reflection of home health care

Reflection of home health care


2 y/o female s/p heart transplant 2019, chronic RF, pulmonary vein stenosis, speech & developmental delay; tracheostomy, Trilogy ventilator, G-tube feedings

1. Reflect on what you thought in-home care nurses did what is the benefit
2. Discuss in depth the primary disease conditions present in the child. Name the disease process and give a description of the disease. Then discuss the types of assessments and care that were involved in the nursing care of this child. *This should be a two + paragraphs. *(ie: paragraph 1: student with asthma, what is asthma, what did you watch for, how did you help a flare-up, how well did the student care for self? What did you find interesting? Have you cared for this previously?)
3. Reflect on what the nurses did during clinical shift? How home care nurses different from hospital?
4. Discuss anything that interesting, or exciting that taking care of one child at home than hospital.


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Case Scenario

In-home care is an essential care program that ensures regular monitoring of the patients’ health and prevents health adversities. The nurses in the home-care program provide essential services such as diaper changing, feeding, medication administration, and performing essential health monitoring indicators such as blood pressure, respiratory rate, heart rate, and lung sounds. The activities done by the nurses for the child were of great benefit to the child in controlling the chronicity of the disease, ensuring health improvement through feeding, and providing company for psychological wellness.

The patient’s primary disease is asthma. The child is regularly coughing with difficulties in breathing due to constricted airway. The child produces wheezing sounds while breathing, especially during the night and cold weather. Asthma is a pulmonary disease that affects the breathing system and is caused by a viral infection in the breathing system. The virus infects the airways, especially the bronchi and the lungs. The inflammation causes an abnormal accumulation of inflamed cells in the airways, thus blocking the airways for free passage of air (King et al., 2018). This causes the constrictive breathing problem known as asthma.

There are various assessments that nurses conduct in diagnosing asthma in a patient. One of the assessments is the respiratory rate. Children with asthmatic or breathing problems have a higher respiratory rate than normal children. The pulse rate is another assessment measure that increases with constricted breathing. According to Turner (2018), asthma is characterized by a pulse rate above 100 bpm. The breathing patterns are also assessed. Asthma is associated with noisy and difficult breathing, and thus nurses should listen to the breathing sounds. Oxygen saturation is low for patients with asthma exacerbations and thus should be assessed in the diagnostic and monitoring process for asthma.

From the clinical shift experience, home care nurses provide highly patient-centered care in homes compared to hospitals. The nurses can closely monitor the patients medically and psychologically in ensuring that the patients. Timeliness in delivering the medications is an outstanding benefit of the home care program. One of the most interesting aspects of home care nurses is having a daily plan of medication and feeding for the child, which is rarely visible in hospital nursing care.




King, G. G., James, A., Harkness, L., & Wark, P. A. (2018). Pathophysiology of severe asthma: We’ve only just started. Respirology, 23(3), 262–271.

Turner, A. O. J. F. W. (2018). Acute Asthma and Other Recurrent Wheezing Disorders in Children. Clinical Evidence Handbook – American Family Physician.,years)%20or%2030%20to%2040