Improve the person’s understanding of what is going on to them.

Celebrate the person’s progress.

Celebrate the person’s achievement.

Talk through questions, concerns, and fears.

Talk through new and old questions, concerns, and fears.

Talk through questions, concerns, and fears about future follow ups.

Identify challenges and offer supports to make treatment easier.

Identify changes to the treatment plan and schedule.

Create a treatment plan that works best for the person.

Identify if the person has doubts about treatment completion.

To minimize confusion and fears about TB.

To build faith in the treatment plan.

To identify specific questions, concerns, and fears that may impact the person’s care journey.

• To offer supports based on the person’s needs.

• To minimize TB treatment’s impact on daily life.

• To create a treatment plan based on the person’s needs.

• To assist the person in feeling confident and capable of completing their treatment.

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Introduce yourself as the PHO and that you’re there to support the person.

• You know me as ____ and you might know I’m our community’s PHO.

• As the PHO, I’m here to help you and support the health of our community. With this meeting, I’m going to ask you some things that might seem random or personal. They are meant to help me figure out the best way to help you. You don’t need to answer if you’re uncomfortable. This meeting is about you and what you need.

Identify what is going on in the person’s life outside of TB.

Not talking about TB for a minute...

• Can you tell to me about some important things in your life?

• Work? Family? At home? Your health and wellbeing?

*STOP* This could be a heavy or emotional question, feel free to take a break or set up another meeting time to complete the rest.

Introduce TB basics and the Active TB Pathway.

• Refer to these points as needed:

  • Active TB

  • Active TB Treatment

  • Isolation

Identify how the person feels about having TB.

• Remember to validate whatever feelings may come up.

• Initially, how does having Active TB make you feel?

• Someone else that I know felt the same way when they were told they had TB.

Identify concerns and fears about TB or treatment. Offer them support and reassurance.

• Review each icon and write down concerns and questions.

• Patient Conversations in Concerns & Supports as needed.

*STOP* How are you feeling? Do you need to stop here and come back another time?

Encourage support seeking if the person is struggling.

• Keeping up with treatment over many months can be difficult at times. If you ever feel like you’re struggling, you can talk to me.

Identify extra ways to contact the person. Help them set up a support network.

• What are some other ways that I can reach you if I need to?

• Can you think of some people in your life who could help you while you’re taking your treatment? This could be someone you trust to talk to or someone who can help watch your kids when you’re at the clinic.

Set up a treatment schedule.

• From what we talked about, when is a good time to come get your pills?

• Do you have a ride to come to the clinic? Should we drop off your pills?

• This is just to start, if we need to change the schedule, we can!

Remind the person of next appointment and that they can reach you if they need support.

• I’ll see you when you come for your pills but reach out to me anytime.

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To encourage a positive outlook.

To inspire the person to keep going.

To ensure the person feels ongoing support through their treatment.

To check in with past questions, concerns, and fears.

To improve the treatment plan to match the changing needs of the person.

To change the plan as antibiotic treatment changes are made.

To identify if the person is at risk for stopping treatment.

To encourage treatment completion.

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Patient File

Congratulate the person on their progress so far.

• You can show where they are roughly in their treatment.

• Great job so far! Here’s roughly where you are in the treatment.

Some of these points can be skipped based on the situation!

Identify how the treatment is going.

• How are you doing? How is taking the pills going?

It’s no one’s fault if the person isn’t taking their pills - important to focus on what you can control and how we can make things easier.

Identify if past concerns were addressed.

• How are you feeling about the concerns you mentioned last time?

Identify new concerns and make changes to treatment plan as needed.

• Does the person have any new concerns that have come up since the last meeting?

• Is the person coming out of isolation? Starting Phase 2?

• Are there other changes from the nurses to their treatment plan that need to be talked about?

Give a reminder to keep taking the treatment.

• Refer to Treatment Completion as needed.

• I’m so glad to hear you’re feeling better! But it’s important now to keep going until the end.

• Stopping treatment now could mean having to restart from the beginning.

• It could also mean your TB could come back stronger and able to spread to others again.

Give a reminder about upcoming tests.

• Refer to TB Tests as needed.

• It looks like you are due for a follow up _________ (X-ray, blood test, spit test) on ________ (date).

Thank the person for coming in.

• Thanks for coming it! We’ll see you soon!

• If anything comes up, just give me a call!

Treatment for TB is long and not easy. Treatment completion is worth celebrating.

To help the person understand the benefit of follow ups.

To encourage TB-aware habits.

Congratulate the person on finishing their treatment.

• Congratulations! You did it!

Identify how the person is feeling.

• How do you feel now that you are done? Physically? Mentally?

Remind the person of final evaluations with the nurse/doctor.

• Refer to TB Tests as needed.

• You’re all finished taking your pills. The doctor or nurse will want to ask a few quick questions as part of their end check up.

Educate on X-ray follow ups (SCR) over the next few years.

• Refer to SCR as needed.

• So we won’t be seeing you so much in here anymore but we still want to do some X-rays a couple times a year just to make sure your lungs are still healthy and you are TB free.

Give a reminder on important points about TB and future disease/testing.

• Refer to Reinfection as needed.

• Even though your TB was killed, you can still catch TB again. So it’s important to still be careful.

• If you are with someone else who has Active TB, you may be asked to come to the clinic to answer some questions about your health and testing (possibly on top of your regularly scheduled X-ray).