Daluchukwu Tapp
Chamberlain University
NR601
Dr. Freeman
Reflection week 2
In a situation where my client with A-Fib has food insecurity, I would address his cardiac
condition nutrition in detail to improve health outcomes. Food insecurity causes health issues and
can interfere with adherence to medication which would impact the patient’s outcome for his A-
Fib.
In other to accommodate my patients, I would refer them to community resources that provide
access to healthy and nutritious food options. Food banks, meals on Wheels, and other meal
programs within the community would be important to add. The CACFP program caters to adult
daycare. Other programs offer counseling and support to help with the management of sodium
intake, such as in the case of A-fib (USDA, 2024)
Meals on Wheels does offer delivery to senior homes, local food banks work with health
providers to offer specialized packages to align with individuals’ medical dietary needs.
Some research has shown that addressing these food insecurity needs does improve health
outcomes in vulnerable populations such as senior homes, Intervention to address these needs
leads to a better management of chronic health needs and thereby reduces costs. (Berkowitz.et al,
2019).
It has shown that individuals who are nonadherent to their medical regimen are due to severe
food insecurity which affects chronic conditions.
Therefore, policies made to increase disposable income may affect cost-related nonadherence
and food insecurity. It is important to advocate for insurance expansion and low out-of-pocket
prescription expenses to reduce the health burden of food insecurity. This would help with
adherence and disease management and in my scenario pts A-fib. (Men. et al 2019)
Reference:
Child and adult care food program. Food and Nutrition Service U.S. Department of Agriculture.
(2024, March 27). https://www.fns.usda.gov/cacfp
Berkowitz, S. A., Seligman, H. K., & Choudhry, N. K. (2019). Treat or Eat: Food
Insecurity, Cost-related Medication Underuse, and Unmet Needs. The American Journal of
Medicine, 132(1), 11-14. https://doi.org/10.1016/j.amjmed.2018.08.025
Men, F., Gundersen, C., Urquia, M. L., & Tarasuk, V. (2019). Prescription medication
nonadherence associated with food insecurity: a population-based cross-sectional study. CMAJ
open, 7(3), E590–E597. https://doi.org/10.9778/cmajo.20190075