Patients with severe LV systolic dysfunction in this regional New Zealand community experience similar mortality and first hospitalisation rates to those seen elsewhere in patients with clinical heart failure, but a greater number of readmissions. Medical and device therapy utilisation was suboptimal, and quality of life impaired, together supporting the need for a dedicated heart failure service.

Background: Burial and funeral practices are important customary mortuary rituals, especially in rural areas as people are likely to have different values and interests than people who live in larger cities. However, little is known about rural post-death practices in Canada. Aims: This review gathered information on funeral and burial practices in rural Alberta, a western Canadian province with a diverse rural population. Methods: A literature review of community print sources, including obituaries and funeral home websites, was conducted for select representative rural communities. Findings: This review found that cremations outnumber burials, and mortuary ceremonies more commonly occur in non-religious settings. Furthermore, personalised post-death rituals were identified as highly significant to rural people as they allow the dead to remain connected to their rural land, family and community. Conclusion: It is important to understand rural mortuary rituals to help prepare dying rural people and their families.

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