The purpose of this study was to assess the ability of PHNs to appreciate and understand patient needs based upon patients' previous experience with home health nursing. The subjects of this study were sourced from three families and data was collected from the researcher's own nursing experience as a PHN. The various processes involved in understanding patients by the PHN, as well as the means by which a PHN settled upon the most appropriate treatment for a given situation, were analyzed Other aspects of the study were to determine how PHNs acquired a thorough understanding of patients', and how they developed their own skills and attitude regarding nursing. The results of the study revealed the following: 1. PHNs were observed to be capable of understanding, a) the status of patients health conditions relative to their previous lifestyle, and the patients' views about them, b) the extent to which patients have been able, or have been prepared to, develop the skills necessary to take care of themselves, c) how well care givers have developed their skills and ability, and, d) the extent to which the patient perceives the treatment to have been effective. 2. PHNs can provide treatment that is most appropriate given a patients' previous experience Specifically, a PHN should be able to a) reinforce any positive developments that the patient has made, and b) respect their patients' lifestyles, appreciate their views, and understand how these views developed. The study thus demonstrated that PHNs have the ability to encourage their patients positively with respect their lifestyles and possible changes they may need to make to maintain their health, and are able to assess the extent to which patients have implemented those recommendations in their daily lives.