Pat,
That does sound like a challenge. I was wondering what your law was regarding the TB medication. It looks like the are forcing the patient to take anti-psychotic
injectable? I was also wondering if you were able to check the clinical status for TB via x-ray or sputum?
I did have a patient that went to a private provider which missed appointments. When I did a home visit she confessed to stopping her medication after a three
months. When she did come in for an x-ray it was negative and the sputum was negative. She did “cure herself” and treatment was not continued.
Please let us know how this turns out.
Thanks,
Patty
Patricia Woods, RN, MSN
Nurse Manager
NJMS Global Tuberculosis Institute, ICP, 1st Floor, East Wing
Lattimore Clinic
Rutgers, State University of New Jersey
225 Warren St, Newark, NJ 07103
p. 973-972-3830 f. 973-972-3832
Website:
globaltb.njms.rutgers.edu
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Wednesday, March 13, 2019 8:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
|
Non-adherence - Iyer, Patricia (DPH)
(13 Mar 2019 13:06 EDT) |
Non-adherence
by Iyer, Patricia (DPH) (13 Mar 2019 13:06 EDT)
Reply to list
Good afternoon from Massachusetts,
I was wondering if you might lend your expertise for this very challenging situation. We currently have a case in which the person’s mental illness is so profound that the individual will not take any TB medications, disbelieving
the diagnosis. Before the recent decompensation, the individual had about 8 weeks of witnessed therapy, mostly inpatient however has had no TB medications since around Christmas. The individual is currently hospitalized requiring restraint for anti-psychotic
injectables but there is no comparable means to do the same with TB medications. I would appreciate any guidance you may provide to work towards a solution and experiences you might have had. We have an inpatient treatment unit which allows compulsory hospitalization
however not forced medications.
Thank you for reading,
Pat
Patricia A. Iyer, MSN, RN, BC
Division of Global Populations and Infectious Disease Prevention
Bureau of Infectious Diseases and Laboratory Sciences
MA Department of Public Health
305 South Street
Boston, MA 02130
Telephone 617 983 6971
Fax 617 983 6990
Cell 617 756 3050
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