IGNOU BHTL 108 Practical: The Work in Order, From LSC Day One to the Viva
The IGNOU BHTL 108 Practical in CGHC is done in two log books: Block 3 records the seven Block 1 skill units and Block 4 the four Block 2 care units. This guide shows how to set them up, score each tool as the log book prints it, and write entries your counsellor can sign.
BHTL-108 work order in brief
For the IGNOU BHTL 108 Practical, learn each activity during 8 LSC days and return-demonstrate at least one skill per unit, repeat it on older persons at the SDC, record five cases where asked, get every sheet countersigned, then finish the ISP visits and five care plans.
BHTL-108 carries 4 of the 20 CGHC credits; many of its screens also appear on the CGCA geriatric care programme page.
Learners who pass theory papers easily often stall on practical work. In BHTL-108 the stall usually comes at the first SDC case, when a score must be written, read and acted on at once.
Many learners find out about a practical component midway through the session. Here the first dated step is your LSC attachment, so ask for that schedule as soon as your blocks arrive.
Set Up Both Log Books Before You Reach the LSC
Set up the IGNOU BHTL 108 Practical log books the day your blocks arrive.
- Fill each identification page: name, enrolment number, address, email in capitals, mobile and signature. Leave the counsellor’s space for the LSC.
- Tab each unit and write its count of SDC record sheets on the tab.
- Locate every line listing and checklist page; these carry your counsellor’s signature, so never tear them out.
- Read the matching unit of Block 1 or Block 2 before its LSC day, as each log book unit tells you to.
A mistyped enrolment number on a cover page causes delays unrelated to your skills. Copy the BHTL-108 cover details from your IGNOU ID card into both log books.
Hindi-medium learners often write English case notes slowly. Every BHTL-108 form is in English, CGHC’s medium, so keep a list of block terms inside the cover.
Learners often hold three versions of one task. Where a BHTL-108 log book contradicts itself, write the counsellor’s ruling on that page and date it.
Plan the Eight LSC Days Around Return Demonstrations
Both log books attach you to the Learner Support Centre for 8 days. The counsellor demonstrates each activity, and you return-demonstrate at least one skill per unit on a 5-point sheet: 2 or less below average, 2.5 average, 3 to 4 above average, 5 proficient.
- Before each LSC day, list the unit’s activities and pick the one you will return-demonstrate.
- Practise the opening aloud: greeting, purpose, consent to share information, confidentiality.
- Fill the LSC recording sheet that day, with date and time, and ask for the score and signature on the spot.
General attendance and schedule rules across courses are in our IGNOU practical rules for 2026.
Most of our learners work, care for a family, or both. The BHTL-108 blocks print no attendance percentage, but the prospectus makes practical attendance compulsory, so plan leave for all 8 days.
Practical batches run on fixed dates, and a missed notice means waiting for the next batch. The prospectus says Learner Support Centres give the practical schedule, so ask yours weekly until your dates are set.
A friend’s centre may run different dates. Confirm the BHTL-108 sequence with your own.
How to Fill One SDC Record Sheet, Field by Field
Most SDC record sheets in the IGNOU BHTL 108 Practical follow one order; fill it while the older person is still with you.
- Date and time in the top corner.
- Identification data: name, age and sex, UHID or indoor ID, address, ambulatory or bedridden.
- Item scores, one line at a time, as you ask or observe.
- The total, then the band in the log book’s own words.
- Interpretation: decline or not, already diagnosed or not, current interventions and barriers.
- Advice to the person or caregiver, and any referral.
- The case’s line on the line listing page, then the counsellor’s remarks and signature.
Before: “TUG done, patient walks slowly.” After: “TUG 18 seconds with stick, unsteady on the turn; 10 to 20 second band, moderate fall risk; home safety check advised.” Score, band and action, as Unit 3 expects.
Sheets written in one evening repeat the same advice and show no change from case 1 to case 5. Each BHTL-108 sheet has its own date and time line, so fill it at the bedside.
Unsigned record pages are a gap we see often. Each BHTL-108 sheet, line listing and checklist has a signature space; ask on the day.
Score Each Screening Tool the Way the Log Book Prints It
For the IGNOU BHTL 108 Practical, copy each band in the words printed on the sheet. The Block 3 tools score as follows.
Katz index scoring and Lawton IADL scale scoring
Katz index scoring gives 1 point per basic activity done independently, out of six; Lawton IADL scale scoring does the same for eight instrumental activities. Unit 1 records both on the same person.
MMSE score interpretation, TUG test interpretation and the rest
| Tool (unit) | Range | Bands as printed |
|---|---|---|
| Katz (1) | 0 to 6 | 6 fully independent; 4 to 5 some dependence; 2 to 3 significant; 0 to 1 fully dependent |
| Lawton (1) | 0 to 8 | 8 fully independent; 6 to 7 some dependence; 4 to 5 significant; 0 to 3 fully dependent |
| MMSE sheet (2) | 0 to 30 | 24 or more normal; 19 to 23 mild; 10 to 18 moderate; below 10 severe |
| TUG (3) | seconds | under 10 normal; 10 to 20 moderate fall risk; over 20 high; over 30 very high |
| MNA screen (4) | 0 to 14 | 12 to 14 normal; 8 to 11 at risk; 0 to 7 malnourished; 11 or below goes to the full MNA |
| Full MNA (4) | 0 to 30 | 24 to 30 normal; 17 to 23.5 at risk; below 17 malnourished |
| E chart (5) | per eye | 6/6 to 6/18 normal; worse than 6/18 impaired |
| GDS-15 (7) | 0 to 15 | 0 to 4 normal; 5 to 8 mild; 9 to 11 moderate; 12 to 15 severe |
The Unit 6 whisper test has no total: stand about 60 cm behind, whisper numbers and words to each ear in turn, and Block 1 reads at least 3 of 6 repeated correctly as likely normal. Doctors can compare the MMEL 104 geriatric assessment guide.
In test-based practicals we often meet totals added wrongly or a band that does not fit the score. Add each BHTL-108 total twice before writing its band.
Some learners fill score sheets with assumed figures. Each BHTL-108 score belongs to the person whose UHID heads that sheet.
Worked Example: An MMSE Sheet That Lands Between Two Bands
Illustrative MMSE sheet: SDC case 3, score 18
Invented case, method only: Mrs. S (pseudonym), 74, female, ambulatory, with her daughter.
| Item | Maximum | Scored |
|---|---|---|
| Orientation to time | 5 | 3 |
| Orientation to place | 5 | 4 |
| Registration | 3 | 3 |
| Attention and calculation | 5 | 1 |
| Recall | 3 | 1 |
| Naming | 2 | 2 |
| Repetition | 1 | 1 |
| Comprehension and command | 3 | 2 |
| Reading | 1 | 1 |
| Writing | 1 | 0 |
| Drawing | 1 | 0 |
| Total | 30 | 18 |
Working: 3 + 4 + 3 + 1 + 1 + 2 + 1 + 2 + 1 + 0 + 0 = 18. The record sheet files 10 to 18 under moderate impairment; the Unit 2 introduction calls 18 to 23 mild problems. Tick “Moderate”, note in the comments line that 18 sits on both bands, and add the referral the unit asks for when impairment is suspected.
Advice line: “Result explained to patient and daughter; memory activities at home; referred to doctor.”
Marks leak most from the written record, yet it is the easiest part to repair. A clean sheet like this one is what the log book’s 20 marks are judged on.
Check a Score Against Its Printed Band
Run your own scores through this finder before writing a band on any IGNOU BHTL 108 Practical sheet; it uses only the printed bands.
Log book score band finder
Without JavaScript, read the band from the table above.
Writing Block 4 Entries: BP, Sugar and Emergency Referrals
For the IGNOU BHTL 108 Practical, Block 4 Unit 2 pairs its twelve activities on record sheets, two cases per group. The hypertension sheet asks for BP in both arms, known or suspected case, then advice, complications and compliance. Block 2 says to suspect hypertension at a first check when systolic is 140 mmHg or more and/or diastolic 90 or more.
The diabetes sheet has fasting and random spaces. Block 2 gives fasting above 125 mg/dl, post-prandial above 199, or random above 199 with classical symptoms, so name the test beside each figure.
Unit 3's seven emergency activities have two SDC sheets each: write signs, time, first action and referral. The BNSL 033 critical care entries guide uses a similar sign-then-action layout.
ISP Visit Sheets That Show Change, and the Short Viva
Activity 4 of Block 4 Unit 1 is the critical self-activity of the IGNOU BHTL 108 Practical: at least 3 visits, up to five, each on its own ISP recording sheet.
- Visit 1: setting, pseudonym, concerns, physical conditions, social and emotional needs; plan one small engagement activity.
- Visit 2: whether it happened and what the person or caregiver said.
- Visit 3 onward: what changed, the adjusted plan, the next follow-up.
Its checklist rates ten indicators, including learning across visits and planned follow-up, so identical sheets lose ground. A short viva on this activity follows submission of the completed log book.
Tidy files score poorly when their owner cannot explain them. Retell each BHTL-108 visit aloud from your own sheets before the viva.
Learners often cannot say whether a viva applies to them. The BHTL-108 log books name only this one, so prepare the ISP first.
Ready-made records circulate with a fresh name on the cover, and copies stand out. A copied ISP sheet collapses when the viva asks about visit two.
Building the Care Plan for Elderly Patient Cases From Your Own Scores
Block 4 Unit 4 asks for a care plan for elderly patient cases at the SDC, five recorded. Introduce yourself, show your identity card, and work six steps in order.
- Medical history: comorbidities, medicines, allergy, diet, exercise.
- Intrinsic capacity (cognition, psychological, locomotion, nutrition, vision, hearing) and functional status.
- Social support, caregivers, transport, finances and any scheme the person may qualify for.
- Goals, in order of priority.
- A plan that is practical from the older person's side.
- Discussion with person and family, the list of changes, and approval by the clinical team.
Step 2 reuses your Block 3 scores: six tools fill the capacity lines, Katz and Lawton the functional line. The MMEL 105 long case guide shows a doctor's version of this history.
Records are read in a set order, and a missing part costs marks. The BHTL-108 care plan checklist follows these six steps, so a blank goals line shows at once.
Learners who do well start early, check rules locally, date entries, collect signatures daily and can explain each page; here, that includes clinical team approval of each plan.
Log Book Slips to Handle Before Your Counsellor Does
A few printing slips in the BHTL-108 log books can make a correct sheet look wrong.
| Slip in the log book | What to do |
|---|---|
| Lawton score table prints Feeding where the item list has Transportation | Score transportation on that row and label it |
| Katz feeding line says "record points for toileting" | Write the feeding point there |
| MMSE text gives the command 2 points; the table gives 3 | Use the table's 3 so the total reaches 30 |
| E chart steps say record as 20/40; the bands use 6/6 to 6/18 | Record in metres at 6 metres |
| Units 1 and 2: five cases recorded, four checklist columns | Ask which case goes unscored and note it |
| AI-written reflections pasted as they are | Write each ISP reflection about that visit, in your words |
| Advice lines lifted from websites unchecked | Use the Block 1 and 2 advice, adapted to the person |
Eleven Checks the Night Before Your Counsellor Marks You
Eleven checks before your counsellor marks you
Practical Fee Slab and the 30 November 2026 Date
If the IGNOU BHTL 108 Practical shows as a practical line in your exam form, the prospectus slab for courses of 4 credits or fewer is Rs 300, paid with the term-end exam form and not refundable. SED's December 2026 notice sets 30 November 2026, Samarth login only, with nothing accepted later. See our December 2026 exam date sheet post and the IGNOU fee structure page.
In our records, 70 to 80 percent of learners move only in the last month before a date. For a 30 November deadline, that month is now.
The Rs 300 and Rs 500 slabs get confused. BHTL-108 has 4 credits, so Rs 300; the 10-credit BHTL-109 sits at Rs 500.
Waiting for an extension is a gamble; the notice refuses late fees.
Have Your Own Log Book Entries Read
Want a second reader first? Send photos of your own entries on WhatsApp through our services and charges page. We point out arithmetic, band and missing-field errors; the record check is quoted there, and you keep writing your own entries.
Questions on the IGNOU BHTL 108 Practical
Three questions CGHC learners raise
Can I do the IGNOU BHTL 108 Practical in the hospital I work in?
Yes, the CGHC programme page allows hospital staff to complete the practical part at their own institution, as training on the job. Agree the paperwork with your Regional Centre first. Home care workers may also read the CHBHC programme page.
Working learners ask us what their employer must sign. For BHTL-108, IGNOU's page settles the workplace question but names no documents.
How does GDS 15 scoring work when some answers count for No?
Block 1 says some GDS-15 items are reverse-scored without listing them. In the standard key, No scores 1 on the five positively worded questions (1, 5, 7, 11, 13) and Yes scores 1 on the other ten. Confirm with your counsellor.
When will my marks show?
IGNOU's practical marks transmission status page updates only once the study centre or Regional Centre sends marks. For missing practical marks, write to practicalsed@ignou.ac.in or call 011-29572212; grade card steps are in our grade card status guide.
Practical marks often reach the grade card after theory marks, holding up the certificate. Keep your signed-page photos until BHTL-108 appears on yours.
Putting the IGNOU BHTL 108 Practical Together
The IGNOU BHTL 108 Practical rewards careful scoring, honest entries and same-day signatures; start with the LSC schedule and run the band finder before every total. For printed theory support for BHT-106 and BHT-107, see the reference material for this course on our publication site.
Three causes repeat across programmes: rules arrive late, practical days assume free time, and records get treated as formatting. Each BHTL-108 sheet exists to show you can apply a tool to a real person.
Papers behind this CGHC log book guide
- BHTL-108 Blocks 1 and 2 (November 2025), Block 3 and 4 Log Books (January 2026), supplied PDFs
- IGNOU CGHC programme page
- IGNOU Common Prospectus July 2026: section 11.59, practical examination fee rule, contact table
- IGNOU announcements: SED practical course fee notice, December 2026 TEE
Method: written from the four BHTL-108 blocks, the CGHC programme page, the July 2026 Common Prospectus and the SED practical fee notice, all read in November 2026; drafting was AI-assisted, every rule and figure was checked against those sources, and BK Sahni publishes the guide under his editorial responsibility.
ignouproject.com is not affiliated with, authorised by or endorsed by IGNOU. Any review we offer checks your own log book entries; you remain the author of your record.
BK Sahni iD 0009-0005-8092-459X
Founder, Shri Chakradhar Publication Pvt. Ltd. & ignouproject.com — helping IGNOU distance-learning students since 2010 (5,00,000+ students supported across MBA, MCom, MA & more). Author of IGNOU exam guides, solved assignments & project reference books.
Disclosure: Shri Chakradhar Publication Pvt. Ltd. and ignouproject.com are independent third-party study-help services — not the official IGNOU website. Always verify final dates and rules on ignou.ac.in.
