Home based care is defined as the care provided by the trained health worker at home to the ill person referred by the person directly, by the family, by friends or other local community member. It is not just about providing care service to person in bedridden condition but about providing psychological and social support in order to reduce discrimination and stigma (Coyte, & McKeever, 2016). Such idea has attracted me to involve in the home based care in order to provide essential support to the people with need.
I have been working as a nursing professional from the last 2 years. Last year during Christmas, I was assigned the duty to work as a home-care nursing professional for the ‘ABC’ family. The family comprised of a lovely couple who was expecting their first baby. I was taking care of the pregnant lady who had already suffered a miscarriage and was a victim of cardiovascular complications and depression related to pregnancy. The case seemed a critical one as it required catering to the emotional aspect of the patient in addition to the physical health care at home. During managing the case and providing care to the patient I was aware as there was no chance to do any mistakes. I had to encourage the lady throughout the care session and take care of minor to severe issue regarding her health. After few months the lady has given birth to a girl child and the happiness on her face make me satisfied regarding my service. Their appreciation had inspired me to work more for such needy people. The experience has helped me to understand the responsibility of a nurse in an effective manner. The reaction of the couple has helped me to understand that I have succeeded to meet the requirements of the patient. The experience has made me more confident regarding my choice to involve in the home based care.
In order to evaluate the degree of complication and design a strategic intervention, I made the conceptual use of the model and carried out the treatment in a step wise manner. The first step involved the patient in answering a set of questions based on her past miscarriage experience (Verkan&Walden,2014). Based on the critical evaluation of the responses given by the patient, I focused on the maintenance of a proper diet without any inclusion of sedatives and also counseled the husband to focus on maintaining a happy environment at home for the good health of both the mother and the baby (Alden et al.,2013). I have focused on the medication that she had undertaken and an analysis of whether or not the medications had a side-effect in terms of mental stress or depression that she said to have faced during her first pregnancy. The experience has helped me to learn many aspects regarding the management of pregnancy, cardio vascular risk and depression as well. I can relate my experience with the concept of evidence based practice as I have used most recent procedure of providing care to such patients based on the evidence provided by research (Schetter & Tanner, 2012). Now I can say that with proper home based care it is possible to help people in recovering their health issue and achieve expected outcomes from the treatment.
Before attending the family I usually believed that home based care is for the older person who is suffering from bedridden condition, but the experience has changed my thinking. I have learned that home based care could be provided to any people with need and it helps the patient to recover fast through psychological and social support. I have decided to apply my experience while handling other similar cases in order to achieve desired outcomes. It would help me to establish myself as a successful nurse in future.
Alden, K. R., Lowdermilk, D. L., Cashion, M. C., & Perry, S. E. (2013). Maternity and women's health care-E-book. Elsevier Health Sciences.
Coyte, P. C., &McKeever, P. (2016). Home care in Canada: Passing the buck. Canadian Journal of Nursing Research Archive, 33(2).
Schetter, C. D., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current opinion in psychiatry, 25(2), 141.
Verklan, M. T., & Walden, M. (2014). Core Curriculum for Neonatal Intensive Care Nursing-E-Book. Elsevier Health Sciences.
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