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Adult nursing
Home management of heart failure based solely on symptom and fluid management, adherence and knowledge may not fully meet the complex needs of patients
  1. Lesley Collier
  1. Correspondence to Dr Lesley Collier, Nursing, University of Coventry, Scarborough YO11 2JW, UK; aa9804{at}

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Commentary on: Sevilla-Cazes, J, Ahmad F, Bowles K, et al. Heart failure home management challenges and reasons for readmission: a qualitative study to understand the patient’s perspective. J Gen Intern Med 2018;33(10):1700–7. DOI: 10.1007/s11606-018-4542-3.

Implications for practice and research

  • Patients reported uncertainty about instructions for self-care after discharge for a heart failure (HF)-related admission.

  • Readmission for HF-related symptoms is viewed as a rationale choice by patients and families seeking a safe place.

  • Further research and evidence is needed into how palliative care should be integrated in to the care of patients with heart failure.


Hospitalisation for HF is common and associated with significant levels of morbidity and mortality.1 There are significant amounts of quantitative and qualitative research focused on home management of HF and reasons for readmission. This study4 aimed to address …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.