Our chronic disease management section consists of
a team of medical, nursing and allied health professionals who assist
people with a chronic disease, and improve and maintain their health
status and quality of life. We have been delivering care to people
with chronic diseases for more than six years and our service is
available to both the general public and designated private health
fund members. This program is available throughout Australia.
Our service is designed to provide the required level of support
to people to assist them better manage their health condition which
is essential to achieving better health outcomes and an enjoyable
lifestyle. Generally, people with a chronic disease have higher
rates of hospital admission. We aim to effectively monitor people
to limit escalations with their illness and reduce avoidable admissions.
This service includes:
a comprehensive health, lifestyle and functional assessment
coordination of services required, whether they be specialist
area clinics ( eg. leg ulcer, falls and balance, sleep), medication
management, medical liaison, social activities, community services
or allied health care.
regular scheduled nurse telephonic monitoring
24 hour access from anywhere in the world, to a triage nurse
who has access to the person's current medical history and progress
notes
educational information packages related to their chronic conditions
self management support services
The person's GP is always advised of our involvement and receives
regular feedback on the progress of their patient. Should True Care
become aware of any deterioration in a persons health, the person
will be directed to make an appointment to see their GP and the
GP will be notified.