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If a patient has no insurance, or is under insured, the burden of the cost may be too much for the patient or family to bear. A patient will not be able to see a specialist, may not be able to afford their medications or attend programs such as cardiac rehabilitation, dietary education, physical therapy or mental health therapists. A lack of proper health insurance coverage will lead to poor management of the disease and an overall higher cost in the end to the family and community.A patient who is poorly educated might face obstacles to manage their disease. For example, a patient may not be able to read their medication labels or material that is handed out. If a patient doesn’t understand the severity of their illness, or complications, they may not be compliant with the treatment plan. Studies have shown a correlation between low health literacy and higher rates of hospitalized patients and mortality (Ventura and Pina, 2018). A4ai. Unmanaged Disease CharacteristicsThe first characteristic of a patient with uncontrolled heart failure is activity intolerance. The patient is only able to walk short distances before becoming short of breath and will need to take a break. This can be from fluid retention or because their cardiac output is so low. The oxygen demands of their body are not able to be met. The patient will use short sentences, may be gasping for breath or feel crackles in their chest when they take a deep breath. Fluid retention
Running head: HEART FAILURE in their lower extremities will make their legs heavier and contribute to increased work with activity. A second characteristic is orthopnea. Patients with fluid in their lungs aren’t able to tolerate lying flat. The fluid causes pressure to build up in the lungs and the body is unable to compensate. Patients will often report sleeping upright in a recliner or using several pillows behind their back in bed. This will often wake patients up during the night to readjust or sit up higher, leaving them feeling exhausted. Emotionally, it can be very difficult for a patient to live with unmanaged heart disease. The patient may seem angry, stressed, depressed, anxious, fearful of the future or just sad. Family members, friends and even the patient may not recognize the reason for these feelings. These feelings can stem from a lack of knowledge about the disease, weight gain due to fluid retention or not being able to do normal activities.B. Patients, Families, & PopulationsCongestive heart failure negatively affects many aspects of the patient’s life. It can be extremely hard to change a diet, as well as expensive, to one that is low sodium, low fat and has fresh fruits and vegetables. The patient’s body image becomes distorted due to weight gain and edema in the lower legs. The patient may not feel comfortable wearing shorts or sandals in the summer. A patient may need to call in sick to work more often. Due to new medications, such as Lasix, the patient’s urinary frequency and urgency will increase, and the patient may need to startwearing a brief. This can make a patient hesitant to travel long distances and significantly shrink