Lesson 1Red Flags Needing Urgent Action: Severe Shortness of Breath, SpO2 Below 90% or Sharp Drop, Signs of DKA/HHS, Chest Pain, Changed Mental State, Low Blood Pressure, Ongoing Vomiting or DehydrationThis lesson defines key warning signs in Ugandan telehealth that demand quick escalation, such as severe breathing issues, low oxygen levels, chest pain, DKA or HHS indicators, low blood pressure, mental changes, and persistent vomiting or dehydration.
Severe dyspnea and work of breathing on videoInterpreting low or dropping home SpO2 readingsChest pain, palpitations, and cardiac warning signsIdentifying signs of DKA and HHS remotelyRecognizing hypotension and poor perfusion signsEscalation pathways and emergency instructionsLesson 2Reconciling Medicines and Checking Adherence: Ask-About Method, Reviewing Inhaler Use, Recent Medicine Changes or Side EffectsThis lesson covers best ways to reconcile medicines and assess adherence in Ugandan telehealth, using the ask-about method, checking inhaler and device use, and clarifying recent changes, side effects, and safety concerns.
Preparing patients for a virtual med list reviewStepwise telehealth medication reconciliationUsing the ask-about technique for adherenceReviewing inhaler and device technique remotelyIdentifying side effects and drug interactionsDocumenting and communicating medication changesLesson 3Collecting Home Measurements: Step-by-Step Guidance for Blood Glucose, Home Blood Pressure, Pulse Oximetry, Heart Rate, and Fixing Device IssuesThis lesson provides clear steps for guiding Ugandan patients to get accurate home readings of blood glucose, blood pressure, oxygen levels, and heart rate, covering device setup, common mistakes, fixes, and recording results in telehealth.
Preparing the patient and environment for measurementsStepwise coaching for home blood pressure readingsGuided self-monitoring of blood glucose at homeUsing and interpreting home pulse oximetry safelyAssessing heart rate by device and manual methodsTroubleshooting common home device problemsLesson 4Starting and Setting Agenda for a 25-Minute Visit Using Simple WordsThis lesson offers a structured way to begin a 25-minute telehealth visit in Uganda, building trust, verifying identity and consent, setting a joint agenda in plain language, and managing time while prioritising patient needs.
Verifying identity, location, and emergency planUsing plain language to explain visit purposeBuilding rapport and psychological safety quicklyEliciting the patient’s main concerns and goalsNegotiating a realistic shared agenda and time useTransitioning from agenda to focused assessmentLesson 5Video Observation Techniques: Spotting Breathing Distress, Mental State Changes, Skin Blood Flow, Facial Signs, Environmental WarningsThis lesson develops video skills to identify breathing distress, mental changes, skin perfusion issues, facial and body cues, and home environment risks in Uganda, integrating them into remote triage and escalation choices.
Optimizing camera, lighting, and positioningVisual cues of respiratory distress on videoRecognizing altered mental status remotelyAssessing skin color, perfusion, and sweatingReading facial expression and body languageSpotting environmental and safety red flagsLesson 6Assessing Breathing Through History: Onset, Triggers, Phlegm, Cough, Usual Exercise Ability, COPD Flare TriggersThis lesson details conducting breathing history via telehealth in Uganda, covering symptom start and progression, triggers, phlegm and cough details, normal exercise levels, COPD or asthma patterns, and acute flare signs.
Clarifying onset, duration, and progression of dyspneaExploring triggers, positions, and relieving factorsCharacterizing cough, sputum, and hemoptysisAssessing baseline and current exercise toleranceIdentifying COPD and asthma exacerbation patternsDetermining need for urgent in-person evaluationLesson 7Targeted Questions on Symptoms for Diabetes: High Sugar Signs, Patterns, Insulin or Tablet Use, Recent Diet or Illness ChangesThis lesson focuses on structured questions for diabetes patients in Ugandan telehealth, including high and low sugar symptoms, glucose trends, medicine use, diet, illness, and sick-day handling.
Screening for hyperglycemia and hypoglycemia symptomsExploring home glucose logs and daily patternsReviewing insulin and oral diabetes medication useAssessing diet, activity, and recent illness changesDiscussing sick-day rules and self-managementIdentifying diabetes red flags needing escalationLesson 8Home Safety and Social Factors: Living Alone, Access to Medicines/Food, Transport, Caregiver SupportThis lesson explores assessing home safety and social issues in Ugandan telehealth, including living arrangements, access to medicines and food, transport, caregiver help, and involving social services or community aid when needed.
Assessing living situation and basic home safetyEvaluating access to medications and refillsScreening for food insecurity and nutrition risksIdentifying transportation and technology barriersAssessing caregiver availability and caregiver strainCoordinating referrals to social and community resourcesLesson 9Assessing Worry Remotely: Screening Questions, Duration, Safety Issues, Daily Life ImpactThis lesson teaches remote anxiety assessment in Uganda using short screening questions, symptom duration and context, safety worries, life effects, and knowing when to escalate for urgent mental health support.
Building comfort to discuss emotional symptomsUsing brief anxiety screening questionsExploring duration, triggers, and coping effortsAssessing impact on sleep, work, and self-careScreening for safety, self-harm, and substance useCoordinating follow-up and mental health referrals
