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If they have had them in the past, the patient is at risk of having a repeat of myocardial infarctionor stroke. Also, the patient will not attend their follow up appointments with their physician.B. Impact of the Patient, family, and PopulationsCoronary Artery Disease affects not only the patient, but their families and communitiesas well. The patient may feel anxiety from getting this diagnosis and become overwhelmed withthe managing their disease. The lifestyle change that the patient will have to make will mostlikely be dramatic. This will mean healthy foods, exercise, medications, and even smokingcessation. The patient may have difficulty in making changes and may stumble from time to time
17Pathopharmacological Foundations of Advanced Nursing Practicebecause this is something that is new for the patient. The patient will have to learn new cookingmethods, get help with smoking cessation, and may even need help with figuring out whatexercises that will be beneficial to them. Managing coronary artery disease is a lifestyle and may require a support system for thepatient. This can cause stress in the family dynamic if there are some resistance to making thesechanges with the patient. Food changes may make a patient and their family feel deprivedbecause they are unable to eat the same way that they did before. This can also cause a strain onthe person preparing meals because this may cause them to have to cook more or differently thanthey usually do. Also, the family may feel burdened by the patient’s diagnosis. Grocery bills willalso be different which can be good or bad because it will cause a fluctuation in the amount andcost of the grocery. Coronary artery disease also affects the family if they must help the patient togo to doctor’s appointment. Managing coronary artery disease may also have financialimplications for the family. The diagnosis may affect the patient’s work capabilities if they aremissing time from work or are unable to continue working the way that previously workdepending on the hazards. Coronary artery disease affects the community because when people are out of work,they cannot afford the necessities of life and are unable to contribute to the community. Becauseof this, there are many health expositions and fairs around the county that help to screencommunity members and help them to learn about their statuses. The city of Houston, Texasworks with the American Heart Association to provide programs to help the community in needof heart disease interventions. One of the ways that they help is to help the communityunderstand the risk of high blood pressure through the program Check. Change. Control. Thisprogram is hypertension management program that utilizes blood pressure self-monitoring to
18Pathopharmacological Foundations of Advanced Nursing Practicehelps participants to take ownership of their cardiovascular health. The program pairs volunteerswho will be health mentors with those who are participating in the program. For those who havetrouble getting to their appointments, there are different transportation services for those who areon Medicaid or are elderly to get to their appointments provided the ride is scheduled in advance.