include the aspects of general nursing in the home nursing.

Cont…It is essential to make family independent in

taking care of their health, so their activities should be carefully monitored.

As far as possible, home nursing should not affect the daily life and normal activities of the family and their mental strength should be enhanced.

In home nursing it is necessary to take care of the patient‘s age, his hierarchy to the family, financial condition, educational background etc.

Cont…In case of chronic and fatal diseases diversional

or recreational and occupational therapy should be used.

In home nursing there should be maximum utilization of family resources and items available in home.

PRINCIPLES OF HOME VISITHome visit is the process of providing nursing care to

patients at their doorsteps. The goal of home visit is to provide appropriate nursing care leading to wellness of the patients.

1. Home visits should be planned with purpose and should be beneficial to patients.

2. The purpose of home visits should be clear and must meet the needs of the patients. It should include surveys and statistics, MCH services, home nursing in cases of illness, including health teaching.

3. Home visits should be regular and flexible according to the needs of the patients.

Cont…4. Home visit should be educative, i.e., it gives

excellent opportunities for health and education. 5. Home visits should give excellent

opportunities for nurses to demonstrate hygienic principles.

6. Home visit should be convenient, acceptable and educative to the patients.

ADVANTAGE OF THE HOME VISITS

1. Home visit provides an excellent opportunity to implement the nursing process.

2. Home visits provide an opportunity to study the home and family situation.

3. Home visits provide an opportunity to render services to the family members at their own surroundings.

4. Prompt and proper home visits create a good understanding between nurse and family and builds good image of nurse.

Cont…5. Home visits clarify the doubts raised by the

family members. 6. Home visits help to observe family practices

and progress of care given by nurse and others. 7. Home visits help to prevent and handling the

problems. 8. Home visits help the nurse and family

members to modify the ways of their care. 9. Home visits are convenient for the patients. 10. Home visit facilitate patient control of the

setting.

ADAPTATION OF NURSING PROCEDURES AT HOME

Community health nurse should have the knowledge of those conditions and diseases in which home nursing can be made available to patient. Similarly nurse should be aware of the limitations of the home nursing.

CATEGORIES:-1. Non-Communicable Diseases Or Conditions:

general fever, post operative conditions, nutritional disorders, deficiency disorders due to lack of vitamins, iron and iodine deficiency disorders, protein-calorie malnutrition,

Cont…Cancer patient, simple trauma and cut, skin

diseases, followup to family planning operation and other related conditions.

2. Communicable Conditions: All those diseases and conditions (TB, cholera etc,) are included in this, which spread quickly. Utmost care and alert is needed in their treatment and the nursing at home.

SIMPLE HOME NURSING PROCEDURES

Hand WashingThermometer DisinfectionDressingDisposal of Sputum

USE OF DOMESTIC ARTICLES IN HOME NURSING

Use of earthen pot instead of bed pan.Using a box, wooden plank, back of chair or

pillow etc, in place of back rest.Using a piece of clean cloth or sari etc, in place

of bandage. For isolation or protecting the bed or to serve the

food using banana leaf.Using saree for curtain and covers of mattress

and pillow.

Cont…Sand bag can be made at home by stitching a bag

of cloth. Using disposable items in home nursing.Using a glass bottle instead of hot water bag.

WOMEN EMPOWERMENT

INTRODUCTIONIt is basically the creation of an environment where

women can make independent decisions on their personal development as well as shine as equals in society. Women want to be treated as equals so much so that if a woman rises to the top of her field it should be a commonplace occurrence that draws nothing more than a raised eyebrow at the gender. This can only happen if there is a channelized route for the empowerment of women.

CRIMES AGAINST WOMENA total of 2,44,270 incidents of crime against women

(both under IPC and SLL) were reported in the country during the year 2012 as compared to 2,28,650 in the year 2011 recording an increase of 6.4% during the year 2012. These crimes have continuously increased during 2008 – 2012 with 1,95,856 cases in the year 2008, 2,03,804 cases in 2009 and 2,13,585 cases in 2010 and 2,28,650 cases in 2011 and 2,44,270 cases in the year 2012. West Bengal with 7.5% share of country’s female population has accounted for nearly 12.7% of total crime against women by reporting 30,942 cases during the year 2012.

CHALLENGESThere are several challenges that are currently

plaguing the issues of women’s rights in India. A few of these challenges are presented below. While a lot of these are redundant and quite basic issues faced across the country, these are contributory causes to the overarching status of women in India. Targeting these issues will directly benefit the empowerment of women in India.

Cont…EDUCATIONWhile the country has grown from leaps and

bounds since its independence where education is concerned, the gap between women and men is severe. While 82.14% of adult men are educated, only 65.46% of adult women are known to be literate in India. Not only is an illiterate women at the mercy of her husband or father, she also does not know that this is not the way of life for women across the world.

Cont…POVERTYAbout a third of the country’s population lives on less

than 1.25USD per day. The GINI index keeps rising slowly over the years, indicating that the inequality in the distribution of wealth in the country is increasing, currently hovering a little close to 33.9.Poverty is considered the greatest threat to peace in the world, and eradication of poverty should be a national goal as important as the eradication of illiteracy. Due to abject poverty, women are exploited as domestic helps and wives whose incomes are usurped by the man of the house.

Cont…HEALTH & SAFETYThe health and safety concerns of women are

paramount for the wellbeing of a country, and is an important factor in gauging the empowerment of women in a country. However there are alarming concerns where maternal healthcare is concerned.

The main causes of maternal mortality are:-Haemorrhage: 30%Anaemia: 19%Sepsis: 16%

Cont…Obstructed Labour: 10%Abortion: 8%Toxaemia: 8%

ACTIONS TAKEN TO EMPOWER WOMEN

MILLENNIUM DEVELOPMENT GOALThe United Nations Development Programme

constituted eight Millennium Development Goals (MDG) for ensuring equity and peace across the world. The third MDG is directly related to the empowerment of women in India. The MDGs are agreed-upon goals to reduce certain indicators of disparity across the world by the year 2015.

Cont…MINISTRY FOR WOMEN & CHILD

DEVELOPMENTThe Ministry for Women & Child Development was

established as a department of the Ministry of Human Resource Development in the year 1985 to drive the holistic development of women and children in the country. In 2006 this department was given the status of a Ministry, with the powers to Formulate plans, policies and programmes;

Cont…THE ROAD AHEADIndia as a country is still recovering from years

of abuse in the time of the Raj and more years of economic suffering at the hands of the License Raj. It is only now that globalisation, liberalisation and other socio-economic forces have given some respite to a large proportion of the population. However, there are still quite a few areas where women empowerment in India is largely lacking.

Thank you