Chronic Disease Management at Eastwood Family Doctors

• Comprehensive Health Assessments
  • Initial and ongoing reviews to monitor chronic conditions and overall health.
• Individualised Care Plans
  • GP-led care plans tailored to patient needs, often including Medicare-funded Chronic Disease Management Plans.
• Regular Monitoring & Reviews
  • Scheduled check-ups to track progress, adjust medications, and prevent complications.
• Diabetes Management
  • Blood sugar monitoring
  • Insulin initiation and review
  • Lifestyle support and referrals
• Cardiovascular Care
  • Management of high blood pressure, high cholesterol, heart disease, and stroke prevention.
• Respiratory Condition Support
  • Care for asthma, COPD, and other long-term lung conditions.
• Arthritis & Musculoskeletal Conditions
  • Support for chronic joint pain, osteoarthritis, and mobility challenges.
• Chronic Kidney Disease Management
  • Monitoring kidney function and coordinating specialist referrals.
• Mental Health & Wellbeing Support
  • Care plans for anxiety, depression, or stress linked with chronic illness.
• Medication Management
  • Prescriptions, reviews, and education to ensure safe and effective use.
• Preventative Screenings & Lifestyle Advice
  • Nutrition, physical activity, smoking cessation, and weight management support.
• Allied Health Referrals
  • Access to physiotherapists, dietitians, exercise physiologists, psychologists, and podiatrists.
• Team-Based Care & Coordination
  • Collaborative approach between GP, specialists, and allied health providers to improve outcomes.