From Symptoms to Solutions: Managing Heart Failure in Primary Care | Heart Failure Unfiltered

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Corinne was told she had the heart of an 87 year old smoker. It was blunt, it was said with humour, and it was the first thing anybody had said that she actually understood. So what does good management look like after the diagnosis is done?

In the final episode of a three-part series, Nick Hartshorne-Evans - founder and CEO of the Pumping Marvellous Foundation - sits down with pharmacist Shannon Nixon of the Yorkshire and Humber Heart Failure Academy and patient educators Corinne and Katie. Katie plans recovery time around anything she does and has learned to say no.

They talk about whether clinicians overthink heart failure and cushion bad news past the point of usefulness, the difference between confidence and competence in a primary care team, and why heart failure with preserved ejection fraction is where the biggest gains are sitting. Corinne watched a man ask a receptionist for an appointment about his swollen legs. The BEAT poster she had put up was on the wall beside the desk.

In this episode:

00:00: Welcome and what this episode covers

01:00: Meet Shannon, Corinne and Katie

03:00: Why management is more than medicines

04:30: Energy management, and being understood by your team

05:30: Knowing your limits and planning around them

07:00: The guilt of feeling like a burden

07:40: Do we overthink heart failure?

08:20: "I remember being told I couldn't have children"

09:00: Are we afraid of the word failure?

10:20: The heart of an 87 year old smoker

12:30: Discharged from the specialist team into primary care

15:50: Confidence versus competence

18:50: Rebuilding trust after a missed diagnosis

19:40: Why HFpEF is the bigger opportunity

24:20: The man at the reception desk with swollen legs

27:00: Why primary care holds the key

🫀 If heart failure is part of your life, you don't have to face it alone.

The Pumping Marvellous Foundation is the UK's leading heart failure charity, patient-led, trusted, and here for you.

⚡ B.E.A.T. Breathlessness, Exhaustion, Ankle swelling, Time to tell your GP or nurse. If you have a combination of these, speak to your GP surgery. Heart failure is diagnosed with a simple blood test.

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