Leprosy tertiary prevention: Difference between revisions
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{{CMG}}; {{AE}} {{JS}} | {{CMG}}; {{AE}} {{JS}} | ||
==Overview== | ==Overview== | ||
After leprosy has been [[diagnosed]] and [[Therapy|treatment]] has been initiated, other measures may be taken in order to minimize further damage to the patient. These include: education of the patient and family members to monitor and treat [[skin ulcers]] and other lesions, primary care facilities to provide help to the populations and to direct patients to a specialist, whenever needed. | After leprosy has been [[diagnosed]] and [[Therapy|treatment]] has been initiated, other measures may be taken in order to minimize further damage to the patient. These include: education of the patient and family members to monitor and treat [[skin]] [[ulcers]] and other lesions, primary care facilities to provide help to the populations and to direct patients to a specialist, whenever needed.<ref name=WHO>{{cite web | title = Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015) | url = http://www.searo.who.int/entity/global_leprosy_programme/documents/enhanced_global_strategy_2011_2015_operational_guidelines.pdf }}</ref> | ||
==Tertiary Prevention== | ==Tertiary Prevention== | ||
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:* Direct education of patients. | :* Direct education of patients. | ||
:* Identify problems that may need specialist intervention. | :* Identify problems that may need specialist intervention. | ||
:* Provide basic care and monitoring of [[skin ulcers]] and [[sequelae]] of the disease. | :* Provide basic care and monitoring of [[skin]] [[ulcers]] and [[sequelae]] of the disease. | ||
* Specialist intervention, such as: | * Specialist intervention, such as: | ||
:* Assist patients with acute [[eye]] problems. | :* Assist patients with acute [[eye]] problems. | ||
Revision as of 05:35, 6 July 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
After leprosy has been diagnosed and treatment has been initiated, other measures may be taken in order to minimize further damage to the patient. These include: education of the patient and family members to monitor and treat skin ulcers and other lesions, primary care facilities to provide help to the populations and to direct patients to a specialist, whenever needed.[1]
Tertiary Prevention
Once an individual is infected with leprosy and symptoms start to develop, the longer the period taken to establish a correct diagnosis and until treatment is started, greater the chance of developing lifelong damage. It is important to emphasize this time frame because, even after the diagnosis has been reached and adequate therapy has been started, significant nerve damage will continue to develop, particularly in multibacillary cases. This damage will then decline throughout the following 3 years. Education of the population to prevent further damage, monitor and provide basic treatment should be emphasized. Once the damage has been established, it is important to minimize its impact on the lives of the populations. For this, important measures may be applied, including:[1]
- Home self-care - the activities that individuals may perform at their homes, individually or with assistance of family members, such as wound dressing of the hands or feet, thereby minimizing further damage.
- Interventions and education at the local clinic.
- Specialist intervention, such as: