Guidelines for the General Nursing Care Study
Activities
1 Identify a client (Must be picked from Kapenguria County Referral Hospital; must
have a medical or surgical condition, paediatric cases will be considered on a case to
case basis)
Obtain a comprehensive written/signed consent, (see attached sample) – inform the
client of the intent to visit them at home to assess the environment and interact with
other family members.
Obtain a comprehensive history (Also include the management of the present illness
with the investigations ordered, drugs used, surgical procedures done etc)
Conduct a detailed physical examination (Remember to have a focused physical
examination for affected system).
Generate a Nursing Care Plan with not less than five priority diagnosis.
Have the ward in-charge countersign to confirm the details of the client (Name, IP
number, Diagnosis)
Present your write up to your supervisor for discussion and review/approval.
2 Conduct a literature review of the condition/s under study, with relevant references and
citations not older than 8 years.
Anatomy and Physiology relevant to patient’s condition
Comparison of actual disease and patient’s illness
Comparison of the actual disease management and ideal management
Conduct a Familiarization visit to the client’s home
Date
Objectives
Obtain the following information:
Adults – Names, Ages, Occupation, Level of Education, State of Health.
Children – Names, Ages, Immunisation status, Level of Education, State of
Health.
Home assessment – type of House, number of rooms, source of water, source of
Power, refuse disposal, excreta disposal, general cleanliness, basic diet, source of
food, domestic animals, resources available.
Generate an action plan with justification based on the history, physical, home
assessment and literature review findings. The action plan should include
Problem/Need Intervention Resources to
be used
Present your write up to your supervisor for discussion and review/approval.
3 Plan for the next visit (also include a lesson plan for intended topic):
Date
Purpose
Expectations
Lesson plan (See attached sample)
Present your write up to your supervisor for discussion and review/approval.
4 1st Home Visit (2 weeks after the familiarization visit)
Activities
1 Identify a client (Must be picked from Kapenguria County Referral Hospital; must
have a medical or surgical condition, paediatric cases will be considered on a case to
case basis)
Obtain a comprehensive written/signed consent, (see attached sample) – inform the
client of the intent to visit them at home to assess the environment and interact with
other family members.
Obtain a comprehensive history (Also include the management of the present illness
with the investigations ordered, drugs used, surgical procedures done etc)
Conduct a detailed physical examination (Remember to have a focused physical
examination for affected system).
Generate a Nursing Care Plan with not less than five priority diagnosis.
Have the ward in-charge countersign to confirm the details of the client (Name, IP
number, Diagnosis)
Present your write up to your supervisor for discussion and review/approval.
2 Conduct a literature review of the condition/s under study, with relevant references and
citations not older than 8 years.
Anatomy and Physiology relevant to patient’s condition
Comparison of actual disease and patient’s illness
Comparison of the actual disease management and ideal management
Conduct a Familiarization visit to the client’s home
Date
Objectives
Obtain the following information:
Adults – Names, Ages, Occupation, Level of Education, State of Health.
Children – Names, Ages, Immunisation status, Level of Education, State of
Health.
Home assessment – type of House, number of rooms, source of water, source of
Power, refuse disposal, excreta disposal, general cleanliness, basic diet, source of
food, domestic animals, resources available.
Generate an action plan with justification based on the history, physical, home
assessment and literature review findings. The action plan should include
Problem/Need Intervention Resources to
be used
Present your write up to your supervisor for discussion and review/approval.
3 Plan for the next visit (also include a lesson plan for intended topic):
Date
Purpose
Expectations
Lesson plan (See attached sample)
Present your write up to your supervisor for discussion and review/approval.
4 1st Home Visit (2 weeks after the familiarization visit)
