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

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 questions, concerns, and fears.

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

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

Talk through the benefits of completing treatment.

Identify challenges and offer supports to make treatment easier.

Identify changes to the treatment plan and schedule.

Encourage follow ups if the person cannot be treated at this time.

Create a treatment plan that works best for the person.

Identify if the person has doubts about treatment completion.

To support the person in making the best decision for them.

To ensure the person understands their right to refuse.

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

To encourage the person to accept treatment.

To tell the person they can accept treatment at anytime.

To maintain a positive relationship with the person.

To monitor the person’s TB and the possible progression to more severe disease.

✔ Choose a meeting spot.

✔ Read through the Checklist below.

✔ Read TB Information Guide as needed.

✔ Talk to the nurse about special details or messages to pass along in the meeting.

✔ Mentally prepare to listen and speak with the person.

Click on these resources below to show!

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 how the person feels about having TB.

• Remember to validate the person’s feelings.

• So the nurse told you that you have Latent or Sleeping TB. How are you feeling about that news?

• Someone that I knew had a similar feeling when they were told they had TB.

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Introduce Latent TB Basics and Treatment Benefits.

• Refer to Latent TB as needed.

• Refer to Finding & Treating TB Early: Benefits for You and Finding & Treating TB Early: Benefits for Loved Ones.

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

• So we talked a bit about the benefits of treatment. Do you have any concerns?

Determine if the person would like to start treatment.

• Remind the person they are free to say no.

• Taking treatment is your decision.

• It’s okay if you don’t think the timing is good to start treatment right now. It is better to start treatment when you feel good about it and feel like you can finish.

• You can take some time to think about it if you would like.

• What do you think, do you want to start treatment for Sleeping TB?

Determine when to start treatment with nurse.

• Okay, great! Glad you want to start treatment.

• Are you free now to have a quick chat with the nurse about when you can start your treatment?

Thank the person for their honesty.

• No worries! Thank you for being honest! No hard feelings here. Everyone has their own reasons.

• If you ever change your mind you can let us know!

Set up Start of Treatment Meeting.

• We can set up another meeting, you and I, when your pills come in.

• We can chat some more about the treatment and how we can help you.

Encourage X-ray follow ups.

• Refer to TB Tests or SCR as needed.

• Normally if someone doesn’t want or can’t take treatment the doctors/nurses will need to confirm your answer.

• They won’t pressure you but they might suggest X-ray follow ups to monitor your TB and make sure you’re still healthy.

• Do you want me to see if they can meet now?

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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Print Me to give!

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 me about some things that you are busy with now?

• What are some things you are looking forward to?

*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 Latent TB Patient Journey.

Refer to TB Information Guide points as needed:

• Latent TB

• Latent TB Treatment

Identify how the person feels about having TB.

• Remember to validate the person’s feelings.

• We maybe talked about this before, but are there any changes in how you feel about sleeping TB? Yeah, I think it’s normal to feel that way.

It’s okay not to know all the answers!

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.

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.

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

Set up a treatment schedule.

• We need to refill your pills every 2 weeks. Do you have a ride?

• So you are taking your pills everyday. To help you remember, when is a good time of day (with breakfast, on break, when you get to school etc)?

• I know someone who put their pills beside their cereal to remind them.

• This is just a start. We can change as needed, it’s not set in stone!

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.

✔ One Copy for Patient

✔ One Copy for File

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 if antibiotic treatment changes are made (rare for Latent TB).

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

To encourage treatment completion.

Choose a meeting spot.

Read through the Checklist below.

Review the person’s Concerns,
Questions and Supports and Plan/Treatment Schedule.

Decide what points to talk about.

Talk to the nurse about special details or messages to pass along in the meeting.

Mentally prepare to listen and speak with the person.

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Click on Me to go over! 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?

• 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.

• It’s great you’ve made it this far but we need to keep going until the end.

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

• It could also means your TB could come back stronger.

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) 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.

Choose a meeting spot.

Read through the Checklist below.

Talk to the nurse about special details or messages to pass along in the meeting.

Mentally prepare to listen and speak with the person.

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 of treatment check up and you might have a few tests.

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

• Refer to SCR as needed.

• Number of X-rays and follow ups to be determined by the doctor.

• So we won’t be seeing you so much in here anymore but we still want to do 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.

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

• If you are with someone 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).