Table of Contents

  1. SECTION 1 INTRODUCTION
    1. Tuberculosis (TB)
    2. The Course
    3. The Desk Guide
    4. Before We Start.....
    5. Communicating Effectively.
    6. QUESTIONS
    7. WRITTEN EXERCISE
    8. ANSWERS
    9. COMMUNICATING W.E.L.L
  2. SECTION 2 - TB AND TB CONTROL STRATEGY
    1. Tuberculosis (TB)
    2. Pulmonary TB
    3. Extra-Pulmonary TB
    4. Key Points
    5. The Global Picture of Tuberculosis
    6. HIV Related TB
    7. KEY POINTS
    8. TB Control
    9. Key Points
  3. SECTION 3 - INVESTIGATING TB
    1. Interview the Patient to Establish the History
    2. KEY POINTS
    3. CASE STUDY EXERCISE
    4. REFLECTIONS ON CASE STUDIES
    5. Examine the Patient
    6. Treatment
    7. WRITTEN EXERCISES
    8. WRITTEN EXERCISES 1 - 3 ANSWERS
    9. Record Patient details in the Register of TB Suspects.
    10. WRITTEN EXERCISE
    11. WRITTEN EXERCISE ANSWERS
    12. INVESTIGATIONS
    13. KEY POINTS
    14. REFLECTIONS
    15. WRITTEN EXERCISE
    16. KEY POINTS
    17. Answers
  4. SECTION 4 - DIAGNOSE TB
    1. Interpret and Record Sputum Results
    2. KEY POINT
    3. Extra-pulmonary TB
    4. What to do in HIV-positive patients with SEVERE PNEUMONIA OR VERY SEVERE DISEASE when referral is impossible:
    5. Decide upon Treatment Category.
    6. WRITTEN EXERCISES
    7. ANSWERS
    8. KEY POINTS
  5. SECTION 5 - PRESCRIBE THE CORRECT TREATMENT REGIMEN
    1. Decide on the correct treatment regimen.
    2. Drugs
    3. Reading the Code
    4. KEY POINTS
  6. SECTION 6 - FILL FORMS AND CARDS
    1. Fill out the TB treatment card
    2. INTRODUCTION TO WRITTEN EXERCISES
    3. WRITTEN EXERCISES 1-5 ANSWERS
    4. Fill in the TB Patient Card (TB02)
    5. WRITTEN EXERCISE
    6. ANSWERS
    7. TB03: INSTITUTIONAL TB REGISTER.
    8. WRITTEN EXERCISE C
    9. ANSWERS TO EXERCISE C
    10. KEY POINTS
  7. SECTION 7 - EDUCATE AND MANAGE TB CONTACTS
    1. Educating the patient about TB
    2. KEY POINTS
    3. PRACTICE EXERCISES
    4. Reflections on Case Studies
    5. Managing Household Contacts
    6. WRITTEN EXERCISES
    7. ANSWERS TO WRITTEN EXERCISES
    8. KEY POINTS
  8. SECTION 8 - SUPERVISION AND SUPPORT OF TREATMENT
    1. Patient support.
    2. Patient supervision
    3. Educating the patient about Patient Support
    4. Identify an appropriate patient supporter
    5. How to Support Treatment
    6. KEY POINTS
    7. GROUP WORK
    8. REFLECTIONS ON PRACTICE EXERCISES.
    9. Observe and record tablet intake.
    10. How to Support Treatment
    11. TB TREATMENT CARD
    12. Supervision: Manage follow-up appointments.
    13. Supervise the patient supporter.
    14. KEY POINTS
    15. CASE STUDY EXERCISES C & D
    16. KEY POINTS
    17. REFLECTIONS ON PRACTICE EXERCISES C AND D
  9. SECTION 9 - REVIEW THE PATIENT
    1. Greet the patient, enquire about their health and any other problems and explain what will happen
    2. Review the process of community-based TB care
    3. Take action if patients have missed tablets
    4. DEMONSTRATION EXERCISE
    5. KEY POINTS
    6. ANSWERS
    7. Review and manage the Patients Health
    8. TB /HIV
    9. WRITTEN EXERCISE
    10. ANSWERS
    11. Re-educate the Patient
    12. KEY POINTS
  10. SECTION 10 - IDENTIFY AND MANAGE PATIENTS WHO INTERRUPT TREATMENT
    1. Identify TB patients who interrupt treatment
    2. Trace the Patient
    3. KEY POINTS
    4. Managing TB Patient with Interrupted Treatment
    5. WRITTEN EXERCISES
    6. ANSWERS
    7. DISCUSSION