‘The support and care of the Coordinated Veterans’ Care Program (CVC) care team means that Michael * now has a very different future to look forward to. He knows he is not alone - his care team, including his family, is here to support and help him. And that makes all the difference’
Kathy Godwin of Shoalhaven Family Medical Centres has seen first hand the changes that the Coordinated Veterans’ Care (CVC) Program can make to the health and wellbeing of our most vulnerable veterans and war widows.
A particularly urgent situation involved Michael, an Indigenous ex-Army veteran who suffered from diabetes and Posttraumatic Stress Disorder, and who was isolated from family and friends and had relationship problems. As Michael was at high risk of unplanned hospital admissions, his GP discussed the benefits of CVC with him and how his care could be coordinated and supported to see improved health outcomes.
’Before CVC, Michael stayed in bed all day; he was isolated, depressed, anxious and very ill and at risk of going to hospital from his poorly controlled diabetes and medications.
‘Thanks to the program he has progressed to the point where he is out and about and even exercising a little. He has had no unplanned hospitalisations from his conditions and is more careful about taking his medications. He cooks his own meals and has now reconnected with his family,’ Kathy said.
Michael’s care team is led by his GP and CVC nurse coordinator and includes an Aboriginal health worker, a diabetes educator, a mental health worker and a podiatrist.
Kathy stressed the importance of care coordination and the continuity of the care plan and notes. ’The continuity of notes on Michael’s health is just so important and having the notes all here at the practice, managed and coordinated, has been invaluable to the improvements we have seen in Michael’s conditions,’ Kathy said.
Michael has not had an unplanned hospital admission in the last two years and is now looking forward to a more comfortable, less anxious life where his health outcomes are looking very much improved.
‘It hasn’t always been easy for Michael, or for his care team, and improvements in Michael’s conditions and situation haven’t happened overnight. However, the results are clear for all to see – there has been a big change for the better in Michael’s health, mood and management of his conditions,’ Kathy said.
* name changed to protect privacy