As part of Primary Care, Chronic Disease Management supports people living with long-term health conditions (e.g., diabetes) through education, prevention and ongoing clinical support. The program emphasizes self-management, early intervention, and coordinated care with primary and specialist services.
Program Components:
- Individualized care planning and multidisciplinary case management.
- One-to-one diabetes education with registered nurses and certified diabetes educators.
- Nutrition counselling with a registered dietitian.
- Blood sugar and blood pressure screenings, foot care clinics
- Community education: group presentations, health promotion fairs, school-based nutrition, and cooking/food-preservation workshops.
- Physical activity programs, youth and community fitness activities, Green Food Bag distribution.
Our goal is to reduce complications, improve quality of life, and equip individuals and families with practical tools to manage chronic conditions.
Foot Care Services Criteria:
Sector 4 is proud to provide foot care services to the community through both clinic appointments and home visits. Currently, home visits are reserved for individuals who:
- Have limited mobility
- Do not drive
- Have no access to transportation from family, friends or NIHB transportation services.
This approach allows staff to prioritize those who truly require in-home care due to physical or logistical limitations.
Whenever possible, clients are encouraged to attend appointments in the clinic. The clinic setting allows for the most hygienic, efficient, and comprehensive care, while also enabling staff to serve a greater number of community members each day.
Contact Chronic Disease Management:
Kanonhkwa'tsheri:io Health Facility
31 Hilltop Drive, Kana:takon
Akwesasne, QC H0M 1A0
Phone: 613-575-2341 ext. 3247