Chronic Disease Management at Home on the Central Coast
Ongoing nursing support for people living with diabetes, heart disease, COPD and other long-term conditions, so you can stay well and independent at home.
Servicing Gosford, Erina, Terrigal, Wyong, Chain Valley Bay, Newcastle, Hornsby and surrounding areas.
Support that fits around your life
Living with a long-term condition means managing it every day. A registered nurse who visits at home can help you stay on track, spot changes early, and make care easier for you and your family.
Regular check-ins
Visits to check how you are going, such as blood pressure, pulse, breathing, weight and general wellbeing, and to notice changes early.
Understanding your condition
Plain explanations of your condition and your care plan, so you feel more confident managing day to day.
Medicines support
Helping you understand what you take and when, noticing side effects, and raising concerns with your GP or pharmacist.
Skin and foot care
Looking after skin, legs and feet, which matters especially with diabetes and circulation problems, including wound care when needed.
Early warning signs
Teaching you and your family what to watch for, and when to call your GP, so small problems don't become hospital visits.
Working with your care team
Keeping your GP, specialists and provider informed, with your consent, so everyone follows the same plan.
Common conditions I support
General examples only. Every plan is tailored to you and agreed with your doctor.
Diabetes
- Education on blood glucose monitoring, if your doctor has advised it
- Daily foot checks and skin care
- Healthy eating and fluid advice, with dietitian referral if needed
- Support to attend regular GP and eye and foot checks
Heart disease and heart failure
- Blood pressure, pulse and weight monitoring as advised
- Watching for swelling and breathlessness
- Support with medicines and fluid advice from your doctor
- Encouragement with safe, gentle activity
COPD and lung conditions
- Checking breathing and how you cope day to day
- Support to use puffers and spacers correctly
- Advice on spotting a flare-up early
- Reminders about vaccinations and action plans from your GP
I also support people with other long-term conditions. Call to ask whether I can help with yours.
What happens at a visit
A simple process, with you and your family involved at every step.
Get in touch
Call or send an enquiry. Tell me about your condition and what you would like help with.
Home assessment
I talk with you, check how you are going, and look at how things work at home.
Care plan
We agree how often I visit and what you or your family will do between visits.
Ongoing support
I carry out checks and support, and keep your care team informed, with your consent.
When to get help
Call 000 if:
- There is chest pain or pressure, or sudden severe breathlessness
- There are signs of a stroke, such as face drooping, weak arm or slurred speech
- Someone with diabetes is very drowsy, confused or unresponsive
- You feel very unwell or believe someone is in immediate danger
Contact your GP the same day if:
- Breathing is getting worse or you need your puffer more than usual
- Legs or ankles are more swollen, or weight has risen quickly
- Blood glucose readings are outside the range your doctor gave you
- A foot sore, blister or wound is new or not improving
- You have a fever or feel more unwell than usual
Receiving Support at Home?
Under Support at Home, a registered provider arranges your services, and participants do not contribute to clinical support costs such as nursing. A good first step is to ask your provider whether they can arrange nursing visits from me. You are also welcome to contact me directly to talk through your options.
Where I visit
Central Coast: Gosford, Erina, Terrigal, Wyong, Chain Valley Bay and surrounding suburbs.
Also visiting: Newcastle, Hornsby and surrounding areas.
Not sure whether I visit your suburb? Get in touch and I will let you know.
Chronic disease FAQs
Do I need a referral?
You do not need a GP referral to get in touch. With your consent, I may speak with your GP about your care.
Will you change my medicines?
No. Your doctor decides on your medicines. I can help you understand them and pass on any concerns or side effects.
How often will you visit?
It depends on your needs. We will agree a schedule after the first visit and review it as things change.
Can a family member arrange this for me?
Yes. Family members are welcome to call, and you can have as much involvement from them as you like.
Do you visit people in aged care facilities?
No. I only visit people in their own homes.
Need support with a long-term condition?
Call or send an enquiry. I will talk through your situation and arrange a visit.
This page is general information only and is not a substitute for medical advice. If you are worried about your health or someone you care for, speak to your GP. In an emergency, call 000.