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!

Remember! This person may have things going on in their life that has nothing to do with you - don’t take it personally!

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.

Click on the link to show!

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?