HOLY FAMILY COLLEGE OF NURSING

Subject: NURSING EDUCATION

A LESSON PLAN ON
FIELD VISIT

SUBMITTED TO: SUBMITTED BY:

MS. ARSHI ANJUM KHAN MS. SHIVANI SRIVASTAVA
ASSISSTANT PROFRSSOR M.SC. NURSING 1ST YEAR
HFCON HFCON

SUBMITTED ON:
21/01/2023
IDENTIFICATION DATA :

Name of the student teacher : Ms. Shivani Srivastava

Class : M.Sc. Nursing 1st year
Topic : Educational Visit
Size of group : 58
: B.Sc. Nursing 2nd year
Target group
: The Leprosy Mission
Venue Hospital

Language : English
Method of teaching : Field Trip

Date and time of visit : 11/01/2022, 10:00AM

Date of submission : 21/01/2023
Supervisor : Ms. Arshi Anjum Khan

GENERAL OBJECTIVES –
After the visit students will be able to:
1. Know about the physical setup of the institution.
2. Know about the organizational structure of the institution.
3. Know about source of funds to leprosy centre.
4. Know about the daily routine, rehabilitation sources and facilities available
for the patients.
5. Develop effective communication skills with patients and built rapport.

STUDENT TEACHER OBJECTIVES –

After the visit student-teacher will be able to:
1. Gain knowledge and confidence in organizing field visits.
2. Develop effective communication skills with the staff members and students.
3. Acquire ability how to control the group students during field visit.
Time Specific Content Teaching – learning Evaluation
Objective activity
10 To INTRODUCTION
min introduce As education means
the field not only classroom
visit of learning but also
The learning from the
Leprosy environment, as a part
Mission
of education field
Trust
visit is one of the
most concrete and
more realistic
educational
procedures, it is one
of the oldest methods
used for education.
Here field visit is
specially planned for
contribution to the
objectives of the
curriculum, course,
project, lesson or
other units of
institution. And by
these students obtain
first-hand
information.
10 To ANNOUNCEMENT
min announce The field visit to The
the field Leprosy Mission
visit. Hospital was
announced to
B.Sc. Nursing 2nd year.
Once the visit was
confirmed with
respective authorities.
10 To plan the PLANNING Student teacher Planning
min field visit Planning for the visit was done plans field visit to for visit
to under following headings: voluntary health discussed
The a) Objective Formulation association of India. with
Leprosy b) Seeking permission visit. teacher.
Mission c) Confirmation
Trust. d) Information to respective
teacher.
e) Transportation arrangement
f) Informing concern students.

10mi OBJECTIVE FORMULATION : Student teacher Objectives

n To formul The Objectives were formulated on formulates are
ate the the basis of the educational objectives for the formulated
objectives requirement were as follows: visit. and shown
1. Know about the physical setup
of the field to the
visit. of the institution. teacher.
2. Know about the organizational
structure of the institution.
3. Know about source of funds to
leprosy centre.
4. Know about the daily routine,
rehabilitation sources and
facilities available for the
patients.
5. Develop effective
communication skills with
patients and built rapport.

SEEKING PERMISSION Letter was

2 To seek A permission letter was drafted and Student teacher handed
got authorized by principal madam.
weeks permission seeks permission for over for
The permission letter was enclosed
of the visit. the visit. permission.
with a stamped and scanned. The
permission letter was mailed to
Stephen Levi
Stephen.levi@tlmti.onmicrosoft.com
, The Leprosy Administrator on
04/01/2023.
 CONFIRMATION Date was
1 day To confirm The visit was confirmed by Student teacher confirmed
the visit Confirmation Mail that was received reconfirmed the visit on
from the on 03/01/2023. from the authorities. 03/01/2023
authorities. .

INFORMING
10 To inform RESPECTIVE TEACHERS Student teacher Teachers
min respective Principal madam was informed about informs the are
teachers the visit on 04/01/2023, also respective teacher informed.
about the informed the visit confirmation date about the visit.
visit. to Ms. Arshi Anjum Khan, Assistant
Professor, in charge of nursing
education on 04/01/2023 was also
asked to inform subject teachers of
the respective classes.

INFORMING THE
10 To inform STUDENTS Student teacher Students
min the students Students of B.Sc. Nursing 2nd year informs the students are
about the were informed about the visit and its of B. Sc. 2nd Year informed.
field visit. date on 04/01/2022 and thereafter about the visit.
informed the respective teachers and
class representatives on same day.
Instructions were given to the
students about the visit on
11/01/2022. They were told about the
visit objectives, disease condition in
detail and were informed to be on
time in proper uniform for the visit.
Instructions were given to carry their
ID cards, Diary, and pen along with
them. They were motivated to ask
any doubts regarding The Leprosy
Mission Trust from the authorities
there.
10 To arrange TRANSPORT Student teacher Requisition
min transport for ARRANGEMENT arranged transport placed through
the visit. Transport arrangement was for the visit. telephonically
done on 06/01/2023 under the and confirmed
guidance of Ms. Sumi Samuel the availability
ma’am. Call was done to Mr. of transport.
Kishan, transport in charge.
Reconfirmation of transport
availability was done on
10/01/2023 and also informed
about the timing of bus. i.e.,
08AM on 11/01/2023.

1 hr. To conduct ACTIVITIES ON THE Student teacher Attendance

the field, visit DAY OF FIELD VISIT conducts the field visit was taken and
effectively. On the day of the visit efficiently. guidelines and
following activities were objectives were
performed as per the plan, reinformed.
students were asked to
assemble in classroom no. 1 at
8am on the day of visit. At
8:30am, head count of the
students was done and we
started from here at 8:45am.
We reached The Leprosy
Mission Hospital at 10:30 am.
We were then taken to the
conference hall which was
located in the first floor of the
institution. A teaching session
regarding the institution was
taken and then Ms. Geeta
Showed us the institution and
explained about the different
wards.
 At the end of the session
instruction was given to write
an observational report.
Students asked their doubts
which were cleared by the staff
there. We thanked the kind co-
operation during the visit. We
left the place by 12:30pm and
reached the college around
3pm.

3 To evaluate AFTER THE VISIT Students are informed Collected the

days the group. Make the report of the visit to return the guidelines report and
and evaluate the observational by next day. made the
report. evaluation was
made.
Evaluation
report
submitted to
Ms. Shruti
ma’am.
REPORT ON VISIT TO LEPROSY MISSION TRUST
INTRODUCTION
Leprosy, also called Hansen’s disease, is a chronic (chronic diseases often cause
long-term physical and social effects), mildly contagious bacterial infection caused
by Mycobacterium leprae, a slow-multiplying bacterium. Dr Gerhard Henrik
Armauer Hansen of Norway identified the bacterium that causes leprosy, way back
in 1873.  Most commonly, the disease affects the skin, peripheral nerves, lining of
the nose, mucosa of the upper respiratory tract, small bones and the eyes. As the
bacteria causing leprosy multiply slowly, leprosy has a relatively long incubation
period (the time between infection and appearance of the first symptom) of five to
10 years. Symptoms may not appear for as long as 20 years. Leprosy can affect
people of any age or sex, including children; but it is not hereditary.
The disease can have severe health consequences if not treated early. In that case,
it can affect the nervous system. The bacillus destroys the peripheral nerves which
lead to a loss of sensation. This, along with progressive tissue degeneration, may
result in the extremities becoming deformed, leading to complications that can end
up in impairment and disability.

BACKGROUND

In its onslaught on mankind, leprosy has left a trail of pain and suffering that dates
back thousands of years. Researchers believe leprosy has existed since at least
4000 BC. Leprosy is one of the most misunderstood diseases. Throughout human
history, leprosy is feared; a whole host of myths and misconceptions surround the
disease since time immemorial. As far as the mistaken beliefs are concerned, many
believe leprosy is a hereditary disease, a curse, or a punishment from God. Even
after discovering the germ that causes the disease, leprosy patients are stigmatised
and shunned. They are disparagingly called ‘lepers’ and many of them are forced
to live as outcasts in ‘leprosy colonies’
 THE LEPROSY MISSION TRUST

The Leprosy Mission was founded in 1874 as ‘The Mission to Lepers’ by an

Irishman named Wellesley Cosby Bailey, in Ambala, India. Subsequently in 1973,
The Leprosy Mission Trust India (TLMTI) was registered as a Society under the
Societies Registration Act of 1860. TLMTI is the largest leprosy-focused non-
governmental organisation in India and is headquartered in New Delhi, India. The
organisation works with people affected by leprosy and other neglected tropical
diseases (NTDs), people with disabilities, and marginalised communities,
especially women. TLMTI has a diverse set of programmes – Healthcare,
Sustainable Livelihood, Community Empowerment, Advocacy, and Research and
Training. These programmes are implemented through 15 hospitals, six vocational
training centres, four residential care homes for elderly persons affected by
leprosy, nine community empowerment projects, and a research laboratory, spread
across 9 states of India – Andhra Pradesh, Bihar, Chhattisgarh, Delhi, Karnataka,
Maharashtra, Tamil Nadu, Uttar Pradesh, and West Bengal.

Vision

People affected by leprosy living with dignity in a transformed, inclusive society

that has overcome leprosy.

Mission

We seek to bring about transformation; breaking the chains of leprosy and

empowering people to attain healing, dignity and life in all its fullness.
ABOUT THE HOSPITAL
TLM Dilshad Garden Hospital was established in the year 1984.
The Leprosy Mission Trust India started the hospital as a leprosy control unit.
Later, it was developed into a tertiary leprosy care hospital. Thereafter, it was
transformed into a community hospital. It caters to the urban population around
Shahdara, where there are a number of leprosy colonies.
The facilities provided by the hospital include out-patient and in-patient services,
operating theatre, laboratory service, ECG service, X-ray service, counselling,
physiotherapy, pharmacy, MCR protective footwear and artificial limbs.

MEDICAL SPECIALTIES
The hospital offers healthcare services and treatments for the following medical
specialties:

 Leprosy Treatment and Management

 Dermatology, Ophthalmology
 General Medicine
 General Physiotherapy
 Reconstructive Surgery
 Occupational Therapy
 Counselling Therapy

Outpatient care: 124,272 OPD consultations provided, with 7% for leprosy.

Inpatient care:
 The hospital has a 20-bedded (18 for leprosy and 2 for general) inpatient
wing and provides best inpatient facility with 24-hour nursing care and latest
equipment.
 790 patients admitted, of which 60% were leprosy patients.
 8,633 bed days utilised, of which 96% were for leprosy.

Surgery:
 130 rehabilitation surgeries done.
 469 eye surgeries, including 414 cataract surgeries done.
Support services (lab tests; X-ray, ECG, counselling)
 24,920 lab tests, including 2,092 skin smear examinations and 22,828
other tests done.
 258 X-ray imaging and 37 ECG done.
 9,685 patients counselled.

Prevention of impairment and disability (POID) in leprosy

The hospital provides patient education, physiotherapy, pre-fabricated splints,
MCR protective footwear, etc, to leprosy patients to prevent impairment and
disability.
 66 leprosy patients diagnosed with reaction/neuritis given inpatient
treatment.
 168 leprosy patients admitted for ulcer management, and 72 ulcer
debridement procedures done.
 2,258 pairs of MCR protective footwear manufactured and supplied to
hospital patients and government/others.

Community outreach
The hospital has a community outreach programme in schools and tribal villages.
This is done through networking with the government and other NGOs. The
hospital supports people affected by leprosy and members of marginalised
communities and tribals in accessing government social welfare schemes for
education, economic development, healthcare, housing, insurance, livelihood
pension, etc. A total of 359 patients were seen through hospital outreach activities.

Organisational Setup of TLM

The Leprosy Mission Trust India was started by an Irishman Welksley Bailey. The
organisation has around 900 staff working in various capacities in its institution’s
progress. The organisation is a member of the Leprosy Mission Global Fellowship.
The organisation is operational in 10 states of India, Andhra Pradesh, Uttrakhand,
UP, Bihar, Chhatisgarh, Tamilnadu, West Bengal, Delhi, Karnataka and
Maharashtra. The programmes are implemental through 14 hospitals, 2 clinics and
6 vocational training centres, 5 residential facilities for care of elderly patients
affected by leprosy and having leprosy related disabilities.
PHYSICAL LAYOUT:

CONFERENCE PHYSIOTHERAPY
ROOM
ROOM

FIRST FLOOR

LE WARD DRESSING MALE WARD

ROOM REONFERENCE ROOMmMA

NURSING STATION MINOR OT

FEMALE WARD ULCER WARD

MALE WARD
GROUND FLOOR

X-RAY 3D SCAN ROOM

O.T.

EYE OPD PHYSIOTHERAPY

RECEPTION
OPD

M RWARD
MALE D

LABORATORY RECEPTION

PHYSIOTHERAPY COUNSELLING SCREENING

ROOM ROOM ROOM
Source of Funding to Leprosy Mission
The Leprosy Mission India partners with a large number of donors and partners
who fund its work and offer support in many ways. Funding comes from
government, corporate entities, non-government organisations and individuals.

The foreign partners include:

 England and Wales
 Australia
 New Zealand
 Ireland
 Scottland

The Indian Partners are:

 Church of North India (CNI)
 Life Insurance Co-operation of India
 Bharat Petroleum

Daily Routines, Rehabilitation Services and facilities available for Patients

Daily routine of the patients:
 The patients admitted in the hospital are provided with morning care, timely
medications and symptomatic treatment by the staff nurses.
 They are further provided with physiotherapy by the therapist to improve
and restore the normal bodily functions.
 Daily routine of the patients includes attending prayer service, exercising in
the gymnasium post operation, taking adequate rest, etc.

Rehabilitation Services:
 Physical Therapy
 Corrective Surgeries
 Special Footwear
 Splints and Cast
BRANCHES
HOLY FAMILY COLLEGE OF NURSING
2022-2023 batch M.Sc. Nursing first year students have visited The Leprosy
Mission Trust, New Delhi on 11/01/2022 as a part of Nursing Education Visit.
We have started from Holy Family College of Nursing at 8:45 am. We reached
The Leprosy Mission Trust Hospital by 10:30 am.
Ms. Anjali, Nursing tutor and Ms. Alisha, Nursing tutor has joined the group and
guided us. We were warmly welcomed and then taken to conference hall by TLMT
team. Ms. Geeta explained various services of TLMT in detail. We have seen a
small documentary on Leprosy. After the session she has taken us to the physical
orientation of the hospital. We have visited various areas including male and
patient area, physiotherapy department, eye department, laboratory, ulcer ward,
doctor’s room, registration counter etc. She has explained the various departmental
activities. We have completed the visit by 12:30 pm and went back to college.

Objectives Of the Visit:

After the completion of the visit students are able to:
1. Know about the physical setup of the institution.
2. Know about the organizational structure of the institution.
3. Know about source of funds to leprosy centre.
4. Know about the daily routine, rehabilitation sources and facilities available
for the patients.
5. Develop effective communication skills with patients and built rapport.