Transformative Nursing is a premier community nursing organisation based in Townsville, Queensland, specialising in high-intensity, client-centred care delivered in the home.

With expertise in Acute Care, Critical Care, Chronic Health Issues, and Complex Wound Management, we are equipped to address complex health needs with compassion, precision, and innovation.

At Transformative Nursing, we understand that finding the right care provider can be a daunting task.

That's why we work closely with each individual to develop a personalised care plan that meets their unique needs.

Our team of experienced and compassionate nurses is committed to providing the highest standard of care.

Our Services

Transformative Nursing provides a comprehensive suite of specialised nursing services designed to support clients with complex health needs in their homes. Our services promote independence, enhance quality of life, and achieve health goals, including:

Complex Bowel Care
We provide safe, evidence-based management for clients with bowel dysfunction, such as those with spinal cord injuries, multiple sclerosis, or neurogenic bowel conditions. Our RNs perform digital rectal examinations, administer enemas, and implement bowel programs (e.g., manual evacuation, suppository use) per clinical guidelines. We focus on dignity, infection prevention (using PPE, sterile techniques), and client education to promote independence, reducing the risk of complications like constipation, impaction, or autonomic dysreflexia.

PEG Feeding and Management
Our expert RNs manage percutaneous endoscopic gastrostomy (PEG) feeding for clients unable to eat orally (e.g., post-stroke, motor neuron disease). We ensure correct tube placement, administer feeds/fluids per dietitian plans, and monitor for complications like blockages, infections, or skin breakdown at the site. We train clients and families on PEG hygiene (e.g., cleaning with saline, rotating the tube) and emergency protocols (e.g., dislodgement), supporting NDIS participants in maintaining nutrition and hydration safely at home.

Urinary Catheter Management
We offer comprehensive catheter care, including insertion (indwelling, suprapubic, or intermittent), maintenance, and monitoring for clients with urinary retention or incontinence (e.g., spinal injuries). Our RNs use aseptic techniques to prevent infections (e.g., CAUTIs), perform bladder scans to assess residuals, and change catheters per schedule (e.g., every 6-8 weeks). We educate clients on fluid intake, catheter hygiene, and signs of complications (e.g., cloudy urine, fever), ensuring comfort and reducing hospital visits.

Subcutaneous Injections
Our RNs administer subcutaneous injections, such as insulin for diabetes or hormone therapies, ensuring precise dosing and site rotation to prevent tissue damage. We follow strict infection control (e.g., alcohol swabs, sharps disposal) and monitor for adverse reactions (e.g., hypoglycaemia). Clients are educated on self-administration where appropriate, empowering NDIS participants to manage their health with confidence.

Complex Wound Management
We provide advanced care for chronic wounds (e.g., pressure injuries, diabetic ulcers) and post-surgical wounds, using evidence-based practices to promote healing. Our RNs assess wounds (e.g., size, depth, exudate), select appropriate dressings (e.g., hydrocolloids, alginates), and manage infections (e.g., debridement). We collaborate with wound specialists, monitor healing progress, and educate clients on pressure relief and nutrition, reducing the risk of deterioration and enhancing quality of life.

Medication Management
We ensure safe administration and monitoring of medications, including oral, topical, and injectable forms, for clients with complex regimens. Our RNs verify prescriptions, use Webster packs for compliance, and monitor for side effects or interactions (e.g., sedation). We educate clients on medication schedules and purpose, ensuring adherence and efficacy while minimising risks like overdose or missed doses, critical for NDIS participants with cognitive challenges.

Ventilator Management and Respiratory Support
Our specialised RNs manage clients requiring mechanical ventilation or respiratory support (e.g., for neuromuscular diseases). We monitor ventilator settings, ensure airway patency, and perform suctioning to prevent blockages. We assess oxygen saturation, respiratory rate, and lung sounds, adjusting care to prevent complications like pneumonia or hypoxia. Clients and families are trained on emergency protocols (e.g., power failure, alarms), supporting safe home care for high-needs NDIS participants.

Tracheostomy and Laryngectomy Care
We provide comprehensive care for clients with tracheostomies or laryngectomies, including suctioning to clear secretions, cleaning (e.g., inner cannula changes), and dressing the site to prevent infections. Our RNs monitor for complications (e.g., blockages, granulation tissue) and provide humidification to maintain airway moisture. We educate clients and families on daily care, emergency procedures (e.g., tube dislodgement), and communication strategies, ensuring safety and confidence for NDIS participants.

Stoma Care
We support clients with colostomies, ileostomies, or urostomies, ensuring proper stoma function and skin health. Our RNs assess stoma output, fit appliances (e.g., one-piece/two-piece systems), and manage complications like leakage or peristomal skin irritation. We provide dietary advice (e.g., avoiding high-fibre foods for ileostomies) and teach clients self-care techniques, promoting independence and dignity while reducing the risk of infections or hospital readmissions.

Overnight Nursing Care
We offer continuous overnight care for clients requiring 24/7 monitoring, such as those with ventilators, severe disabilities, or palliative needs. Our RNs provide active monitoring (e.g., vitals checks, repositioning), administer medications, and respond to emergencies (e.g., seizures, respiratory distress). We ensure a safe sleep environment, document care in real-time (e.g., via Halaxy for NDIS audits), and provide peace of mind for NDIS participants and families.

Monitoring Vitals
We conduct regular checks of vital signs—blood pressure, pulse, temperature, respiratory rate, and blood sugar levels—for clients with chronic conditions (e.g., diabetes). Using medical-grade equipment (e.g., BP monitors, glucometers), our RNs detect abnormalities early (e.g., tachycardia, fever), enabling timely interventions. We document trends in EHR systems and educate clients on self-monitoring, empowering NDIS participants to manage their health proactively.

Health Education
We deliver tailored education for NDIS participants and families, focusing on self-management of conditions like diabetes, wound care, or catheter use. Our RNs use visual aids, simplified language, and hands-on training to teach skills (e.g., insulin injection, stoma bag changes). We cover lifestyle factors (e.g., diet, exercise) and warning signs (e.g., infection symptoms), fostering independence and reducing reliance on acute care services.

Continence Management Support
We provide strategies to manage incontinence (urinary/faecal), including assessments (e.g., bladder diaries), catheter care, and pelvic floor exercises. Our RNs recommend continence aids (e.g., pads) and collaborate with continence nurses for complex cases. We educate clients on hydration, toileting schedules, and skin care to prevent irritation, improving comfort and dignity for NDIS participants with conditions like spinal injuries.

Palliative Care
Our compassionate end-of-life care ensures comfort and dignity for NDIS participants with terminal illnesses (e.g., advanced neurological conditions). We manage symptoms (e.g., pain, dyspnoea) with medications, oxygen therapy, and positioning, while providing emotional support to families. Our RNs coordinate with palliative care teams, follow advance care plans, and offer bereavement support, ensuring holistic care that aligns with NDIS high-intensity support frameworks.

Diabetes Management
We provide comprehensive support for diabetes, including blood sugar monitoring (e.g., finger-prick tests, CGM), insulin administration, and lifestyle education (e.g., carb counting, exercise). Our RNs monitor for hypo/hyperglycaemia, manage complications (e.g., neuropathy, foot ulcers), and collaborate with dietitians for meal planning. We educate clients on self-care and emergency protocols (e.g., glucagon use), empowering NDIS participants to live well with diabetes.

Support After Hospital Stay and Post-Operative Care
We facilitate smooth transitions post-hospitalisation or surgery, aiding recovery and preventing readmissions for NDIS participants. Our RNs monitor wounds, manage drains/tubes, and administer medications while assessing for complications (e.g., infections). We support mobility, coordinate with allied health (e.g., physio), and provide education on recovery milestones, ensuring clients regain independence safely at home.

Dementia Support
We offer specialised care for NDIS participants with dementia, focusing on safety, comfort, and quality of life. Our RNs manage behaviours (e.g., agitation, wandering) with person-centred strategies, ensure medication compliance, and monitor nutrition/hydration. We create safe environments (e.g., removing hazards) and educate families on communication techniques, supporting clients in living with dignity despite cognitive decline.

Assistance with Self-Care Activities
We support NDIS participants with daily activities—bathing, dressing, grooming, and feeding—to promote independence. Our RNs assist with mobility (e.g., transfers, hoist use), ensure hygiene (e.g., oral care), and adapt care to client preferences. We encourage participation where possible, aligning with NDIS goals to enhance autonomy.

Health Assessments and Treatment Planning
We conduct thorough health assessments (e.g., medical history, physical exams) to develop individualised care plans in collaboration with NDIS participants and support coordinators. Our RNs identify needs (e.g., wound care, continence support), set goals (e.g., improve mobility), and monitor outcomes, ensuring holistic, client-centred care that meets NDIS high-intensity support requirements and promotes long-term well-being.