Chronic Disease Management

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Long-Term Support for Better Health

Chronic diseases require more than one-time treatment — they need continuous care, lifestyle support, and regular follow-ups. At Kenneth Tan Medical Clinic, we provide detailed management plans to help you live well with chronic conditions.

Common Chronic Conditions We Manage

Our clinic provides long-term support for a wide range of chronic illnesses, including but not limited to:

  • Diabetes Mellitus & Pre-Diabetes – Regular blood sugar monitoring, medication management (including initiation), lifestyle modifications, and strategies to prevent progression from pre-diabetes.
  • Hypertension (High Blood Pressure) – Regular blood pressure monitoring, medication review and adjustment, and lifestyle counselling.
  • Lipid Disorders (High Cholesterol/Triglycerides) – Lipid profile monitoring, medication management, and personalised nutritional guidance.
  • Asthma – Symptom monitoring, personalised action plan development, inhaler technique training, medication adjustment, and trigger identification and avoidance.
  • Chronic Obstructive Pulmonary Disease (COPD) – Symptom management, inhaler therapy optimisation, smoking cessation support, exacerbation prevention, and coordination for pulmonary rehabilitation.
  • Chronic Kidney Disease (CKD) – Monitoring kidney function, blood pressure control, medication review to protect kidneys, dietary management, and addressing related complications.
  • Anxiety Disorders – Assessment and diagnosis, counselling and psychoeducation, medication management if indicated, development of coping strategies, and referrals for specialised therapy.
  • Major Depressive Disorder (Depression) – Screening and assessment, supportive counselling, antidepressant medication management, safety monitoring, lifestyle recommendations, and coordination with mental health specialists.
  • Bipolar Disorder – Ongoing monitoring in collaboration with specialists, medication adherence support, early recognition of mood shifts, and management of associated physical health conditions.
  • Schizophrenia – Collaborative care with psychiatric services, monitoring physical health impacts of treatment, supporting medication adherence, and facilitating access to community resources.
  • Stroke (Post-Stroke Care & Prevention) – Risk factor management and prevention strategies, monitoring recovery and potential complications, medication management, and coordination of rehabilitation services.
  • Major Neurocognitive Disorder (Dementia) – Assessment and support through diagnosis, management of cognitive and behavioural symptoms, medication review, caregiver education and support, safety planning, and facilitating advance care discussions.
  • Osteoarthritis (OA) – Pain management strategies, exercise recommendations, weight management counselling, joint protection advice, and referrals for physiotherapy or specialist care.
  • Parkinson’s Disease – Monitoring motor and non-motor symptoms, medication management support (in collaboration with neurology), addressing complications (e.g., falls, constipation), and coordinating multidisciplinary care.
  • Benign Prostatic Hyperplasia (BPH) / Enlarged Prostate – Symptom assessment and monitoring, medication management, lifestyle advice, screening for complications, and timely referral to urology.
  • Epilepsy – Seizure monitoring and documentation support, medication adherence and side effect management (often co-managed with neurology), trigger avoidance counselling, safety advice, and care coordination.
  • Osteoporosis – Risk assessment and screening coordination (e.g., DEXA scans), medication management to improve bone density, calcium and vitamin D supplementation guidance, and fall prevention strategies.
  • Psoriasis – Assessment of severity, prescription of topical treatments, lifestyle and skincare advice, monitoring for related conditions (e.g., psoriatic arthritis), and referral to dermatology for complex cases.
  • Rheumatoid Arthritis (RA) – Symptom and disease activity monitoring (in collaboration with rheumatology), managing pain and inflammation, monitoring for treatment side effects, addressing associated health issues, and care coordination.
  • Ischaemic Heart Disease (IHD) / Coronary Artery Disease – Management of symptoms (e.g., angina), secondary prevention with medication, rigorous control of cardiovascular risk factors, lifestyle modification support, and coordination with cardiology.
  • Allergic Rhinitis (Hay Fever) – Symptom control strategies, trigger identification and avoidance counselling, medication management (e.g., antihistamines, nasal sprays), patient education, and referrals for allergy testing if needed.
  • Gout – Management of acute flares, long-term medication to lower uric acid levels, dietary and lifestyle modifications, and monitoring of uric acid targets.
  • Chronic Hepatitis B – Regular monitoring of liver health and viral activity, screening for liver cancer, coordination of antiviral treatment when indicated, patient education on prevention of transmission, and managing associated health concerns.

What to Expect During Your Visit

Our chronic care consultations include:

  1. Review of your medical history and current condition.
  2. Physical examination and necessary investigations.
  3. Review or prescription of long-term medications.
  4. Lifestyle advice tailored to your needs.
  5. Regular monitoring and follow-up schedule.

Why Ongoing Care Matters

  • Prevent Complications: Early detection of issues helps prevent heart attacks, strokes, kidney failure, and other complications.
  • Personalised Care: Treatment plans are adjusted as your body and condition evolve.
  • Empowered Living: Education and support enable you to take control of your health.

Book Your Chronic Care Consultation

You don’t have to manage chronic illness alone. Let us be your partner in long-term health.

Book an Appointment or call us today.