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Leprosy Training Module for Medical Officers

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1. Early Case Detection, be<strong>for</strong>e disabilities and de<strong>for</strong>mities can set in.<br />

2. Proper Counselling : Give the patient proper advice and explanation.<br />

At the time of starting treatment, we must discuss the following with patient.<br />

• The nature of the disease, the type of the disease & duration of<br />

treatment.<br />

Prevention of Primary Disability<br />

• The importance of regular treatment.<br />

• Possible signs and symptoms of reaction and the need to report<br />

immediately in case of nerve pain, loss of sensation, weakness<br />

and tingling in the hand, face and foot.<br />

3. Detect loss of nerve function early.<br />

Check muscle strength and sensation ( VMT & ST ) regularly to detect<br />

complications early.<br />

4. Manage early loss of nerve function appropriately.<br />

If the patient has early nerve function loss ( less than 6 months ), he<br />

should be given a course of steroids.<br />

Early Case<br />

Detection<br />

Educate<br />

the patient<br />

Lepra<br />

Reactions<br />

Patient<br />

Reporting<br />

Regular<br />

visits<br />

Early Nerve<br />

Damage<br />

detection<br />

VMT<br />

ST<br />

Disease<br />

Treatment<br />

Signs & Symptoms<br />

of Reactions<br />

Motivation to report<br />

on occurrence of<br />

nerve pain<br />

Prednisolone<br />

No Disability<br />

Manage<br />

immediately<br />

No<br />

Prednisolone<br />

Disability<br />

1<br />

70

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