BNS 115: Community-Based Nursing & Domiciliary Midwifery Care
DOMICILIARY PRACTICE • MODULE 1
Foundations of Domiciliary Midwifery & Home-Based Care
Concepts, History & Selection Criteria
- Subtopic: Definition and Scope of Domiciliary Midwifery and Home-Based Obstetric Care
- Subtopic: Historical Evolution of Domiciliary Midwifery Practice Globally and in Uganda
- Subtopic: Benefits and Psychosocial Value of Home-Based Postnatal Care for Mother and Family
- Subtopic: Challenges and Systemic Constraints of Offering Domiciliary Services in Uganda
- Subtopic: Uganda Nurses and Midwives Council (UNMC) Regulations Governing Domiciliary Practice
- Subtopic: Legal Duties, Documentation Responsibilities, and Liabilities of Domiciliary Midwives
- Subtopic: Clinical Criteria and Risk Assessment for Selecting Mothers Eligible for Domiciliary Care
- Subtopic: Contraindications: Identifying High-Risk Obstetric Indicators Warranting Facility-Based Management
POSTPARTUM CARE • MODULE 2
Postnatal Care of the Mother, Baby & Family in the Home
Maternal Postpartum Care & Lactation
- Subtopic: Clinical Assessment of Uterine Involution, Lochia Progression & Vital Signs at Home
- Subtopic: Assessment and Management of Perineal Tears, Episiotomies, and Perineal Hygiene
- Subtopic: Prescription, Dosing, and Safety of Oral Analgesics During Lactation
- Subtopic: Pharmacokinetics of Maternal Drugs Secreted into Human Breast Milk
- Subtopic: Instruction and Monitoring of Postpartum Pelvic Floor (Kegel) Exercises
- Subtopic: Lactation Support: Breast Assessment, Nipple Care, and Resolving Engorgement
- Subtopic: Breastfeeding Techniques: Latch-On Assessment, Cross-Cradle, and Football Holds
- Subtopic: Maternal Dietary Modifications and Fluid Intake to Support Optimal Lactation
Family Attachment & Perinatal Bereavement
- Subtopic: Facilitating Maternal-Infant and Paternal-Infant Bonding and Attachment
- Subtopic: Parenting Education: Newborn Behavioral Cues, Sleep Patterns, and Soothing Techniques
- Subtopic: Supporting Sibling Adjustment and Family Transitions During the Postnatal Period
- Subtopic: Managing Grief and Bereavement Following Stillbirth, Neonatal Death, or Miscarriage
- Subtopic: Guiding Families Through Perinatal Loss Rituals and Psychosocial Reintegration
CLINICAL SAFETY • MODULE 3
Umbilical Cord Management, Infection Control & Maternal Mental Health
Umbilical Cord Care & Infection Prevention
- Subtopic: Physiological Process of Umbilical Cord Drying, Desiccation, and Mummification
- Subtopic: Bacterial Colonization of the Cord Stump: Non-Pathogenic vs. Virulent Colonizers
- Subtopic: Traditional Harmful Cord Applications (Cow Dung, Ash, Herbs) and Associated Tetanus Risks
- Subtopic: Evidence-Based Cord Care: Ministry of Health 7.1% Chlorhexidine Digluconate Protocols
- Subtopic: Early Detection and Emergency Clinical Nursing Management of Omphalitis and Neonatal Sepsis
Maternal Mental Health & Emotional Wellbeing
- Subtopic: Spectrum of Postpartum Affective Disorders: Postpartum Blues vs. Depression vs. Psychosis
- Subtopic: Screening for Postpartum Depression: The Edinburgh Postnatal Depression Scale (EPDS)
- Subtopic: Etiology, Risk Factors, and Clinical Presentation of Postpartum Depression
- Subtopic: Emergency Recognition and Referral of Puerperal Psychosis (Infanticide and Suicide Risks)
- Subtopic: Impact of Maternal Mental Disorders on Infant Care, Feeding, and Cognitive Development
- Subtopic: Assessing Partner Relationships, Domestic Cohesion, and Essential Family Social Support
HOME VISITING • MODULE 4
Home Visiting Protocols, Report Writing & The Domiciliary Kit
Home Visit Execution & Examination
- Subtopic: Pre-Visit Preparation: Reviewing Antenatal Records and Establishing Communication
- Subtopic: Environmental Hygiene Assessment of the Home: Cleanliness, Water, Waste, and Ventilation
- Subtopic: Step-by-Step Neonatal Examination at Home (Thermal Stability, Eyes, Oral Cavity, Cord, Reflexes)
- Subtopic: Step-by-Step Postnatal Maternal Examination in the Domestic Setting
- Subtopic: Conducting Individualized Maternal Debriefing and Family Health Education Talks
Domiciliary Equipment & Documentation
- Subtopic: Composition and Maintenance of the Community Midwife's Domiciliary Kit
- Subtopic: Sterilization and Infection Control Standards for Reusable Field Instruments
- Subtopic: Emergency Field Medications: Analgesics, Antiseptics, Ergometrine, and Anti-Malarials
- Subtopic: Comprehensive Domiciliary Case Report Writing: Structure, Findings, and Action Taken
- Subtopic: Practical Requirement: Managing and Following 2 Normal Deliveries Until Cord Detachment
- Subtopic: Compiling Case Logs and Logbook Endorsement by Clinical Supervisors
OCCUPATIONAL HYGIENE • MODULE 5
Environmental Hygiene, Sanitation & Occupational Health
Environmental Hygiene & Sanitary Infrastructure
- Subtopic: Environmental Determinants of Individual, Family, and Community Health
- Subtopic: Domestic and Community Water Supply Systems: Protection, Chlorination, and Storage
- Subtopic: Wastewater Drainage, Greywater Re-use, and Ecological Sanitation Solutions
- Subtopic: Solid Waste Disposal: Composting, Sanitary Burial, and Incineration
- Subtopic: Housing Architecture: Ventilation, Natural Lighting, Rodent Proofing & Pollution
- Subtopic: Food Safety and Kitchen Sanitation: Prevention of Domestic Food-Borne Illness
- Subtopic: Air Pollution (Indoor Smoke from Biomass Fuels vs. Outdoor Emissions) and Respiratory Disease
- Subtopic: Port Health and Border Sanitary Regulations in Disease Surveillance
Occupational Health Nursing
- Subtopic: Principles, Scope, and Evolution of Occupational Health Nursing
- Subtopic: Classification of Workplace Hazards: Physical, Chemical, Biological, Ergonomic & Psychosocial
- Subtopic: Common Occupational Diseases in Agriculture, Construction, and Small Industries in Uganda
- Subtopic: Uganda Occupational Safety and Health Act: Legal Duties of Employers and Employees
- Subtopic: Conducting Workplace Health Risk Assessments, Medical Screening, and PPE Enforcement
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FAMILY SYSTEMS • MODULE 6
Family Health Assessment, Genograms & Ugandan Family Systems
Family Systems & Sociocultural Dynamics
- Subtopic: Theoretical Models of Family Nursing: Family Systems Theory and Structural-Functional Theory
- Subtopic: Definitions, Structures, and Essential Developmental Functions of the Family
- Subtopic: Typologies of Families: Nuclear, Extended, Single-Parent, Blended & Child-Headed Families
- Subtopic: Ugandan Cultural Family Structures, Kinship Networks, Traditional Values, and Gender Roles
- Subtopic: The Role of the Professional Nurse in Supporting Family-Centered Health Promotion
Assessment Tools: Genograms & Ecomaps
- Subtopic: Constructing and Interpreting a Three-Generation Family Genogram (Genetic and Disease Mapping)
- Subtopic: Constructing and Interpreting a Family Ecomap (Social Relationships and Stressor Mapping)
- Subtopic: Calculating and Interpreting the Family Coping Index Across Physical and Emotional Domains
- Subtopic: Assessing Family Health Beliefs, Health Practices, and Disease Vulnerabilities
- Subtopic: Designing Family-Centered Health Promotion Strategies Across Primary, Secondary & Tertiary Levels
HOME CARE • MODULE 7
Home-Based Nursing Care for Chronic Illness & Vulnerable Groups
The Family-Centered Home Nursing Process
- Subtopic: Steps in the Family-Centered Nursing Process in Home-Based Care
- Subtopic: Clinical Knowledge, Physical Assessment Skills, and Cultural Sensitivity for Home Nurses
- Subtopic: Home Care for Bedridden, Paralyzed, and Immobile Patients: Bedsore Prevention and Hygiene
- Subtopic: Managing Patients on Long-Term Urinary Catheters, Feeding Tubes, and Wound Drains at Home
- Subtopic: Pain Management and Palliative Home Nursing for Patients with Advanced Malignancies
Care of Vulnerable Households
- Subtopic: Socioeconomic and Emotional Impacts of HIV/AIDS and Chronic Non-Communicable Diseases on Families
- Subtopic: Specialized Home Assessment and Care for Child-Headed Households
- Subtopic: Geriatric Home Care: Assessing Frail Elderly Family Members (Fall Risks, Dementia, Nutrition)
- Subtopic: Community Reintegration, Caregiver Respite, and Psychosocial Support Systems
- Subtopic: Information, Education, and Communication (IEC) on TB, Cholera, and HIV Prevention at Home
HOUSEHOLD ECONOMICS • MODULE 8
Household Food Security, Sanitation & Economic Health Empowerment
Domestic Food Security & Hygiene
- Subtopic: The Link Between Family Economic Capacity, Household Food Security, and Health Status
- Subtopic: Establishing Household Kitchen Gardens and Sustainable Vegetable Farming for Nutrition
- Subtopic: Promoting Household Clean Water Security, Latrine Construction, and Handwashing Tip-Taps
- Subtopic: Safe Food Storage, Pest Control, and Prevention of Mycotoxin (Aflatoxin) Contamination
Income Generation & Health Empowerment
- Subtopic: Role of the Nurse in Mobilizing Communities for Health-Promoting Income-Generating Activities
- Subtopic: Facilitating Household-Level Micro-Enterprises: Poultry, Goat Rearing, Tailoring, and Crafts
- Subtopic: Linking Families to Village Savings and Loan Associations (VSLAs) and Community Cooperatives
- Subtopic: Empowering Women Financially to Improve Child Nutrition and Access to Maternal Healthcare
PRACTICUM & COMPILATION • MODULE 9
Community Field Practicum & Family Case Study Compilation
Field Practice Objectives & Case Studies
- Subtopic: Selection and Engagement of 3 to 5 Community Families for In-Depth Health Studies
- Subtopic: Conducting Comprehensive Household Physical, Psychosocial, and Environmental Assessments
- Subtopic: Drafting and Administering Family-Centered Nursing Care Plans with Family Participation
- Subtopic: Executing Direct Clinical and Educational Interventions in the Domestic Setting
- Subtopic: Evaluating the Effectiveness of Family Interventions and Calculating Coping Index Changes
- Subtopic: Compilation and Formal Academic Defense of Two (2) Comprehensive Family Care Study Reports
Prescribed Textbooks & References
Core academic textbooks, domiciliary practice guidelines, and community nursing references prescribed by the NCHE Bachelor of Nursing Science syllabus.
- Edwins, J. (2008). Community Midwifery. Oxford: Wiley-Blackwell.
- Fraser, D.M. & Cooper, M.A. (2009). Myles' Textbook for Midwives (15th ed.). Edinburgh: Churchill Livingstone / Elsevier.
- Varney, H., Kriebs, J.M. & Gegor, C.L. (2003). Varney's Midwifery (4th ed.). Sudbury: Jones & Bartlett Publishers.
- Lowdermilk, D.L. & Perry, S.E. (2007). Maternity & Women’s Health Care (9th ed.). St. Louis: Mosby / Elsevier.
- Anderson, E.T. & McFarlane, J. (2004). Community as Partner: Theory and Practice in Nursing (4th ed.). Philadelphia: Lippincott Williams & Wilkins.
- Stanhope, M. & Lancaster, J. (2004). Community and Public Health Nursing (6th ed.). St. Louis: Mosby / Elsevier.
- Wood, C.H., de Glanville, H. & Vaughan, J.P. (1997). Community Health. Nairobi: African Medical and Research Foundation (AMREF).
- Alexander, J., Levy, V. & Roch, S. (1990). Postnatal Care: A Research-Based Approach. London: Macmillan Press Ltd.
- Uganda Nurses and Midwives Council (UNMC) (2001). Midwifery Handbook and Guide to Practice. Kampala: UNMC / Ministry of Health.
- Ministry of Health Uganda (2016). National Village Health Team (VHT) Facilitator's Guide. Kampala: MOH.
Follow your university’s current approved course outline for official course codes, teaching order and assessments. This directory organises supplementary revision resources.
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