base line councelling

Kasaragod, Kerala iadorg@satyam.net.in

India www.indiandermatology.org

Baseline Counseling

Integrated Management of

Filarial Lymphoedma

• Detailed Baseline Counseling

– Patient understanding of

• Treatment protocol

• Treatment Cost

• Photo Documentation

• Examination By The Doctors

• Schedule Admission Appointment Date

Agenda for Today

Baseline Counseling

• Background

• Our Integrated Management Protocol

• Achievements

• Our Extended Team

• Results Presentation

• Questions

Developed by

Prof.T.J.Ryan Dr.S.R.Narahari

Lymphology

IAD Treatment

ICMR: New Medical development

Lymphatic Filariasis

• A parasitic disease caused by threadlike worms living in the human lymphatic system

• Transmitted by mosquitoes

• Endemic in 83 countries

• More than cores infected

Aetiology

Parasite Mosquito: host to parasite

About Filariasis

How it is diagnosed

• This test is

currently not

available in India

Lymphatic Filariasis or

“Elephantiasis”• A major cause of

permanent disability

and disfigurement

• Adult worms damage

the lymphatic

system, causing fluid

to collect resulting in

swelling

• Patients are

physically

incapacitated

MethodologyIn-patient care

• Minimum of 14 days

(may increase if associated with complications)

Domiciliary treatment under IAD supervision

• 6 months

Duration of the treatment

• Life-long

Integrated Treatment

Ayurvedic Allopathic Homeopathic

Yoga

Physio-therapy

and Massage

Integrated Management of

Lymphatic Filariasis

Patient

Education

Home Self-

Treatment

Components of

Integrated Treatment• Ayurveda

Massage

Swedana (selected patients)

Oral Medicines

• Allopathy Skin Care

• Homeopathy

• Yoga Asana

Pranayama

• Physiotherapy Compression

Admission to KIMS

Day 1 at KPO

• Admission Counseling

• Consent for treatment and photography

• Photo documentation

• 1st Volume & Girth measurement

• Documentation of details of the illness and past treatment by Doctors

• Prakruthi analysis

• Hair and Nail Paring

• Foot end elevation

• Nursing Care

Integrated Management Protocol and

Patient Education

Day 2

• 2nd Girth Measurement

• Skin washing

• Phanta Soaking

• Skin Drying

• Pre-Treatment Yoga

• Unmardhana – dry massage

• Udhvarthana – oil massage

• Swedena (selected patients)

• Compression Bandaging

• Post-Treatment Yoga

IAD Recognition & awards

• ICMR: New medical development of India

• Ayurveda congress: Gold medal in Hyderabad 2006

• International society of lymphology: President’s prize during the 20th international congress of lymphology held in Brazil 2005

• More than 400 patients gave their blessings after taking this treatment

National Seminar and Filariasis Consultants

• Prof R K Shenoy

• Prof Shrikrishnan, Kottakkal

• Prof Venugopal Nair, Dean of Kannur Medical College

• Dr.Nandini, ICMR, New Delhi

• Dr. N N Mehrothra, CDRI, Lucknow

Lymphovenous Canada

http://www.lymphovenous-

canada.ca/shleepadaregieme.htm

Contact

• IAD Phone: 04994-320471

04994-230116

• Patient’s relation officer

Phone: 9895588735

• E-mail: iadorg@satyam.net.in

• Website: www.indiandermatology.org