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Admission attendances 

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Annual case conferences with residents, families and multidisciplinary team members of facilities 

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Quarterly chronic care care plan reviews prepared by the aged care home, to ensure goals of treatment are being met

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Annual comprehensive medical assessments 

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Investigations and referrals and review of outcome as deemed necessary 

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Regular monitoring and assistance from practice nurse in ensuring wellbeing of patients

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Advance care planning

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Annual residential medication management reviews

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