The Challenge
Motor Neuron Disease (MND) is a progressive, life-limiting neurological condition requiring rapidly evolving, high-intensity supports.
At service commencement, the participant required moderate assistance with mobility, personal care, and fatigue management.
Over time, their needs escalated significantly to include:
- Loss of mobility and transition to powered wheelchair
- Swallowing impairment requiring PEG feeding
- Respiratory decline requiring CPAP support
- Increasing dependency for all Activities of Daily Living
This required a service model capable of anticipating progression, managing clinical risk, and scaling support safely and efficiently.
Our Approach
1. Proactive, Future-Focused Planning
From the outset, VIVA Mutual implemented a forward-planning model, anticipating disease progression and aligning supports early.
2. Nurse-Led Clinical Governance
A Registered Nurse led care delivery through:
- Comprehensive clinical assessments
- Detailed care plans and risk protocols
- Delegation of high intensity supports (PEG feeding, CPAP)
- Ongoing competency-based training and supervision
3. Workforce Capability and Scaling
Support workers received specialised training in:
- High intensity supports (enteral feeding, respiratory care)
- Manual handling and 2:1 transfers
- Fatigue-aware care practices
Staffing models evolved from 1:1 to 2:1 as complexity increased.
4. Integrated, Multidisciplinary Care
Close collaboration with:
- Support Coordinator
- MND SA (specialist education and guidance)
- Hospital and acute care teams
Ensured continuity across home, hospital, and end-of-life care.
5. Evidence-Based Funding Advocacy
Detailed clinical documentation supported successful NDIS funding reviews, ensuring appropriate resourcing for increasing care needs.
The Outcome
- Safe delivery of high intensity supports in line with NDIS frameworks
- Seamless adaptation to increasing complexity without disruption to care
- Maintained dignity and autonomy throughout disease progression
- Continuity of care across hospital admissions and transitions
- Compassionate, person-centred end-of-life support
Capability Demonstrated
VIVA Mutual specialises in delivering:
- High intensity clinical supports in home environments
- Nurse-led governance and delegation models
- Complex, progressive condition management
- End-of-life care within NDIS settings
When to Refer to VIVA Mutual?
- Participants with progressive neurological conditions (e.g. MND)
- Individuals requiring PEG feeding, respiratory supports, or complex care
- Situations where clinical oversight and workforce capability are critical
- Cases where supports must adapt quickly to changing needs
Our Difference
We don’t just respond to complexity – we plan for it.
VIVA Mutual delivers clinically governed, person-centred care that evolves with the individual, ensuring safety, dignity, and quality of life at every stage.
Better outcomes happen when the right people act early. That’s the VIVA difference.
Connect with VIVA Mutual via our online Link: VIVA Mutual Connect Now or phone our Support Centre on 8877 8000 or send an email to admin@vivamutual.org.au