Q and A with Heart Health at Home Nurse, Katrina McGilchrist

What does your role involve in delivering the Heart Health at Home program?

As a nurse in the program, I work directly with patients one-on-one, usually over the phone, I help them understand their condition, set recovery goals, support medication adherence, and guide them through lifestyle changes like diet, returning to physical activity, and stress management. It’s very personal and tailored to each person.

What’s different about supporting patients virtually compared to in a clinic?

Honestly, we build really strong relationships even without being face-to-face. Many patients are more open when they’re in their own home — they feel comfortable, and it’s less intimidating. Virtual care gives them flexibility, so they’re more likely to engage regularly, which makes a big difference. I also enjoy being able to tailor the consultation to the individual, compared to my previous group based cardiac rehabilitation roles where advice was given in a generalised way in order to suit a wider audience.

What kind of changes do you typically see in patients over the 6 to 8 weeks?

It’s incredible. People often start out feeling unsure or overwhelmed, especially after a cardiac event. But by the end of the program, many are more confident, physically active, eating better, and mentally stronger. They tell me they feel more in control of their health — that’s what we want.

How do you monitor progress if you’re not seeing patients in person?

We use the Cardihab app, which helps track things like blood pressure, activity levels, and symptoms. Patients log their data, and I review it regularly. If something seems off, I can follow up straight away. It’s safe, structured, and keeps them accountable. We also use validated assessment tools that allow us to measure change and progress, these are delivered at the start and the completion of the program. The assessments measure things like quality of life, anxiety & depression, dietary intake and medication adherence.

Do you think this program is reaching people who might not otherwise get support?

Absolutely. I’ve worked with people in rural areas, single parents, shift workers — people who just can’t get to a clinic easily. Without this program, many of them wouldn’t have had any rehab at all. It’s so rewarding to see them thrive with the right support.

What’s the most rewarding part of being involved in this program?

For me, it’s knowing I’m helping someone get their life back after something as serious as a heart attack. When a patient tells me they’re back walking daily, eating better, and feeling good — that’s the best part of the job. People are genuinely appreciative of the care they’ve received and it’s especially rewarding when you know that without this program, they may not have received any formal cardiac rehabilitation support at all.

What would you say to someone who’s unsure about doing rehab virtually?

I’d say give it a go — you’re not alone in this. You’ll have a nurse by your side, checking in, guiding you, and celebrating your wins. It’s convenient, supportive, and it really works.