This document outlines the roles and resources for managing non-communicable diseases (NCDs) at primary health centers (PHCs) in India. It details the staff involved, including medical officers, nurses, and assistants. It describes the services provided at NCD clinics, such as screening, laboratory tests, diagnosis, treatment, education, and referral of complicated cases. The document also lists the investigations and medications available at PHCs for managing conditions like diabetes, hypertension, and cardiovascular issues.
Important maternal and child health parameters to evaluate quality care for the special group. Includes MMR, IMR, SBR, PMR, NMR, PNMR, U5MR. Practical class for UG 4th sem
Important maternal and child health parameters to evaluate quality care for the special group. Includes MMR, IMR, SBR, PMR, NMR, PNMR, U5MR. Practical class for UG 4th sem
Adolescent Friendly Health Service is a service provided by health institutions that focuses on the welfare of adolescents (10-19 years of age) through the guidance on how to maximize the use of health care services in the adolescents.
Samundratar Health Post, Nuwakot is providing AFHS with its limited resources given.
Health centers are non-profit private or public entities that serve designated medically underserved populations/areas or special medically underserved populations comprised of migrant and seasonal farmworkers, the homeless or residents of public housing. This presentation provides a summary of the key health center program requirements.
Adolescent Friendly Health Service is a service provided by health institutions that focuses on the welfare of adolescents (10-19 years of age) through the guidance on how to maximize the use of health care services in the adolescents.
Samundratar Health Post, Nuwakot is providing AFHS with its limited resources given.
Health centers are non-profit private or public entities that serve designated medically underserved populations/areas or special medically underserved populations comprised of migrant and seasonal farmworkers, the homeless or residents of public housing. This presentation provides a summary of the key health center program requirements.
Setting up a dedicated wound care center inside a hospital will help a lot of patients with chronic and accute wounds. Patients with non-healing wounds like diabetic doot ulcer (DFU), bed sores or pressure ulcers, venous and arterial ulcers are treated by a team of medical professionals to ensure wound healing and clinical success. Besides being another hospital revenue unit, the wound care center can also refer patients to the other clinical and other revenue centers of the hospital (Radiology, Pharmacy, Vascular Lab, Diabetes Center).
A EXECUÇÃO DAS PENAS E MEDIDAS PRIVATIVAS DA LIBERDADE DEVEM ASSEGURAR O RESPEITO PELA DIGNIDADE DA PESSOA HUMANA E PELOS DEMAIS PRINCÍPIOS FUNDAMENTAIS CONSAGRADOS NA CONSTITUIÇÃO DA REPÚBLICA PORTUGUESA, NOS INSTRUMENTOS DE DIREITO INTERNACIONAL E NAS LEIS
My STSH Scholary Article about TREATMENT of PRE-DIABETES with SSDDDr. Sutanu Patra
I had done research on "Scope of Individualistic treatment with Serially Succussed and Diluted Drugs in treating Pre-diabetic condition: an Open-label Exploratory trial – in search of Prevention of Diabetes" and this was got awarded in Short Term Studentship in Homeopathy (STSH) 2014 by Central Council for Research in Homeopathy (CCRH), Ministry of AYUSH, Govt. of India.
Delivered at the Philippine Academy of Ophthalmology Annual Convention at the EDSA Shangri-la, Manila 2015. Update on Epidemiology, Diagnosis and Treatment of Diabetes in the Philippines.
efficacy and safety of Sulfad tablets in the management of NASH
patients: A randomized ,prospective, open label, multi-center,
controlled, phase III clinical trial.
Guidelines in the treatment of dyslipidemia
Clinical practice guidlines in the philippines in the management of dyslipidemia.Among patients diagnosed to have dyslipidemia, regardless.Among non-diabetics without ASCVD but with multiple risk factors, should statin therapy be given?
Paul Ciechanowksi at Consumer Centric Health, Models for Change '11HealthInnoventions
A Primary Care Program for Patients with Complex Chronic Disease and Depression. Paul Ciechanowski, MD, MPH
Associate Professor, Dept. of Psychiatry
Team Psychiatrist, UW Diabetes Care Center
Director UW Center for Training
University of Washington, Seattle, Washington
Role of pharmacist in managing diabetes mellitusSomnath Das
As a healthcare professional like a pharmacist we can deliver a very good quality of healthcare services to the common people. Here I have spoke to you about the possibilities of a pharmacist in controlling a chronic disease like diabetes mellitus. I have clearly mentioned the process of controlling such disease through simple slides. I hope all of you will get some help from it. Thank you.
Similar to Functions of primary health center in ncd care (20)
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. Manpower for providing service
for NCD patients in PHC
Medical officer
Health
assistant
NCD staff Lab-technician
Auxiliary
nurse
midwifery
Pharmacist
3. Role of NCD clinic in PHC
1. Conduct opportunistic screening
2. Laboratory Investigations for Blood sugar, Blood
cholesterol etc.
3.Diagnose and treat Diabetes and Hypertension.
4. Provide Health education to the patients and general
public.
5. Refer the complicated cases to district hospital
4. Role of Medical officer in PHC
1 .To conduct comprehensive examination for diagnosis
and management of the NCD cases
2. To rule out complications or advanced stage
3. To refer complicated cases to higher care facility
4. To provide follow up care to the patients
5. Overall supervision of NCD Unit
6. Assist in training of health personnel
5. Role of NCD Staff Nurses
1 .To conduct screening of Diabetes, Hypertension and
common Cancers
2. To assist the Physician during the examination of
patients, BP measurement
3. To explain the patient and family about risk factors of
NCDs and promote Healthy Lifestyle
4. To assist in follow up care
6. Roles of ANM, HA , OA
AXILIARY NURSE MIDWIFERY
Counseling , referral to primary health , maintenance of
NCD registers.
HEALTH ASSISTANT
To provide counseling on diet and life style
management.
To assist in follow up care and referral.
8. IEC/BCC
Increased intake of healthy foods
Salt reduction
Increased physical activity/regular exercise
Avoidance of tobacco and alcohol
Reduction of obesity Stress management.
Awareness about warning signs of cancer etc.
Regular health check-up
11. Drugs Available
Following drugs are provided for 15 days
Diabetes - Metformin hydrochloride 500mg
Daonil (Glibenclamide) 5mg
Hypertension- Amlodipine 2.5/5mg
Atenolol 50mg
Enalapril 2.5/5mg
Cva /Stroke - Aspirin 10mg
Clopidogrel 75mg
Atorvastatin 75mg
12.
13.
14.
15.
16.
17. Summary of activities in PHC
A. Screening
B. Prevention and health promotion
C. Lab. investigations and Diagnostics
D. Diagnosis and Management
E. Referral
F. Data recording and reporting
G. Human Resources for CHC NCD services
