SECTION 1

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
3. SECTION 3 - INVESTIGATING TB
4. SECTION 4 - DIAGNOSE TB
5. SECTION 5 - PRESCRIBE THE CORRECT TREATMENT REGIMEN
6. SECTION 6 - FILL FORMS AND CARDS
7. SECTION 7 - EDUCATE AND MANAGE TB CONTACTS
8. SECTION 8 - SUPERVISION AND SUPPORT OF TREATMENT
9. SECTION 9 - REVIEW THE PATIENT
10. SECTION 10 - IDENTIFY AND MANAGE PATIENTS WHO INTERRUPT TREATMENT

COMMUNICATING W.E.L.L

To remember some of these ideas memorize the acronym: WELL.

W = Welcome your patient

Ensure privacy and confidentiality

Greet the patient (for example: "hello Mr/Mrs... please come in")

Offer a seat

Ask their name

Show empathy (I understand how you feel)

E = Encourage your patient to talk

Ask general questions "what is your problem", "Tell me your concerns"

Allow your patient to answer

Nod, agree or say "tell me more about that" to help your patient explain

L = Look at your patient

Make sure that your facial expression is warm and friendly

Maintain eye contact with your patient as they speak

Observe their feelings, as well as their general medical condition

L = Listen to your patient

Listen carefully to what your patient has to say. Do not interrupt them.

Show the patient you are interested in what they are saying

By communicating well, we can improve a patient's understanding of their problem so that they are more likely to complete a full course of treatment and be cured. We will practise these communication skills during the course exercises when we practise the various roles of the health worker in the TB programme. Continue to practise these skills in your daily work.