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Unmanaged Disease Factors
Pathopharmacological Foundation 17The American Heart Association research indicates that most often reasons for poor outcomes in heart failure population is directly due to lack of health literacy (2018). In addition to health literacy, lack of financial resources and limited access to care affect the overall outcomes and quality of care for heart failure population. Financial resources play a huge factor in management of heart failure. Insurance or lack of insurance will affect an individual’s ability to seek primary care for preventative and maintenance management. Primary care is crucial in the management of heart failure, ensuring monitoring of labs, vitals, compliance with medical regimen, and ongoing education to reach self-management of the disease. Results in frequent hospitalizations for acute symptom management. In the instance, of no insurance in my community there is a low cost clinic for primary care, as well as charity assistance through the medical center. Limited financial resources provides challenges for compliance with medications management, taking 2-5 prescription medications may become burdensome to many, especially if they are making a decision between purchasing prescriptions or food. The medication regimen is required for medical management of heart failure, without it will result in poor management of this disease, increasing hospital admissions, poor outcomes, and higher mortality. Aligning client with limitedfinancial resources with medication assistance programs to help offset the cost of medications is available. Many retail pharmacy’s offer a list of medications at a reduced price. It manages frequently prescribed medications for progressive disease process for four and ten dollars for 30 or 90 day supply. This is beneficial for individuals without insurance, or prescription coverage. Dietary requirements are essential to the management of heart failure, many clients will need to reduce their sodium intake. Processed and canned foods are the most affordable foods in the U.S. however have a high sodium content. Let’s face it, in the U.S. choosing a healthier diet
Pathopharmacological Foundation 18comes with a price tag. Aligning clients with food pantry’s or meals on wheels can aid in offsetting the costs of food. Transportation needs to medical appointments, especially in a rural area can be limited. Those without vehicles or friends and families to assist in transportation to medical appointments can present a decrease in compliance with medical management and limitsaccess to care. Access to care is crucial in the management of heart failure, ensuring monitoring of labs, vitals, compliance with medical regimen, and ongoing education to reach self-management of thedisease. Clients who lack resources for primary care especially in rural areas, management of heart failure is limited and the only opportunity for care is during an acute exacerbation of heart failure in an acute medical center.