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Disease Management  and Specialty Services

Disease Management and Specialty Services

For individuals with certain chronic diseases, Concordia Visiting Nurses has established a Disease Management Program with “clinical pathways” designed to help you maintain and manage your health. A clinical pathway is a set of evidence-based practices for a specific group of patients with an oftentimes predictable clinical course, in which healthcare tasks are defined, sequenced and carried out during home health care visits. Patient outcomes are tied to following these specific series of tasks.

Our Disease Management Program provides clinical pathways for many chronic diseases like Congestive Heart Disease, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Palliative Care and more. Additionally, our program addresses Mental Illness and Orthopedic Rehabilitation.

Congestive Heart Disease

The goal of the Concordia Congestive Heart Disease (CHF) Disease Management Program is to enable clients to achieve their optimal level of health and wellness in the comfort of their own home.

Education includes:

  • Symptoms of CHF
  • Diet and nutrition
  • Exercise and activity
  • Safety and fall prevention
  • Improving quality of life
  • Energy conservation
  • Proper medication use
  • Proper equipment use
  • Breathing exercises
  • Use of “Stoplight Tool” and weight chart

Initial two-week visits include the coordinated visits of skilled nursing and occupational therapy services.

TeleHealth monitoring provides professional assessment and monitoring to improve health and outcomes, reducing re-hospitalizations.

 

The physician may also choose to order a medical social worker and home health aide to further assist their patient.

For more information about our services or to schedule a free consultation, please call one of our offices. You can also message us here. 

Chronic Obstructive Pulmonary Disease

The goal of the Concordia Chronic Obstructive Pulmonary Disease (COPD) Management Program is to enable clients to achieve their optimal level of health and wellness in the comfort of their own home.

Education includes:

  • Symptoms of COPD
  • Diet, exercise & activity
  • Safety and fall prevention
  • Improving quality of life
  • Energy conservation
  • Proper medication use
  • Proper equipment use
  • Safe use of nebulizer and metered dose inhaler
  • Safe use of oxygen
  • Breathing exercises
  • Use of “Stoplight Tool”

A multidisciplinary team approach is utilized to help improve health and outcomes, and reduce re-hospitalizations.

The medical social worker is often helpful in addressing financial and social issues. The mental health nurse can address reducing anxiety levels relating to the disease.

For more information about our services or to schedule a free consultation, please call one of our offices. You can also message us here. 

Orthopedic Excellence

Concordia Visiting Nurses has an excellent Orthopedic Program to enable clients to achieve their maximum level of independence and mobility.

The goal of our program is to assist and educate clients on safe and effective therapy practices so they are able to maintain a healthy, active lifestyle.

A physical therapist first evaluates each client, creating a customized program based on the physician’s recommendations. Their care plan will include:

  • Assessment of post-operative therapy needs
  • Assessment of pain and assistance with pain management
  • Total joint replacement education
  • Fall prevention instruction
  • Strength and mobility assessment
  • Gait training
  • Assistive device education

Concordia Visiting Nurses works closely with the orthopedic team to meet the needs of each individual patient and help them work toward his/her successful and safe recovery.

For more information about our services or to schedule a free consultation, please call one of our offices. You can also message us here. 

Mental Health

Concordia Visiting Nurses provides a Mental Health Nursing Program to address the needs of clients in dealing with a mental illness.

The goal of our program is to assist patients in achieving their optimal level of mental health while preserving their dignity so they can return to a healthy lifestyle. If you or a loved one are suffering from one of the following ailments, we want to help.

  • Depression/Anxiety
  • Alzheimer’s/Dementia
  • Sleep Disorders
  • Bipolar Disorders
  • Social Withdrawal
  • Inability to function in a daily living environment

Concordia Visiting Nurses works closely with other mental health professionals to enable clients to enjoy a healthy lifestyle.

For more information about our services or to schedule a free consultation, please call one of our offices. You can also message us here.