Page 52 - HA Convention 2016 [Abstracts (Day 2)]

HOSPITAL AUTHORITY CONVENTION 2016 Corporate Scholarship Presentations

C1.5 Rehabilitation 10:45 Room 428

Easy Access and Early Rehabilitation of Youth with “At Risk Mental State” in the Community
Li YB
Department of Psychiatry, Pamela Youde Nethersole Eastern Hospital, Hong Kong

The Overseas Corporate Scholarship Programme for Clinical Leaders 2014/15 - Early Psychosis Nursing was held with four-
week overseas training through attachment to Orygen Youth Health Research Centre and Orygen Youth Health Clinical
Programme (OYHCP) in Melbourne.

The Orygen Youth Health Research Centre focuses on finding out the biological, psychological and social factors that
influence the onset, remission and relapse of mental illness, so as to find better ways to prevent and/or reduce the impact
of mental disorders on young people. The Orygen Youth Health Clinical Programme (OYHCP) consists of Acute Services,
Continuing Care Team, and Psychosocial Recovery.

The OYH Continuing Care provides team-based case management and individual-focused therapeutic interventions. It
consists of four streams of care, including the Early Psychosis Prevention and Intervention Centre (EPPIC), Youth Mood Clinic
(YMC), Personal Assessment and Crisis Evaluation (PACE) and Helping Young People Early (HYPE). Each of these clinics
offers care for a maximum of two year. (Orygen Youth Health, 2014a).

In order to achieve easy access and early rehabilitation of youth with “at risk mental state” in the community, the following
methods are adopted: the “no wrong door policy”; stigma free and easy to access service; promotion of youth-friendly
and welcoming culture; encouragement of youth participation through Headspace Youth National Reference Group and
Headspace Ambassadors, Headspace School Support, Headspace Psychosocial Group Work of Headspace Centres in
community which help youth to solve mood problems, for example, youth with depressive mood, fluctuating mood on bullying
or relationship issues and general mental health.

Youth with “at risk mental state” (ARMS) identified will be assessed as per ultra risk of developing a psychotic disorder. They
will be referred to PACE for early rehabilitation, which involves psychological intervention such as cognitive behavioural
therapy, therapeutic case management, and psychiatric care. Pychotropic medication will be used if indicated. Headspace
Centres are really a key to success to help youth in the community.

C1.6 Rehabilitation 10:45 Room 428

Wednesday, 4 May Overseas Corporate Scholarship Programme for Clinical Leaders — Pain Management
Inspirations from a Chronic Pain Management Programme in Sydney: A Nursing Perspective
Lam FCW
Department of Anaesthesiology and Operating Theatre Services, Queen Elizabeth Hospital, Hong Kong

Pain, no matter in acute or chronic form, can change one’s life. Pain management goes beyond the hospital settings and
requires multidisciplinary care. Pain nurses must be equipped with special skills and knowledge to deliver such care.

In 1994, the International Association for the Study of Pain (IASP) defined pain as “an unpleasant sensory and emotional
experience associated with actual or potential tissue damage, or described in such terms of damage.” Pain and suffering
usually co-exists. People in pain usually live with negative thoughts, suffer from depression and fatigue to the extent that their
quality of life are affected.

In Hong Kong, pain management clinics are primarily run by a team of anaesthesiology-based pain specialists, pain nurses,
physiotherapists, occupational therapists, clinical psychologists; working closely with oncologists, orthopaedic surgeons,
neurologists and family physicians.

Because of the complexities behind pain nature, causes and impacts on individuals, a multidisciplinary team approach
to the management of chronic pain is crucial. However, despite efforts from various disciplinary, barriers from patients or
health professional still exist. It is essential to correct the misconceptions and myths to provide effective and efficient pain
management.

The five key objectives for pain nurse services over the next few years include: (1) To provide educational pain programme
and best evidence-based clinical care; (2) to engage nursing professionals; (3) to enhance multidisciplinary pain management
services across the continuum of hospital to community setting; (4) to increase the public awareness by promoting patient-
centred care and empowering patients and their families as active partners in the healthcare system; and (5) to continue
collaborations with partners involving in pain management care outside hospital settings.

Effective pain management goes beyond simply using analgesics but requires a holistic approach to provide safe, practical
and feasible in-hospital as well as outpatient care. Pain nurses are the gatekeepers and the hub coordinators in the
multidisciplinary team to provide better pain management to our pain patients.

We understand pain and we understand our patients.

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