Chronic Disease Management

Chronic Disease Management

Our wonderful team of caring GPs and Practice Nurses manage patients with chronic diseases such as asthma, coronary heart disease, chronic obstructive pulmonary disease, diabetes and chronic kidney disease.

Many illnesses and health conditions can be classified under the broad heading of chronic disease. Chronic diseases are mostly characterized by:

  • Complex causality
  • Multiple risk factors
  • Long latency periods
  • A prolonged course of illness
  • Functional impairment or disability

We work with our patients on prevention of chronic diseases and provide regular checks on cholesterol, glucose and blood pressure and help patients improve these. GPs use the Diabetic risk assessment tool and Australian Cardiovascular Risk Predictor to target those at moderate to high risk and also factor in family history and smoking status.

Our team has an excellent referral network of specialists and Allied Health professionals to help with chronic disease management.

NOTIFICATION RE: TELE-CONSULTATIONS

From Monday 30th March 2020, we will shift to delivering mostly tele-consultations.
As such, w
e will only examine people in person by invitation. This might seem extreme, but it is likely that in the coming weeks that more widespread social isolation or home quarantine will be necessary as a result of COVID-19. We don't want to alarm you, but we do want you to be prepared for the changes that we will make to your care at this practice.

A large proportion of routine care can be performed via telehealth. Over the next few months, we may delay some routine preventative health care such as skin checks, routine pap smears, chronic disease care plans, and routine physical examinations, which can wait for a time when the community risks are lower. Please also remember that even if you have cold or flu symptoms, at the moment, it is more likely that it isn’t COVID-19. Testing is strictly limited to people who fit the criteria set by the Australian Government. If you are sick, please stay home until you have been well for at least 48 hours. If you need advice, please call our practice to arrange a consult via telephone.