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  • Rehabilitation service to TB patients

    Learning Objectives

    Describe in brief Rehabilitation Services to Individuals with TB.

    • Nutritional Rehabilitation
    • Pulmonary Rehabilitation
    • Physical Rehabilitation
    • Social Rehabilitation
    • Mental Rehabilitation
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Content

 

The holistic management of Tuberculosis (TB) patients can improve their life expectancy. The importance of addressing malnutrition, adverse drug reactions, psycho-social well-being, and catastrophic expenses correctly and in a timely fashion is essential in reducing morbidity and mortality.  

 

Table: Rehabilitation services for TB patients
Rehabilitation Services for TB Patients  Care Providers  Key Components 
Nutritional Rehabilitation 

1. Senior Treatment Supervisor 

2. TB Health Visitors 

3. Accredited Social Health Activists (ASHAs) 

4. Auxiliary Nurse Midwife (ANM) 

5. TB treatment supporter 

6. Medical officers at Peripheral Health Centre (PHC), Community Health Centre (CHC) level 

  • Supporting nutritional needs of TB patients through Ni-kshay Poshan Yojana 

  • Management of undernutrition in nutrition rehabilitation centres (NRCs) 

  • Linkages for extra nutritional support for TB patients like the public distribution system (PDS) or food security act. 

Pulmonary Rehabilitation 

1.Physiotherapists (preferable one male and one female)  

2. Nurses  

3. Attendant 

 Management of physical and psychological impairment due to the disease to lower the handicap. 
Physical Rehabilitation 

  1. therapists (preferable one male and one female)

  2.  Nurse  Doctors

  3. Surgeons

  4. Physio

  5. Attendant 

  • Management of post-treatment sequelae by early identification and periodic assessment. 

  • Comorbidity management 
Social Rehabilitation 

1. TB Health Visitors 

2. Accredited Social 

3. Health Activists (ASHAs) 

4. Auxiliary Nurse Midwife (ANM) 

5. TB treatment supporter 

6. Medical officers at PHC, CHC level 

7. Ni-kshay Mitra 

  • Linkage for vocational rehabilitation e.g., Skill India

  • Synergy between social welfare support systems like: 

  1. Rashtriya Swasthya Bima Yojana (RSBY) 

  2. TB pension schemes 

  3. National rural employment guarantee scheme 

  4. National Health Protection Scheme (NHPS) for palliative care and rehabilitation
 Mental Rehabilitation 

1. Psychiatrist 

2. Psychologists / Counsellors 

3. TB Health Visitors 

4. Accredited Social  

5. Health Activists (ASHAs) 

6. Auxiliary Nurse Midwife (ANM) 

7. TB treatment supporter 

8. Medical officers at PHC, CHC level 

  • Psychological counselling to the patient and caregivers. 

  • Assisting patients in the planning of decisions related to the end-of-life stage.      

 

Patient rehabilitation is ensured by: 

  1.   

  1. 1. IT-based monitoring via Ni-kshay platform 

  1. 2. Community-based monitoring  

  1. 3. Surveillance: A comprehensive surveillance system for TB patients and their providers built into eNikshay. This is supported by a call centre for user-friendly private reporting and patient monitoring. 

 

 

Resource 

  

  

Assessment 

 
 
 
 
 
 

  

  

  

  

 Question    
 
 
 
 

  

  

  

  

Answer 1    
 
 
 
 

  

  

  

  

Answer 2    
 
 
 
 

  

  

  

  

Answer 3    
 
 
 
 

  

  

  

  

Answer 4    
 
 
 
 

  

  

  

  

Correct answer    
 
 
 
 

  

  

  

  

Correct explanation    
 
 
 
 

  

  

Rehabilitation services to TB patients comprise Nutritional, Physical, Pulmonary, Social and Mental Rehabilitation. 
 
 

  

  

 False 
 
 

  

  

 True 
 
 

  

  

   
 
 

  

  

   
 
 

  

  

 2 
 
 

  

  

The holistic management of tuberculosis (TB) patients can improve life expectancy. The importance of addressing malnutrition, adverse drug reactions, psycho-social well-being, and catastrophic expenses correctly and in a timely fashion is essential in reducing morbidity and mortality. 

 

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