Management of patients with chronic heart failure in the community
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Management of patients with chronic heart failure in the community

Hannah Waterhouse Heart failure specialist nurse, Derbyshire Community Health Services, Heart Failure Nursing Services, Derby

This article explores the evidence for service improvements in the provision of care to heart failure patients in the community. It looks at the different methods of service delivery, including nurse-led clinics and home visiting. As patients’ condition can vary considerably, both palliative care and rehabilitation are considered as care contexts. It is argued that distinction should be made between palliative and end of life care, which might otherwise limit the care agreed between the nurse and the patient. The need for nurses to gain appropriate knowledge and skills is emphasised to ensure the provision of effective care.

Primary Health Care. 24, 9,35-41. doi: 10.7748/phc.24.9.35.e911

Correspondence

h.waterhouse@nhs.net

Peer review

This article has been subject to double blind peer review

Conflict of interest

None declared

Received: 09 December 2013

Accepted: 08 April 2014