Lesson 1Warning Signs Needing Quick Action: Bad Breathing Trouble, Oxygen Below 90% or Big Drop, DKA/HHS Signs, Chest Pain, Changed Mind State, Low Blood Pressure, Ongoing Vomiting or DrynessThis defines clinical warning signs in telehealth that need quick action, like bad breathing trouble, low or dropping oxygen levels, chest pain, DKA or HHS signs, low blood pressure, changed mind state, and ongoing vomiting or dryness.
Bad breathing and effort seen on videoUnderstanding low or dropping home oxygen readingsChest pain, fast heart, and heart warningsSpotting DKA and HHS signs from afarRecognising low blood pressure and poor blood flowPaths for quick action and emergency guidesLesson 2Checking Medicines and How Well Taken: Ask-About Method, Inhaler Use Check, Recent Medicine Changes or Side EffectsThis covers best ways for checking medicines and adherence in telehealth, including the ask-about method, reviewing inhaler and device use, clearing up recent changes, side effects, and safety matters, useful in Gambian homes.
Preparing patients for virtual medicine list checkStep-by-step telehealth medicine checkingUsing ask-about for adherenceChecking inhaler and device use from afarSpotting side effects and medicine mixesWriting and sharing medicine changesLesson 3Getting Home Measurements: Guided Steps for Blood Sugar, Home Blood Pressure, Oxygen Check, Heart Rate, and Fixing Device IssuesThis covers step-by-step guidance for helping patients get accurate home readings for blood sugar, blood pressure, oxygen, and heart rate, including device setup, common mistakes, fixing problems, and noting results in telehealth visits.
Preparing patient and place for measurementsStep-by-step help for home blood pressureGuided home blood sugar checkingSafe use and understanding of home oxygen checkChecking heart rate with devices and by handFixing common home device troublesLesson 4Starting and Planning a 25-Minute Visit Using Simple WordsThis gives a structured way to start a 25-minute telehealth visit, building trust, confirming identity and consent, setting a shared plan in simple words, and managing time while handling patient needs.
Confirming identity, place, and emergency planUsing plain words to explain visit goalBuilding trust and safety feeling fastGetting patient's main worries and aimsAgreeing on a real shared plan and timeMoving from plan to focused checkLesson 5Video Watching Skills: Spotting Breathing Trouble Signs, Changed Mind State, Skin Blood Flow, Face Signs, Environment WarningsThis builds video watching skills to spot breathing trouble, changed mind state, skin blood flow changes, face and body signs, and environment warnings, and to use these in remote sorting and quick action decisions.
Best camera, light, and position setupVisual signs of breathing trouble on videoSpotting changed mind state from afarChecking skin colour, blood flow, and sweatReading face feelings and body talkSeeing environment and safety warningsLesson 6Breathing Check by History: Start, Triggers, Sputum, Cough, Normal Exercise Ability, COPD Worsening TriggersThis details how to do a breathing history by telehealth, including start and flow of symptoms, triggers, sputum and cough details, normal exercise ability, COPD or asthma patterns, and spotting acute worsening signs.
Clearing start, length, and worsening of breathing troubleLooking at triggers, positions, and easing factorsDescribing cough, sputum, and blood in spitChecking normal and now exercise abilitySpotting COPD and asthma worsening patternsDeciding need for quick in-person checkLesson 7Symptom-Focused Questions for Diabetes: High Sugar Signs, Patterns, Insulin/Pill Use, Recent Diet or Illness ChangesThis focuses on structured, symptom-focused questions for diabetes patients, including high and low sugar signs, sugar patterns, medicine use, diet, illness, and sick-day handling in telehealth.
Checking for high and low sugar signsLooking at home sugar logs and daily patternsReviewing insulin and pill use for diabetesChecking diet, activity, and recent illness shiftsTalking sick-day rules and self-handlingSpotting diabetes warnings needing quick actionLesson 8Home Safety and Social Factors: Living Alone, Access to Meds/Food, Transport, Carer AvailabilityThis explores how to check home safety and social factors in telehealth visits, including living setup, access to medicines and food, transport, carer help, and when to get social work or community aid in Gambia.
Checking living setup and basic home safetyLooking at access to medicines and refillsChecking for food shortages and eating risksSpotting transport and tech barriersChecking carer availability and strainLinking to social and community helpLesson 9Checking Anxiety from Afar: Screening Questions, Length, Safety Worries, Daily ImpactThis teaches how to check anxiety remotely with short screening questions, length and background of symptoms, safety worries, daily impact, and when to quick-action for urgent mind health or crisis check.
Building comfort to talk emotional symptomsUsing short anxiety screening questionsLooking at length, triggers, and coping triesChecking impact on sleep, work, and self-careScreening for safety, self-harm, and substance useSetting up follow-up and mind health links
