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SESSION 5: Working with Patients with Special Challenges

SESSION 5: Working with Patients with Special Challenges. Adherence Barriers. Competing priorities Lack of access to health care Being drunk or high Lack of stability; chaotic life circumstances Distrust of authorities. Adherence Barriers (2). Denial Blaming others for problems

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SESSION 5: Working with Patients with Special Challenges

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  1. SESSION 5:Working with Patients with Special Challenges

  2. Adherence Barriers • Competing priorities • Lack of access to health care • Being drunk or high • Lack of stability; chaotic life circumstances • Distrust of authorities

  3. Adherence Barriers(2) • Denial • Blaming others for problems • Depression; feeling overwhelmed by one’s circumstances • Additional side effects of TB medications when taken with alcohol or other substances

  4. Adherence Barriers(3) 10. Others? ______________________________ ______________________________

  5. A Working Definition of Addiction Addiction is characterized by: • A strong urge to use mood-altering drugs • Loss of control over use of these drugs • Continued use despite negative consequences • Possible genetic disposition

  6. A Working Definition of Addiction (2) Addiction is characterized by (continued): • Family and social problems due to use • Past attempts to stop or control use • Possibility of relapse after the addict stops

  7. Review Questions 1. What are three special adherence barriers faced by TB patients who are homeless or use substances? 2. What are two different community perceptions about why people are homeless?

  8. Review Questions (2) 3. What are two different community perceptions about why people use substances? 4. What are three ways to help patients who are homeless or use substances to complete their treatment?

  9. Review Questions (3) 5. List at least two community resources in your area that can help patients who are homeless or use substances to address their non-TB-related challenges.

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