Configuration of teaching

Topic: Typhoid fever

Venue: medical ward
Total timing: 30 min
Equipment required: pen, paper, bed or chair for patient
Group members: Sana Alfred, Muqadas Babar, Ayesha Altaf, Saneha Shehzadi, Fatima Batool
Teaching plan

Assessment Objectives Content Time Teaching strategy Evaluation

Patient is unaware Define typhoid fever? Typhoid fever is a life-threatening infection caused 2 min one to one conversation. by asking questions.
of his disease by the bacterium Salmonella Typhi. It is usually
condition. spread through contaminated food or water. Once
Salmonella Typhi bacteria are ingested, they
multiply and spread into the bloodstream.
• Caused by bacteria 3 min one to one conversation.
Describe causes of typhoid. • Mostly by salmonella typhi bacteria,
• by drinking water or eating food that is
contaminated by those type of bacteria
• Flies spread the disease
• An example of how it is spread is when
a person who has the bacterium does not
wash his or her hands and touches the
food that is later eaten.
Explain signs and • Fever High fever (103°F, or 39.5°C) or 3 min one to one conversation.
symptoms of typhoid. higher
• severe diarrhea occur as the disease gets
worse.
• general ill-feeling, and abdominal pain
Some people develop a rash called "rose spots,"
Demonstrate Ingest contaminated food 3 min Using pen paper and
pathophysiology of typhoid. drawing flow chart.
Ingested bacilli invade intestinal mucosa

Taken up by macrophage & transport lymph node

Multiplication in intestinal mucosa

intact with enterocyte (cause diarrhea)

end of incubation period onset of typhoid fever

Give risk factors of typhoid. • Poor sanitation and a lack of safe drinking 3 min Verbally by using the
water strategy of one to one
• No access to safe water conversation.
• Inadequate sanitation,
• Poor hygiene among food handlers
No vaccination against typhoid
What are complications of • Typhoid intestinal perforation (TIP), 4 min Verbally by using the
typhoid? • Gastrointestinal hemorrhage, strategy of one to one
• Hepatitis, conversation.
• Cholecystitis,
• Myocarditis,
• Shock, encephalopathy,
Pneumonia, and anemia
Enumerate diagnostic tests?
Elaborate medical
management.
Explain the dietary
management.
analyzing samples of 2min Verbally.
• blood
• poo
• or pee
Medical management: 3min Verbally by using the
The only effective treatment is antibiotics: strategy of one to one
• ciprofloxacin (Cipro) for non-pregnant conversation.
people. Other antibiotics are
chloramphenicol (Chloromycetin)
injections if antibiotics are resistance:
• Ceftriaxone, a third-generation
cephalosporin
Dietary management: 3 min verbally and by using
pamphlets.
Generally, a high-calorie diet is also suggested. This
includes food items such as bananas, potatoes etc.
Up the consumption of dairy products such as milk
and yogurt in your typhoid diet. Soups such as
spinach soup, vegetable soup, carrot soup, chicken
soup, and mushroom soup can also be given.