Question

A nurse is caring for a client with active tuberculosis who is homeless. The client is almost ready for discharge; however, the nurse is concerned about the client's ability to follow the medical regimen. Which nursing intervention would best promote adherence with the treatment plan after discharge?

Answer 1

To promote adherence to treatment for a homeless client with tuberculosis, directly observed therapy (DOT) is the most effective intervention. Adjusting DOT to suit the client's circumstances and collaborating with social services are crucial for addressing housing, social support, and the challenges of post-treatment reintegration.

Step-by-step explanation:

The best nursing intervention to promote adherence to the treatment plan for a client with active tuberculosis who is homeless would be the implementation of a directly observed therapy (DOT) regimen. This approach involves the supervised administration of medications, ensuring the client takes the required medication regularly, which is crucial given the risk of nonadherence leading to antibiotic resistance and the emergence of multidrug-resistant and extensively drug-resistant strains of TB.

For the homeless population, traditional DOT may be adapted to include administering medication at shelters, street outreach programs, or through mobile health units. Additionally, collaborating with social services to address the client's housing and social support needs could significantly enhance treatment adherence and recovery. Establishing support mechanisms and addressing the specific challenges faced by the client, such as stigma and stress, are also essential aspects of promoting adherence and reintegration into the community post-treatment.