About RWO
 

Disease State Management

Kaupapa

For Adults with diabetes, heart and respiratory disease states.  To assist them and/or their whanau to independently manage the disease state(s) over a 12 month period.

 

To provide a mobile nursing service to Māori adults and other adults who wish to access the service that focuses on lung disease, diabetes, and heart disease.  Through whanau centred health promotion, health education, assessment, early detection, and health care planning, the service will strive to ensure whanau develop the knowledge and receive the full range of, support necessary to manage and improve their health.  The service focuses on; Heart and lunch disease and diabetes

 

  • Identification of clients at risk of diabetes, lung and heart disease, regular promotion of risk reduction and monitoring for early signs of disease e.g. blood pressure checks, blood glucose levels.
  • Information to ensure whanau are fully informed about prevention and treatment of the disease.
  • Promotion of physical activity and health lifestyle.
  • Smokefree promotion with advice and referral to a smoking cessation programme.
  • Coordination of effective primary and secondary care e.g. GP, annual review, nutrition advice etc.
  • Development of asthma action plans to help prevent the impact of asthma on individuals and whanau.
  • Development of diabetes management plans with whanau and their primary and secondary care providers.
  • Facilitation of completion of annual diabetes review including access to eye screening, podiatry and nutrition advice.

 

Access

The service is aiming to reach those clients and whanau who require information, and support to effectively manage their illness.  Access can be by self referral or referral from any source e.g. GP.

 

Location of services

Mobile Māori Nursing Service is available in the areas, from and between Peka Peka in the south to Bulls in the north, with bases in Otaki, Levin and Feilding.

Services may be provided: in your home, on Marae,  work, at any of the Bases or anywhere deemed suitable.