The nurse is responsible for the directly observed therapy (DOT) program in the community. Which represent the best methods to ensure compliance with clients' drug regimens? (Select all that apply.)
A) Social service support
B) Housing assistance
C) Hospitalization
D) Isolation until treatment complete
E) Treatment enablers
Ans: A, B, E
Feedback:
Programs using DOT as the central element in a comprehensive, client-centered approach to case management (enhanced DOT) have higher rates of treatment completion than less intensive strategies. Each client's management plan should be individualized to incorporate measures that facilitate adherence to the drug regimen. Such measures may include, for example, social service support, treatment incentives and enablers, housing assistance, referral for treatment of substance abuse, and coordination of TB services with those of other providers. There is no need to hospitalize a person solely because he or she is infectious. Outclients should be instructed to remain at home, without visitors, until they are no longer thought to be infectious. However, such isolation is not a method to ensure compliance with the drug regimen but an infection control measure.
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