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Pioneering and historical efforts on rehabilitation
in TB are described briefly. Out of 92 rehabilitation institutions,
72 were located in the US, 6 in the UK, 1 each in S. America, India,
Ireland and the rest in the European continent. The five necessary
stages of a rehabilitation programme, according to Jacobs (1940)
are: 1) Family understanding, 2) Re-education, 3) Post-Sanatorium
training, 4) Stage of Convalescence, 5) Placements. Various approaches,
focussed on the prerequisites to rehabilitation, the classification
of tuberculous patients based on economic rehabilitation, when rehabilitation
should commence, the recommended occupations for ex-patients are
discussed. Five types of rehabilitation projects, described in detail,
include: 1) In-sanatorium programs, 2) TB Colonies, 3) Sheltered
Workshops, 4) Industrial Programmes, 5) Admission into a Colony.
The suggested personnel, amendable to suit specific country needs
include medical staff, Social Worker/ Public Health Nurse, Occupational
Therapist, the worker in Physical Medicine, the Librarian, Education
Adviser, Vocational or Rehabilitation Counselor. In the second part
of this article, a comprehensive rehabilitation plan of the tuberculous
in Delhi, a detailed calculation of the cost and suggestions to
finance the plan are presented.
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