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HOSPITAL AUTHORITY CONVENTION 2016  Special Topics

                                    T8.1  Nursing: Helping the Elderly Patients in the Community  09:00  Theatre 2

                                    Enabling Elders to Stay Active and Healthy in our Community: Health Promotion in Diets and Physical Activities
                                    Chan ACM
                                    Equal Opportunities Commission, Hong Kong

                                    Population ageing strikes Asia at a speed and a scale unprecedented in history. Not only the size of the older population (i.e.
                                    65+) is going to be the largest, older people in Japan and Hong Kong are the longest living (with an average life expectancy at
                                    birth exceeding 86 years of age at present). The change to an elderly-focused (i.e. with chronic illnesses) healthcare system
                                    also requires a shift from acute curative operation to one that encourages health promotion and illness prevention at an early
                                    age, supported in parallel with a firm system of community rehabilitation care. What is needed first and foremost is a change
                                    of mindset resulting from a real life collaboration – a thinking and an acceptance that the many-helping-hands approach
                                    (e.g. cross disciplines and cross sectors collaborations) is the only possible way for seamless social and healthcare, as well
                                    that ordinary people including our relatives and neighbours (so called informal care givers) could provide certain level of care
                                    complementing the highly skilled, but expensive and number-limited, professional care givers (e.g. social workers, nurses,
                                    occupational therapists, physiotherapists, etc.). So a collaborative working model involving all stakeholders (i.e. family and
                                    community volunteers, social and healthcare workers) seems desirable. The Department of Health goes along with this
                                    thinking and adopts the active ageing philosophy to maintain our general population’s continual active living by promoting
                                    healthy diets and physical activities. An implementation strategy consisting of five priority areas (1. generate an effective
                                    information system; 2. support health promotion activities; 3. strengthening partnership; 4. building capacity; and 5. securing
                                    resources), 14 recommendations and 30 corresponding actions have been proposed since 2011 — this paper supports the
                                    same strategy to apply to our older population. Corresponding actions will be illustrated and discussed.

                                    T8.2  Nursing: Helping the Elderly Patients in the Community  09:00  Theatre 2

Wednesday, 4 May                    Hong Kong Community Nursing Service: Past, Present and Future
                                    Chan WMM
                                    Community Nursing Service and Community Health, Kowloon West Cluster, Hospital Authority, Hong Kong

                                    Demographic changes brought by the fast-growing ageing population have resulted in a drastic increase in the demand
                                    for elderly healthcare services in Hong Kong. The role of community nursing and its mode of service delivery are inevitably
                                    required to modify so as to meet the emerging needs generated from the healthcare system. 

                                    At present, Community Nursing Service (CNS) is a major nursing workforce under the HA in providing community care and
                                    health support to patients and carers of all ages at home setting. The key scope of service covers early discharge support,
                                    health maintenance, patient empowerment and carer support, regular disease monitoring and management. Being an integral
                                    part of commissioned service areas in the HA, a review on current community outreaching service delivery model was
                                    conducted in 2015.

                                    The new strategic direction emphasises on building an integrated model of care in the community, improving service quality
                                    and efficiency, enhancing patient empowerment and strengthening collaboration with other organisations.

                                    The key drivers for effective achievement of new strategic direction and goals include: (1) Enhance service organisation and
                                    management structure; (2) develop sustainable workforce and staff mix; (3) foster competency through training and rotation
                                    programmes; (4) enhance information technology system and mobile device performance; and (5) enhance care plan to
                                    improve standard of practices.

                                    Collaborative efforts from all stakeholders on new direction of CNS will likely lead to increased efficiency and offer more
                                    effective alternatives to hospital-based nursing care in face of growing demand and yielding sustainable long-term success in
                                    healthcare.

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