Chronic Disease Management | Expert Long-Term Care

Comprehensive Chronic Disease Management Near You

We specialize in managing chronic health conditions through personalized care plans, regular monitoring, and coordinated specialist care. Our experienced healthcare team provides dedicated support to patients in Stoney Creek, Welland and Hamilton, helping them effectively manage their chronic conditions and improve their quality of life.

Our Chronic Disease Management Services

Diabetes Care and Management

Comprehensive diabetes support including:

  • Type 1 and Type 2 diabetes management

  • Blood sugar monitoring

  • A1C testing and tracking

  • Insulin management

  • Dietary guidance

  • Foot care assessment

  • Complication prevention

  • Regular health screenings

  • Diabetes education

  • Medication adjustment

  • Lifestyle modification support

  • Blood pressure monitoring

Our Chronic Disease Management Services
Cardiovascular Health Care Services

Cardiovascular Health

Expert care for heart-related conditions:

  • Hypertension (high blood pressure) management

  • Heart disease monitoring

  • Cholesterol level management

  • Stroke prevention

  • Heart rhythm monitoring

  • Medication management

  • Lifestyle modifications

  • Risk factor assessment

  • Regular cardiac check-ups

  • Exercise recommendations

  • Dietary counseling

  • Specialist coordination

Respiratory Conditions

Treatment and monitoring for:

  • Asthma management

  • COPD care

  • Bronchitis

  • Sleep apnea coordination

  • Breathing assessments

  • Inhaler technique education

  • Action plan development

  • Trigger identification

  • Peak flow monitoring

  • Pulmonary function testing

  • Emergency planning

  • Smoking cessation support

Respiratory Conditions Solutions
Arthritis and Joint Conditions Solutions

Arthritis and Joint Conditions

Comprehensive care including:

  • Osteoarthritis management

  • Rheumatoid arthritis monitoring

  • Joint pain assessment

  • Mobility evaluation

  • Pain management strategies

  • Physical therapy referrals

  • Exercise recommendations

  • Assistive device guidance

  • Medication management

  • Lifestyle modifications

  • Regular assessments

  • Treatment plan updates

Our Treatment Approach

Personalized Care Plans

Individualized management strategies:

  • Comprehensive initial assessment

  • Personal health history review

  • Current symptoms evaluation

  • Treatment goal setting

  • Medication planning

  • Lifestyle modification strategies

  • Regular monitoring schedule

  • Progress tracking systems

Our Health Care Treatment
Coordinated Specialist Health Care

Coordinated Specialist Care

Seamless healthcare coordination:

  • Specialist referrals when needed

  • Test result coordination

  • Treatment plan integration

  • Communication between providers

  • Emergency care planning

  • Hospital liaison services

  • Follow-up care arrangement

  • Record keeping and sharing

Regular Monitoring and Assessment

Ongoing care management through:

  • Scheduled check-ups during clinic hours

  • Vital sign monitoring

  • Medication reviews

  • Treatment adjustments

  • Progress evaluation

  • Goal reassessment

  • Risk factor monitoring

  • Complication prevention

Regular Health Care Monitoring and Assessment
Modern Healthcare Management

Technology and Tools

Modern Healthcare Management

Advanced monitoring systems:

  • Electronic health records

  • Digital prescription management

  • Online appointment booking

  • Test result tracking

  • Patient portal access

  • Secure communication channels

  • Educational resources

  • Remote monitoring options

Home Monitoring Support

Guidance for self-management:

  • Blood pressure monitoring

  • Blood sugar testing

  • Peak flow measurements

  • Symptom tracking

  • Medication scheduling

  • Exercise logging

  • Diet tracking

  • Progress reporting

Home Healthcare Monitoring Support
Patient Education Programs

Educational Support

Patient Education Programs

Comprehensive learning resources:

  • Disease-specific education

  • Medication management training

  • Lifestyle modification guidance

  • Nutrition counseling

  • Exercise instruction

  • Self-monitoring training

  • Emergency response planning

  • Support group information

Insurance and Coverage

We accept:

  • Ontario Health Insurance Plan (OHIP)

  • Private insurance plans

  • Extended health benefits

  • Workplace insurance

  • Motor vehicle insurance

  • Third-party coverage

  • Direct billing options

  • Payment plans available

Health Insurance and Payment Information

Making an Appointment

Booking Process

Multiple booking options:

  • Phone scheduling during regular hours
  • Online booking
  • Referral coordination
  • Follow-up scheduling
  • Specialist coordination
  • Virtual consultations (when appropriate)

Preparation Guidelines

Bring to your appointment:

  • Valid health card
  • Current medication list
  • Health history information
  • Recent test results
  • List of questions or concerns
  • Calendar for follow-up scheduling
  • Monitoring records
  • Symptom diary

Location and Hours

Stoney Creek Family Doctors and Walk In
70 King St E, Stoney Creek, Hamilton, ON L8G 1K2

Contact Information:

Welland Family Doctors and Walk-In Clinic
3 Cross St, Unit 301, Welland, ON L3B 5X6

Contact Information:

Confidential voicemail available 24/7

Your Partner in Long-Term Health

Managing chronic conditions requires dedicated support and expertise. At Stoney Creek Family Doctors, we're committed to helping you achieve the best possible health outcomes through comprehensive, personalized care.

Call 289-760-9594 during our regular hours to schedule your consultation and take the first step toward better health management.

Expert chronic disease management in your community.

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