This "chronic care management" report is an osteoarthritis chronic care program. This chronic care in nursing report will focus on arthritis chronic condition and will attempt to outline different guidelines and practice standards effective in the Australian demographics for optimal care planning and delivery, with emphasis n the Sydney local district. Here, in this chronic care management, we will discuss the overall impact on the physical and psychological health, mental-emotional spiritual of the patient of a chronic illness has the power to alter the response mechanism.