RecoveryPost-Hospital Care
Nurse visits in the weeks after discharge, when most readmissions happen. Vitals, incisions, medications and warning signs.
Learn moreChronic care
Chronic Disease Management at Home
Heart failure, COPD, diabetes and high blood pressure, managed with regular checks and real teaching. Based in Canoga Park and serving all of greater Los Angeles.
Based in Canoga Park, serving greater Los Angeles
Chronic Disease Management from licensed nurses
Living with a chronic condition means making a hundred small decisions a week about food, activity, medications and symptoms. A nurse at home helps those decisions go the right way.
We track the numbers that matter for each condition, such as daily weights, oxygen levels and blood sugar. We teach what the numbers mean, and we contact the physician when a trend points toward trouble.
Our nurses provide chronic disease management in homes across the San Fernando Valley, Thousand Oaks, Santa Clarita and Valencia, and the Westside from Brentwood to Bel Air.
What's included
What a chronic disease management visit covers
Heart failure
Daily weight tracking, fluid and sodium guidance, and swelling and breathing checks.
COPD
Inhaler technique, breathing exercises, oxygen safety and flare warning signs.
Diabetes
Glucose monitoring, insulin teaching, foot checks and low blood sugar plans.
High blood pressure
Home readings, medication follow-up and lifestyle teaching that fits real life.
Who it helps
Who this service is for
Patients whose condition recently worsened, who were just diagnosed, or whose doctor wants closer monitoring at home.
All skilled services require a physician's order. If you don't have one yet, contact our office and we can reach out to the doctor for you. See how Medicare and insurance coverage works.
FAQ
Common questions about chronic disease management
How is this different from a doctor's appointment?
We see the patient where they live, which shows us things an office visit can't, like what's in the fridge or how hard the stairs are. Findings go back to the doctor.
Can you help with a new insulin prescription?
Yes. Insulin teaching is a common reason for skilled nursing visits.
When should we call 911 instead of the nurse?
Severe shortness of breath, chest pain, fainting, confusion that comes on suddenly, or signs of stroke. Call 911 first.
Related services
Often paired with chronic disease management
Bring the nurse home.
Planning a hospital discharge or worried about a parent at home? Reach our Canoga Park office and we'll walk you through the next steps, from doctor's orders to the first visit.
Written and medically reviewed by Aida Karamian, RN, BSN, PHN, Owner and Director of Nursing. Last updated