DVA community nursing
DVA Chronic Disease Management at Home on the Gold Coast, Brisbane & Northern NSW
Living well with a long-term condition takes more than a prescription. Our registered nurses monitor your diabetes, heart, lungs, kidneys or pain at home, adjust treatment with your GP and act early on warning signs — with approved DVA visits billed direct to the Department.
- Diabetes, heart failure, COPD, kidney disease and pain support
- Regular observations, monitoring and documented reviews
- Early escalation to your GP or specialist before a crisis
- Approved DVA visits billed direct — no out-of-pocket cost
Servicing Gold Coast, Brisbane, North East NSW.
- Registered nurses lead every chronic care plan
- ClinicalRegistered nurses lead every chronic care plan
- Approved DVA nursing billed to the Department
- No costApproved DVA nursing billed to the Department
- Flexible daily, weekly and fortnightly reviews
- 7 daysFlexible daily, weekly and fortnightly reviews
- Gold Coast, Brisbane and Northern NSW
- 3 regionsGold Coast, Brisbane and Northern NSW
What's included
Chronic condition support our DVA nurses provide
Each visit combines clinical monitoring with practical coaching, so small changes are caught early and daily routines stay realistic.
Diabetes management
Blood glucose monitoring, insulin administration, foot and skin checks, diet and hypoglycaemia education.
Heart failure and blood pressure
Blood pressure, pulse, weight and fluid monitoring, oedema checks and salt and fluid guidance.
Respiratory and COPD support
Oxygen saturation checks, inhaler and nebuliser technique, breathlessness pacing and action-plan review.
Pain and mobility review
Pain scoring, analgesia effectiveness, falls-risk screening and referral for equipment or therapy.
Care planning and documentation
A written plan with clear targets, escalation triggers and notes shared with your GP and specialists.
Self-management coaching
Practical education for you, your partner and carers on symptoms to watch, and exactly when to call.
Why it matters
Early monitoring keeps veterans out of hospital
Most chronic condition emergencies build slowly. A creeping weight gain, an oxygen level drifting down, a blood sugar pattern trending high, a wound that stops improving — each one is easy to miss at home and obvious to a nurse who sees you regularly and records the numbers.
That is the value of structured monitoring: your plan has clear thresholds, and when a reading crosses one, your nurse contacts your GP the same day rather than waiting for the next appointment. Many veterans avoid an admission simply because treatment was adjusted a week earlier.
Chronic disease management works best alongside medication management and health assessments and monitoring, so one visit covers your medicines, observations and overall wellbeing.
Eligibility
Who can access DVA chronic disease management
If you hold a DVA card and live with a long-term condition that needs nursing oversight, support is usually approved with a referral.
- DVA Gold Card holders with an assessed nursing need
- DVA White Card holders for accepted conditions
- Veterans referred by a GP, hospital or treating specialist
- Veterans managing diabetes, heart, lung or kidney conditions
- Veterans with several conditions and multiple treating doctors
- Veterans recently discharged with a new treatment plan
Call 1800 343 012 and our intake nurse will confirm your entitlement, arrange a referral if one is needed and book a home assessment. You can also explore the wider DVA community nursing program, our community nursing services or aged care at home.
Getting started
Chronic condition support arranged in four steps
1. Call our intake team
Tell us your conditions, your card type and any referral or discharge summary already in place.
2. Entitlement check
We confirm DVA eligibility and funding before your first visit — no surprise costs.
3. Nurse assessment
A registered nurse assesses you at home and writes a plan with monitoring targets and escalation triggers.
4. Ongoing reviews
Visits begin on an agreed schedule, with documented observations shared with your GP and specialists.
Related services
Explore other supports we deliver across Gold Coast, Brisbane, North East NSW.
DVA medication management
Webster pack support, administration, injections and reviews by registered nurses.
DVA continence care
Discreet assessment, product guidance and bladder and bowel management at home.
Post-hospital nursing support
Short-term nursing after a hospital stay to protect your recovery at home.
FAQs
DVA chronic disease management FAQs
Arrange chronic condition support for a veteran
Call 1800 343 012 and our intake nurse will confirm DVA eligibility and book a home assessment across the Gold Coast, Brisbane and Northern NSW.