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Clinical Care Service

Chronic Disease Management

Nurse-led support to manage ongoing conditions confidently — monitoring, medication, and self-management, all at home.

Real Caring team members supporting a client in Geelong

Nurse-Led Management of Ongoing Conditions

Our registered nurses help you manage ongoing health conditions — including diabetes, heart and respiratory conditions — through regular monitoring, medication management, symptom recognition, and personalised self-management education. The goal is stability, fewer hospital admissions, and confidence living well at home.

As a clinical support under the Support at Home Programme, chronic disease management is fully government-funded — there is no participant contribution. We coordinate with your GP and specialists to keep your care plan current across Geelong and surrounds.

Our Chronic Disease Management Services

  • Diabetes Management

    Blood glucose monitoring, insulin, foot care, and help with diet — the day-to-day of managing diabetes at home.

  • Cardiac Care

    Specialised management of heart conditions including monitoring vital signs, medication management, lifestyle modifications, and symptom recognition.

  • Respiratory Support

    Expert care for chronic respiratory conditions such as COPD and asthma, including breathing techniques, inhaler management, and exacerbation prevention.

  • Medication Optimisation

    A nurse reviews complex medication regimes across several conditions, looking for what is working, what is duplicated, and what may be causing side effects.

  • Health Monitoring

    Regular monitoring of vital signs, symptoms, and health indicators to track condition stability, identify trends, and detect changes requiring intervention.

  • Education & Self-Management

    Personalised education programs to develop self-management skills, condition understanding, symptom recognition, and when to seek medical assistance.

What it costs

Under Support at Home this is clinical care: Fully government-funded — 0% (Clinical support). Our full fee schedule is published, service by service.

See fees & funding
Real Caring Care Partners in uniform

Who'll be helping

A Care Partner meets you at home first, so you know who you are dealing with before anything starts. Our team includes Registered and Enrolled Nurses alongside community-services professionals.

Everyone is police-checked and qualification-verified, and hired against the seven values the business was built on.

Meet the team

Questions we get asked

Confident Management of Ongoing Conditions

Contact us today to discuss nurse-led chronic disease management tailored to your health needs.

Call (03) 5229 0722