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Improper diet and nutrition can lead to complications of heart failure, especially when combined with treatment non compliance. Patients without insurance can delay medical attention. This can cause their heart failure to progress rapidly, causing what could have been a smaller issue if diagnosed early to become a larger problem requiring more care and cost. Lack of health insurance can lead to treatment non compliance with the patient not completing follow up care, not maintaining medications, and causing increased stress on the patient, family,the care team, hospital, and government. In some communities, changing the hours of operation in a clinic could mean greater access to care for a patient. For patients who work outside of normal business hours, opening earlier or staying open a little later in the night can help to provide opportunities for patients to seek care.
i. The unmanaged patient can experience symptoms of fatigue, shortness of breath, edema in legs and arms, and rapid weight gain. The patient will see their activity level begin to decrease and they could potentially require an increase in assistance with ADL’s. The patient might physically look tired, breathing issues such as crackles in the lungs can be audible even without a stethoscope and they may have a cough that does not go away. The unmanaged patient will experience more frequent exacerbations of heart failure and require more frequent hospitalizations to manage their disease.B. In spite of an increase of community education, heart failure is present and abundant in my community. Family support is crucial in the care of a heart failure patient. Because heart failure is a chronic disease, family members can often become burned out and overly stressed from theresponsibility they have taken on financially, physically, and mentally. Patients can also become burned out mentally if trying to maintain their health without a firm support system. Community resources are of the utmost importance for patients without a support system. Services such as case management, social workers, transportation, social support, care support, financial relief are just some of the things needed within a community for a patient to be successful. 1. Costs for health care services are climbing daily. It was estimated once that there would be approximately 10 million cases of heart failure in the United States alone. Heart failure is an expensive chronic disease. Diagnosis typically involves an appointment with a physician, laboratory tests, medications, and other diagnostic testing. Due to the chronic nature of the disease, costs for care are perpetually ongoing. Follow up appointments, periodic laboratory work, EKG’s, chest x-rays, and occasionally hospitalizations for exacerbations can increase costs to the patient. Heart failure is the most expensive disease for Medicare over any other diagnosisand in 2008 it was estimated that it cost $34.8 billion dollars to treat. According to the AHA, an