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asthma care plan. The supportive families will be educated on what symptoms to look for in the management of their loved one. They are more likely to attend appointments with their loved ones.A4a Unmanaged Disease Factors Financial Resources: Healthcare expenditure is a very important factor for patients with chronic diseases because the treatment could be life-long so the cost of therapy would constitute a large portion of their disposable income. If the patient feels that the cost of therapy is a financial burden, the compliance with therapy will definitely be threatened. The patient with very little financial means will have great difficulty paying for the clinic appointment as well as the medication prescribed. The patient’s lack of finances will ultimately result in poor compliance to the treatment plan put in place by the physician. Which could lead to another life threatening episode of asthma. The under insured or the patients with no insurance are the most vulnerable. They usually only go to the ER when they have a live threatening event. They usually don’t bother with follow-up care because of the cost, and can’t afford time missed from work.Access to Care: Lack of accessibility to healthcare, long waiting time for clinic visits, difficulty in getting prescriptions filled, and unhappy or unsatisfied clinic visits all 15
PATHOPHARMACOLOGICAL FOUNDATIONS FOR ADVANCEDcontributed to poor compliance. The asthma patient should have spirometer testing alongwith peak flows done quite frequently to manage their disease effectively. This would involve frequent clinic visits that the patient may not be able to afford. Unfortunately because of the patient’s lack of resources they will be non-compliant with the recommendations. A patient who doesn’t speak English will require an interpreter to explain the treatment to the patient. Patient’s without supportive families are not going towait in long clinic lines to see doctors, and fill prescriptions that require paperwork to be filled out in order for them to afford the drug. These patients will be non compliant with appointments and drug management.Health Literacy: Patient’s knowledge about their disease and treatment is not always adequate. Some patients lack the understanding of the role their therapies play in the treatment of their asthma. Others lack the knowledge about the disease and the consequences of poor compliance. Others don’t understand the value of clinic visits. Some patients thought the need for medication was intermittent, so they stopped taking the drug. For these reasons, patient education is very important to enhance compliance. Counseling about medications is very useful in improving patient’s compliance. A4ai Unmanaged Disease Characteristics Managing asthma can be complicated and require pharmacological treatment everyday for the rest of the patient’s life. All patients might not have access to care for a variety of reasons. Some patients might not be able to afford the medication. Some patients might have to change where they live if it is triggering their asthma. The patient might not have a support system or an education to help them manage their disease.