Chronic Disease

Cardiorespiratory services encompasses four services under one banner this includes:

• Rheumatic heart disease service
• Heart failure service
• Respiratory
• Cardiac/pulmonary rehabilitation

The client care strategy is self-management, patient and family education for primary and secondary prevention of cardiovascular and respiratory disease to avoid hospital admittance. The model of care incorporates telehealth, home visits, group consultation, group gym programs and nursing presence medical clinics.

The clinic is proactive in its approach to smoking cessation. Individuals over the age of 18 can self-refer into the clinic. The clinic provides education in primary and secondary prevention of cardiovascular disease and disease prevention in general. The clinic offers individual consultations and clients are followed up regularly throughout the 8-12 week individualised program.

The Diabetes Service focus on hospital avoidance by screening and early identification, management and health education/promotion utilising evidence based best practice, to optimise individual self-management of diabetes in pregnancy and type 1 and type 2 diabetes across all ages. The model of care incorporates telehealth, home and outreach visits, group consultations and individual consultations, education advice to schools and community-based health care providers.

The Renal Service provide a coordinated interdisciplinary approach to focus on prevention, early identification and management of people with all stages of chronic kidney disease (CKD) within a primary and community healthcare framework to optimise their health outcomes. The model of care consists of telehealth, home visits outpatient consultations, outreach visits and education programs.