Family and Home Visits: A Comprehensive Guide for Healthcare Professionals
Family and Domiciliary Visit
Scenario 1:
– The family’s configuration is linked to monogamous marriage, heterosexual, patriarchal model, and private property.
Family:
– A group of people directly linked by connections of parents, whose adult members assume responsibility for the care of children.
Relationship:
– Connections between individuals are established both by marriage and by lines of descent that connect blood relatives (mothers, fathers, siblings, offspring, etc.).
Marriage:
– Can be defined as a sexual union between two adults socially recognized and approved.
Types of Family:
Nuclear
– Two adults living together in a family home with their children or adopted children.
Enhanced
– When close relatives, besides the couple and their children, live together in the same family or a close and continuous with each other.
Monogamy:
– Represents the relationship of Western societies. It is illegal for a man or a woman being married to more than one spouse at a time.
Polygamy:
– Allows for a husband or a wife to have more than one spouse. – Polygyny: a man may be married to more than one woman at the same time. – Polyandry: less commonly, a woman may have two or more husbands at the same time.
Gay Families:
– In some countries, the right to adoption and marriage has been recognized.
Symmetrical Family:
– Belief that over time, families become more egalitarian in the distribution of tasks and responsibilities. – In practice, this does not materialize, as women’s domestic work continues to be
Home Visits or Domiciliary Visits?
– The exact word for this is”domiciliary visi” because, according to Ferreira (1986),”hom” is a transitive verb direct. It means giving the home; collected at home, settle or settles, while”domiciliar” is an adjective relating to an address made at home and whose home is female. – **Domiciliary visit:** it is the attention to bring it on home nursing procedures which educational content is related to customer care that was the subject of visits, but the family group.
Objectives of the Domiciliary Visit
– Provide assistance, nursing care at home, watching the interaction to the client, family, and service, whether in economics, social, or psychological; – Instruct family members to provide care at home; – Supervise the care delegated to the family; – Instruct family members in matters relating to promotion, protection, and restoration of health; – Collect information on the socio-sanitary conditions of the family, through interviews and observation; – Knowing the reality bio-psycho-social that is influencing the onset of illness in order to take appropriate preventive action; – See sources, contacts, and patients with new cases to be referred to receive appropriate assistance.
Advantages
1. Provide knowledge of the individual or family within their own context, which allows:
– Observe the family situation in action and possibly assess the resources of the family; – Recognize the bio-psycho-social conditions of the family in order to identify the largest number of elements or factors involved in health maintenance and disease prevention; – Better adaptation of the planning of nursing care within the resources available to the family; – That the guidelines, aimed at health education, are more complete and efficient as they are based on the specific needs of the family; – Discovering the observation that there are some health problems were reported by family members are embarrassed by or even unaware of the existence thereof; – Increased funding for family members of the teaching done by nurses, since education is the place where the problem requires the use of available resources; – Observe, in the case of the patient, the correct application of the teachings or not made relevant to recovery and health promotion; – Opportunity to discuss with their family needs.
2. Providing a better relationship with nurse’s family by being a less formal methods and secrecy in relation to those used in the internal activities of health services and also represent a greater availability of professional time to the family concerned, and this allows:
– Greater freedom for individuals to ask questions and clarify doubts regarding the health issue/disease; – Greater freedom for individuals to discuss their problems individually and/or family; – An active participation of the family in rehabilitation of patients given the greater understanding of the teachings; – An opportunity to discuss with their family, their needs, helping to plan and identify possible means to meet these needs, primarily through a proper utilization of community resources.