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begin to manage their disease completely. This can happen in rural or poverty-stricken communities. Rural areas have limited resources because they are usually far away from major metropolitan areas, where most hospitals and doctor offices are located. Poverty areas have less opportunities for health care because of the cost involved with running such facilities. Facilities and private practices are ran like any other business and must have funding to open up and stay in business. A lack of access may cause a financial burden because someone that lives in a rural area may have to travel several hours to receive appropriate care. The individuals that live in poverty stricken areas of a community are limited on where they can receive appropriate care if at all any care. Here in the city I live in there the poorer community has a clinic that is open to the public so individuals can try to receive appropriate care. The clinic has nurse practitioners, physicians, dentists, diagnostic testing, laboratory, mental health workers, social workers and case managers that all work together to provide the best care they can within the community.
PATHOPHARMALOGICAL FOUNDATIONS 18They also will connect patients with appropriate resources and assist with financial aid for medical bills if needed. a. Individuals who have heart disease and a lack of financial stability will be affected and have trouble staying compliant with their recommended treatment plan. Low income or even a fixed income can lead to a patient not being able to afford medications, leading to noncompliance, increased doctor visits and/or hospitalizations. When an individual is hospitalized they may miss work which will in turn cause havoc on their finances. Nutrition is an important aspect in the treatment of heart failure. Heart healthy foods are more costly so patients may not be able to afford fruits and vegetables on a regular basis causing their disease tobe unmanaged. Improper diet and nutrition can lead to complications of heart failure. Patients without insurance can delay medical attention but by doing this they may cause their heart failureto progress rapidly and what could have been a small manageable issue is now a larger problem requiring more intensive care and cost. The lack of health insurance can lead to noncompliance of an individual’s treatment plan because they are not completing follow up care, not maintainingmedications, and under increased stress. i. The unmanaged patient with heart failure may experience symptoms of fatigue, shortness of breath, edema in the lower legs and ankles. The individual may have a rapid weight gain and see a decrease in their activity level tolerance. The individual may appear physically fatigued and may have a cough. They may even have audible wheezing noted. The unmanaged patient will experience more frequent exacerbations of heart failure and require morefrequent hospitalizations to manage their disease. All the symptoms above will appear with an individual who hasn’t managed their disease well usually sooner than someone who has. The unmanaged disease will progress more rapidly than expected and eventually cause a quicker