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Stage | Description | Responsible |
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Induction | Tutors describe the activities during the home visit and explain the learning model. We encourage the use of handouts. | Tutor |
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Patient selection | Tutors tell the students about the case for the home visit days before, and the students check the medical record of the patient. One student is responsible for presenting the clinical history. | Tutor |
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Home visit preparation | One student presents a summary of the clinical history of the patient or family that will be visited. Students define the following: |
Students |
(i) problems of the patient or family, |
(ii) objectives for the home visit, |
(iii) materials needed for the visit (sphygmomanometer, prescription or referral forms, wound healing materials, clinical scales for patients or family members, etc.), |
(iv) student roles during the visit. |
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Home visit | Tutor presents his/her team, ensuring that the students assume their roles. At the end the tutor explains to the patient or family members that a comprehensive health plan will be discussed, and that a student will make a telephone call or schedule an appointment to explain the treatment alternatives for his/her relative (in the case that the patient does not need an urgent referral to the emergency room). | Tutor leads and students assume their roles |
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Discussion of the visit | Biomedical and psychosocial problems are reassessed, including supportive factors of patients and their families. A genogram is completed according to the needs of the patients. For each problem, possible solutions are discussed according to their effectiveness and likelihood to be implemented at home. Followup is scheduled. According to the visit, clinical questions are identified and distributed to students to be answered and discussed during the next session. | Tutor facilitates the discussion |
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Followup | Followup with all patients. This activity is registered in the record of the patient. Students answer the clinical questions from previous visits and review the unknown contents and share in their learning. | Tutor facilitates group learning |
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