Acwerk Clinic-25 June, 2010-Navapatty-Doctor&Patient's

M. Lakshmi, 43 Years
Nattamangalam
Manual Worker
Cured `Hansen's Disease'
with disability of Hand's.
`Claw Hand Deformity' and
`Trophic Ulcer's'
Review and POD Clinic
(POD:Prevention of Deformity)

Ulcer's were treated with dressing and medicines every 15 days.
Lakshmi was trained to care for her hands at home.

Her deformity is irreversible, she manages to work with her hands at home, menial jobs.
The wounds have healed well.
loss of sensation of touch and pain is the main reason for Ulcer's.

Lakshmi was first treated at Navapatty in 2004.
Her condition was similar to the present and her disability was already an established one.
Management was aimed at further prevention of deformity.

Advice to surgically correct the disability in 1987 was denied by her for personal reasons.

She had taken `Mono' treatment at Chettipatty (LRRC) in 1987, for a period of five years. Management of Ulcer's of her hands and rehabilitation were provided to her at that time.

Viable movements of her hands are trained to keep her active as possible. Psycho-sociologically she seems well adapted.

Her thumb action of both hand's are possible to 30% of the full range and others are negligible. Action is more of the palms and grasping with both hands.

Muscle tone is good of hands and arms.
Her general condition is fair and willing to accept changes to manage herself.

Lakshmi is regular in attending review clinics. Her attitude is good and there is good improvement in her general condition.
She is provided with maintenance allowance every month along with clothing periodically.