Community Nursing Services

NDIS Registered • Registered Nurse Led • Disability Focused Health Supports 

Alvarra Health & Wellbeing provides NDIS Registered, high-quality, person-centred Community Nursing for NDIS participants across South-East Queensland. Delivered by AHPRA Registered Nurses with experience supporting people with complex disability-related health needs.

Our experienced Registered Nurses deliver safe, evidence-based care in homes, supported living accommodation and community settings, supporting individuals with complex health needs, chronic conditions and disability. We focus on dignity, comfort, education and empowerment, helping participants build confidence and wellbeing in everyday life.

What is NDIS COMMUNITY NURSING CARE?

Supports are tailored to the participant’s health needs, environment, and functional capacity, and may include wound care, medication support, continence care, diabetes management, health monitoring, and post-hospital transition support.

Community Nursing Care at Alvarra:

– Delivered in the home and community
– Focused on safety, health stability, and independence
– Supports participants, families, and support teams
– Aligned with NDIS goals, safeguards, and best-practice standards

Who We Support

We provide Community Nursing services to  NDIS participants of all ages who require disability-related clinical care delivered by a Registered Nurse, including:

– Participants with complex or high-risk health needs
– Participants requiring medication support or monitoring
– Participants with disability-related medical conditions
– Participants transitioning from hospital to home
– Participants requiring health input to support behaviour or safety

clinical reports & evidence for ndis planning

Alvarra provides high-quality, RN-led nursing reports that support NDIS funding decisions, risk management, and coordinated multidisciplinary care.

Our reports are evidence-based, clearly written, and designed to support participants during NDIS plan reviews, change of circumstances requests, and complex planning discussions.

Nursing Reports We Provide:
– Initial Nursing Assessment Reports
– Ongoing Nursing Review Reports
– Complex Health Needs Reports
– Medication Safety & PRN Review Reports
– Health Risk & Escalation Reports
– Emergency Health Support Plans
– Functional Health Impact Reports (supporting evidence for NDIS plan reviews)

All reports clearly link health needs → functional impact → required supports, and are suitable for use in NDIS plan reviews, safeguarding processes, and multidisciplinary planning.

NDIS Community nursing services we offer

  • Acute & chronic wound care
  • Pressure injury management & prevention
  • Wound care plans
  • Compression therapy
  • Medication administration (oral, injectable, topical, nebulised)
  • Insulin administration
  • Medication set-up / Webster pack support
  • Medication education for participants & carers
  • Blood glucose monitoring
  • Insulin administration
  • Diabetes education
  • Hypo/hyperglycaemia support plans
  • Catheter changes (IDC, SPC)
  • Catheter care & troubleshooting
  • Continence assessments & product recommendations
  • Bowel care & bowel management plans
  • PEG/PEJ feed management
  • Tube care & stoma site assessments
  • Feed regime monitoring & troubleshooting
  • Education for carers & support staff
  • Nebulisers & inhaler support
  • Oxygen therapy support
  • Respiratory assessments
  • Vital sign monitoring
  • Health assessments & safety checks
  • Post-hospital discharge support
  • Collaboration with GPs, allied health & specialists
  • Health education for participants and carers
  • Medication education and competency assessments for staff
  • Diabetes & hypo management
  • Safe feeding practices
  • Safe catheter care
  • Recognising clinical deterioration
  • Health escalation pathways
  • Clinical guidance for complex health needs
  • Liaison with GPs, specialists, and allied health providers
    • Individualised Nursing Care Plans

    • Medication Management Plans

    • Continence Care Plans

    • Wound Care Plans

    • Infection Prevention & Monitoring Plans

    • Enteral Feeding Support Plans

    Nursing supports may be provided as one-off assessments, short-term interventions, or ongoing nursing support, depending on participant needs.

    Community nursing support delivered with dignity and clinical care
    Community nursing support delivered with dignity and clinical care
    Community nursing support delivered with dignity and clinical care

    NURSING ASSESSMENTS WE PROVIDE

    Comprehensive Nursing Assessments

    Holistic health assessments

    Identification of disability-related health needs

    Baseline health status and risk profiling

    Functional impact of health conditions on daily life

    Medication & Medication Safety Assessments

    Medication reconciliation and review

    Polypharmacy risk assessment

    PRN medication usage analysis

    Medication adherence and safety risks

    Education and monitoring recommendations

    Skin Integrity & Wound Assessments

    Pressure injury risk assessments

    Skin integrity reviews

    Chronic wound assessments and monitoring

    Prevention and management planning

    Respiratory, Swallowing & Feeding Risk Screening

    Aspiration and choking risk screening

    Enteral feeding (PEG) nursing assessments

    Respiratory monitoring and escalation planning

    Falls, Mobility & Fatigue Risk Assessments

    Falls risk screening

    Endurance and postural tolerance considerations

    Health-related mobility risks

    Cognitive, Capacity & Mental Health Risk Screening

    Capacity to manage health-related tasks

    Insight into health needs

    Mental health and psychosocial risk screening

    Behaviour-health interaction identification (pain, infection, medication effects)

    Clinical Nursing Support for Positive Behaviour Support Plans 

    At Alvarra Health & Wellbeing, our integrated nursing and behaviour support expertise allows us to take a truly holistic approach to understanding and responding to behaviours of concern. Many behaviours are influenced by underlying or unmet health needs, and our clinical nursing lens ensures these contributing factors are recognised, explored, and appropriately addressed.

    Our team provides comprehensive physical health assessments that inform Functional Behaviour Assessments (FBAs) and Positive Behaviour Support Plans (PBSPs). This helps to identify when behaviours may be linked to pain, illness, medication impacts, sleep or sensory disturbances, hormonal changes, infection, or other health-related triggers.

    We also offer ongoing monitoring of health factors that may influence behaviour, supporting early detection of deterioration and reducing the likelihood of unnecessary hospital presentations. Our nursing-informed risk management approach ensures that all behaviour support plans consider both behavioural and clinical safety risks, resulting in supports that are clearer, safer, and more effective.

    By combining evidence-based nursing practice with neuroaffirming, trauma-informed behaviour support, Alvarra delivers comprehensive and clinically sound supports that promote wellbeing, dignity, and improved outcomes for participants and their multidisciplinary care teams.

    Ready to Refer Someone for Community Nursing?

    Know someone who would benefit from safe, compassionate, and clinically informed Community Nursing support? Our team is ready to provide high-quality, person-centred care tailored to their health needs, goals, and NDIS plan. We offer professional, reliable nursing services delivered in the comfort of the participant’s home.