Chronic Conditions Self-management Program
The Chronic Conditions Self-management (CCSM) Key Workers are able to help enable you to make lifestyle changes to improve your health and well-being. They can help you to set positive, realistic goals and provide support as you reach those goals and improve your health.
The CCSM Key Workers can help by discussing your individual needs, what is most important to you and what you would like to work on the most. If you are having trouble understanding your condition, the Key Workers can also help with this. The Key Workers can discuss treatment plans and refer you on to other services that may be able to help you to achieve your goals.
The CCSM Key Workers run gentle group exercises for people with chronic conditions. These groups include:
- the Heart Foundation’s Walking Group
- chair-based exercise groups
- chronic condition self-management support groups
These courses provide you with the skills needed to manage your health and well-being by yourself and work more effectively with your health care team.
If you are over the age of 18, and diagnosed with a chronic condition (a condition which lasts, or is expected to last for at least 6 months) give us a call at Primary Care Connect. This could include (but is not limited to):
- Cardiovascular disease (including high blood pressure or cholesterol)
- COPD & other lung diseases
- Chronic fatigue syndrome
- Chronic kidney disease
- Some forms of cancer
You can self-refer into the Chronic Conditions Self-management program by talking to Primary Care Connect’s Intake Worker, or we accept referrals from other health care professionals, including GPs.
Community Health Nurse
The Community Health Nurse (CHN) works in partnership with individuals, families and communities in Shepparton and surrounding areas to promote optimal health and wellbeing.
The CHN is involved in community and family health promotion, chronic health education and support, illness prevention and health screening.
Specific programs include:
- Diabetes and Asthma education;
- Cancer and Diabetes support groups;
- Living with Cancer education program; and
- Other chronic illness support programs.
The CHN also provides diabetes education to assist and support people with diabetes or at risk of developing diabetes, to understand the illness and make informed lifestyle and treatment choices, use their medicines effectively and safely monitor and interpret their blood glucose patterns. They also provide support, information and skills for families and carers to assist in the management of the disease.
What does a Dietitian do?
Primary Care Connect’s Dietitians are experts in the field of nutrition and provide up-to-date advice on food, nutrition and healthy eating. Dietitians work with you to make gradual, sustainable changes to your lifestyle to improve your health and wellbeing.
Dietitians can provide you with expert, individual nutrition advice for a range of health conditions, including, but not limited to:
- Overweight and obesity
- Type 2 Diabetes
- High Cholesterol Levels
- High Blood Pressure
- Coeliac Disease
- Inflammatory Bowel Disease
- Irritable Bowel Syndrome
- Diverticular disease
- Polycystic Ovarian Syndrome
- Food Allergy and Intolerances
- Iron Deficiency Anaemia
- Eating Disorders
- Pregnancy/Breastfeeding requirements
Who can access the Dietitian?
The Dietitian is available for all members of the community. Individual appointments as well as group programs can be provided.
How do I make an appointment?
Your GP can fax or mail a referral, providing details on your current health condition.
You can also contact Primary Care Connect in person or by phone on (03) 5823 3200 during business hours. Prior to your first appointment, you will be required to speak to the Intake Worker who will complete a referral for you to the appropriate program.
Please note that depending on demand, you may be placed on a waiting list and offered an appointment according to priority.
Health promotion can be defined as the process of enabling people to increase control over, and to improve their health.
The Health Promotion Program aims to work in partnership with other organisations and communities to develop targeted programs that facilitate active learning and encourage individuals to take control of their own health and wellbeing.
Health Promotion activities can be varied and range from advocacy on behalf of communities, focusing on improving settings, such as schools and workplaces, to be more health promoting and the provision of health information and resources.
The Health Promotion Program is currently developing a new plan for the 2015 â€“ 2017 cycle.
Two key health promotion priorities have been identified as Healthy Eating and Social Connection. PCC will be working in partnership with other member agencies in order to bring about improved health outcomes in these two particular areas.
Refugee Health Nurse
Who can access?
Refugee Health Nurse support can be offered to any member of the community from a Culturally and Linguistically Diverse (CALD) background living in the Shepparton and Goulburn Valley catchment area.
Support can be offered to individuals as well as groups. Interpreters are always used for consultations either face-to-face or telephone support.
Connect with a primary health service now.
All work is client-specific and confidential.
About the program
Clients are supported to navigate the local and state wide health services available to them and/or family members.
The Refugee Health Nurse has the capacity to support clients in their home, community settings and the hospital environment.
Both physical and mental/emotional health impact on the client’s ability to adjust to the new world they are a part of. Information sessions to support this transition are offered on a regular basis within the community health care setting.
How to access
Any inquiries about this service or the support offered to this client group should be directed to Primary Care Connect on (03) 5832 2300.
8.30am-4.30pm Tuesday and Thursday.