Subject Community Health Nursing
Topic Leprosy
Group Female health worker of Hariharpur BPHC
No of group member 50
Place Mallickpur GP
Date 24/06/2023
Time 12noon
Duration 25min
Methods of Teaching Lecture and Discussion
A.V. Aids Flash cards
Previous knowledge of group They have some knowledge from media,health worker
Name of the evaluator Prof.Manika Mazumder
Name of the student Moumita Biswas
General Objectives:
After completion of the topic the group will be able to;
Gain knowledge about Leprosy
Acquire positive attitude towards the application of theoritical knowledge in providing care.
Develop skills in properly use of theoritical knowledge in their daily practical life in providing care to
the community people
TEACHING/LEARNING
TIME SPECIFIC CONTENTS ACTIVITY EVALUATION
OBJECTIVE Method A V AIDS
1min Introduction: Lecture and
After Leprosy is an infectious disease caused by a discussion
completion of bacterium called Mycobacterium leprae. It
the topic the affects mainly the nerves and skin. As the
group will be skin is affected, patches appear on the body.
able to If the nerves are affected and damaged, loss
of sensation on skin, weakness or paralysis
of muscles or loss of sweating may occur.
Damage to nerves causes permanent and
progressive physical disabilities.
.
Announcement of the topic:
Leprosy
Epidemiology of leprosy: Can anybody
5min Explain Lecture and explain
epidemiology Causative organism
discussion epidemiology of
of leprosy? Leprosy is caused by as bacterium called leprosy?
Mycobacterium leprae, which is similar to
that which causes tuberculosis.
Sources of infection
Man is the only source of infection.
Incubation Period
Incubation period (duration from time of
entry of the organism in the body to
appearance of first clinical sign and
symptom) for leprosy is variable from 6
months to even 40 years.
Age
Leprosy can occur at any age and
increased proportion of affected
children indicates the presence of
active transmission of the disease in
the community. As the disease
burden declines, leprosy is seen
more in older age groups,
proportionally.
Gender
Disease occurs in both the genders.
However, males are affected more
as compared to females.
Immunity
Occurrence of the disease depends
on susceptibility/immunological
status of an individual.
TEACHING/LEARNING
TIME SPECIFIC CONTENTS ACTIVITY EVALUATION
OBJECTIVE
Infectivity ?
Although leprosy is a
communicable disease, it has a very
low infectivity. Of all the persons
who are exposed to the infection in
a community, 95% have total
immunity and do not get the
disease. Out of the remaining, 5%
may develop the disease.
Socio-economic Factors
Leprosy is a disease generally
associated with poverty and related
factors like poor living conditions,
overcrowding and poor nutritional
status.
Clinical features and diagnosis of
Enlist the leprosy: Lecture and discussion Can anybody
5min clinical Suspect in leprosy tell the clinical
features and features and
diagnosis of The most common presentation of leprosy diagnosis of
leprosy in early stages is a skin patch which may leprosy?
have been present for a period ranging from
few months to a few years. A patch on the
skin present since birth or milky white
patches are unlikely to be due to leprosy.
Common sign and symptoms of leprosy
include;
Pale or reddish patches on the skin (the
most common sign of leprosy)
Shiny or oily looking face
Partial loss of eyebrows
Loss of hair on the skin patch
Numbness or tingling of the hands
or feet
Weakness of the hands, feet or
eyelids
Deformity in hands or feet
Painful or tender nerves
Painless swelling or lumps in the
face or earlobes
Painless wounds or burns on the
hands or feet
TEACHING/LEARNING
TIME SPECIFIC CONTENTS ACTIVITY EVALUATION
OBJECTIVE
Cardinal signs: Lecture and discussion
At least one of the following cardinal signs
2min must be present to diagnose leprosy
Enumerate 1. Hypo-pigmented or What are the
the cardinal reddish skin lesion(s) cardinal signs
sign of with definite sensory of leprosy?
leprosy deficit.
2. Involvement of the
peripheral nerves, as
demonstrated by
definite thickening with/
without loss of sensation
and /or weakness of the
corresponding muscles
of hands, feet or eyes,
supplied by that nerve.
3. Demonstrated of M.
leprae in the Skin Smear
Classification of leprosy What are the
WHO classification of leprosy
Lecture and discussion Classification of
Discuss the After making a diagnosis of leprosy, one leprosy?
3 min classification should group the patient based on
of leprosy certain characteristics. This is
important because it helps in selecting the
correct combination of drugs for a given
patient.
PB (Pauci-Bacillary)
MB (Multi-Bacillary)
TEACHING/LEARNING
TIME SPECIFIC CONTENTS ACTIVITY EVALUATION
OBJECTIVE
Lecture and discussion
PB (Pauci-Bacillary)
Characteristices:
Skin lessions 1-5
No nerve/only one peripheral
nerve involvement
Skin smear negative at all sites
MB (Multi-Bacillary
6 and above skin lesions
More than one nerve
involvement
Skin smear positive at any
site
Can anybody
7min Treatment of Leprosy Lecture and discussion tell the
The treatment of leprosy is in the form of treatment of
Multi Drug Therapy (MDT) which is the leprosy?
combination of two or three of the following
drugs:
1. Cap. Rifampicin
2. Tab. Dapsone
3. Cap. Clofazimine
MDT is available as Blister Calender
Packs (BCP) at each PHC and Govt.
hospitals free of cost. There are 4 types
of BCP , two( Adult & Child 10-14
years of age) for MB cases and 2( Adult
& Child 10-14 years of age) for PB
cases. In children below 10 years of age,
the dose may be adjusted suitably bas
per the body weight.
Rifampicin : 10mg/kg body weight,
monthly once
Clofazimine : 1 mg/ kg body weight
daily and 6 mg/kg body weight, monthly
once
Dapsone : 2mg/kg body weight
daily
Eac\h pack contains drugs for 28 days.
Drugs are to be taken orally. Pulse dose
at the top of BCP is given supervised.
Treatment is advised for affixed
duration. PB cases need MDT for 6
months and MB cases are given MDT
for 12 months. Each patient is to be
given information about regular intake
of drugs and common side effects such
as red coloration of urine after taking
pulse dose.
TEACHING/LEARNING
TIME SPECIFIC CONTENTS ACTIVITY EVALUATION
OBJECTIVE
If patient has taken 6 PB or 12 MB BCP
in stipulated period, he/she is released
from treatment and sent to medical
officer for assessment and advise.
Health education
1min The general public should be
educated related to risk factors and
related health behaviours. The
people should be aware about the
prevention and controlof leprosy
1 min SUMMARIZATION
CONCLUSION
