This document discusses Directly Observed Therapy (DOT) for tuberculosis treatment. DOT involves observing patients take their medications to ensure adherence and completion of treatment. It reduces the risk of drug resistance and relapse. The role of DOT providers is described, including delivering medications, observing ingestion, and documenting visits. Barriers to adherence like cultural and social factors are addressed, as are strategies to promote adherence through incentives, enablers, and addressing non-adherence when needed through legal means. The importance of DOT and treatment adherence is emphasized for treatment success and reducing transmission.
This ppt contains all the information about Revised NationalTuberculosis Control programme (RNTCP) It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
Unit -I : Community Health IntroductionSMVDCoN ,J&K
Special field of nursing that combines the skill of nursing, public health and same phase of social assistance and function as part of the total public health program for the promotion of health, the improvement of the condition in the social & physical environment, rehabilitation of illness & Disability.
This ppt contains all the information about Revised NationalTuberculosis Control programme (RNTCP) It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
Unit -I : Community Health IntroductionSMVDCoN ,J&K
Special field of nursing that combines the skill of nursing, public health and same phase of social assistance and function as part of the total public health program for the promotion of health, the improvement of the condition in the social & physical environment, rehabilitation of illness & Disability.
Video Directly Observed Therapy for HIV and TB patientsKimberly Schafer
Video-Directly Observed Therapy (V-DOT) is a promising solution for monitoring TB and HIV
treatment adherence for binational patients in the U.S.-Mexico border region.
Anti Tubercular Drugs - Mechanism of Action and Adverse effects Thomas Kurian
A brief outline of the mechanism of action and adverse effects of anti tubercular drugs
Only First line and second line drugs are dealt with.First line drugs may be useful for MBBS students and the rest is directed for postgraduate students.
Hope you find it useful.
Tuberculosis is completely curable disease now a days but one should follow the treatment regimens correctly .so for under graduate MBBS students it is clearly explained with animations.Hope you all this will be helpful.
Series of lectures I gave for the PEER (Professionalism and Ethics Education for Residents) Project sponsored and organized by the Saudi Commission for Health Specialties (SCHS).
OUTLINE:
What is an informed consent to treatment?
What is the elf basis to consent?
What makes the consent an ethically valid one?
Types of Consent
When it is needed? When could it be waived?
How to take an informed consent?
What if the patient is not able to give consent?
Documentation of Consent
Special Issues about Consent
Top 7 Insights from Years of Observing Real-world Healthcare Communication Ogilvy Health
Over the past 15 years, the Ogilvy CommonHealth Behavioral Insights team has used sociolinguistic techniques to study and improve healthcare communication. We spearheaded this research by studying dialogues between patients and healthcare providers using our proprietary methodology. Continue reading to better understand how to incite behavior change and improve healthcare communications.
1. For me personally this can be both ways depending the the situa.docxambersalomon88660
1. For me personally this can be both ways depending the the situation that has to be dealt with. But if this circumstance has to be due to long term care is would most likely choose a nurse practitioner to deal this examination or procedure because they see patients at every phase of their lives, and typically don not specialize in any one area. They can function well as primary care providers because their background includes knowledge of both holistic and wellness oriented programs, which spotlight education, risk identification and preventive care. Any surgical has to be done by a physician no doubt but apart from that the nurse practitioner can handle the rest which is why most patients go to nurse practitioner to handle their care. Therefore, any condition that can be identified by treating acute and chronic illnesses, order and analyze labs and other diagnostic tests and prescribe medications then the nurse practitioner is ideal. And lastly would choose them because they have more time on their handle than physicians.
2. in some areas of the United States there is a shortage of doctor in primary care. Because of this, hospitals, urgent care centers and private clinics are looking for nurse practitioner to fill those needs. Nurse Practitioners are licensed and capable to treating illnesses and injuries and educating patients. They can also diagnose and treat acute and chronic conditions. The most common certification for NP’s is primary care so the majority of them do not have certification qualifications in specialties like cardiology, neurology, gastroenterology or surgical practice just to name a few. So for examinations in a primary care setting, I would be willing to have one done by a nurse practitioner or a physician depending on their appointment availability. Mostly it will be with a NP because you can get an appointment sooner. So when it comes to procedures, I would rather have one done by a physicians because they have more extensive and comprehensive training.
3. In reading this discussion forum question, I could tell you based on my experience working with a few (NP's)-Nurse Practitioners and the majority of patients who were seen by them, I would never want to be medically seen by an NP based on several problems that I have encountered which have made me biased, in my choices. To Illustrate, I have endured working alongside an Asian American NP, who made black patients uncomfortable with the treatment they received during their office visit, as the NP did not listen to their health concerns while rushing through their visit, not examining the patients and at times refusing to prescribe medications, like Vitamin D or Multivitamins when the patient requested them. They were also refused diagnostic testing which they wanted done, just to make sure there was nothing, to be worried about. As these black patients faced these health disparities, they vowed never to return to the clinic for medical services, as they f.
Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
DOT is method devised to ensure TB patients are taking their medications as directed and that they essentially complete an adequate course of TB treatment with little to no interruptions
This method of medication administration is proven to be effective in treating TB patients and is associated with better treatment outcomes We can ensure patients are getting the recommended doses and can furthermore reduce the frequency of the development of drug resistance and treatment failure or relapse so this explains Why DOT is so important in the treatment of Tuberculosis
So when we are giving DOT there are a couple of very important things to remember DOT is not dropping medications off at the patient’s door-step Neither is it allowing patients to self administer medications And we should never entrust a patient’s family member to administer medications in lieu of the DOT worker
Again, this is a re-cap of the information presented on the previous slide, however; I would like to touch on the last bullet point Medical professionals should not be allowed to self administer TB medications. They are to patients and a DOT workers must go out and witness the ingestion of those medications
Now with DOT there are advantages and disadvantages as noted here Advantages are…..
Traditional example of disease treatment: treatment is offered, but it is up to the patient to take it. This is not the case with DOT The treatment of TB is different; responsibility for achieving a cure is placed upon the treating physician and the public health case management team. We are responsible for ensuring the patient is treated appropriately and taking medications as directed In essence, we “ meaning public health” must achieve the cure.
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