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PRACTICE ADAPTATIONS
Practitioners serving homeless adults report that treatment of heart disease in these patients often requires earlier hospitalization than for domiciled patients due to their greater difficulty controlling sodium and fat intake and obtaining bed rest. When pharmacotherapy is indicated, many homeless people resist treatment or have extreme difficulty adhering to any medical regimen-particularly those who suffer from psychiatric illnesses, mental retardation, and/or substance use disorders. Nonadherence is one of the most difficult challenges that clinicians face in caring for displaced individuals, as this Network case report, Hypertension & Homelessness: What Interferes with Treatment (2006), vividly illustrates. ADDITIONAL RESOURCES
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