Page 178 - Hospital Authority Convention 2017

Masterclasses Masterclasses
HOSPITAL AUTHORITY CONVENTION 2017

M14.1 Geriatric Pearl 13:15 Room 423 & Room 424

Person-centred Care for the Older Persons through Medical-social Collaboration
Chan F
Department of Medicine and Geriatrics, Tung Wah Group of Hospitals Fung Yiu King Hospital, Hong Kong
According to the Census and Statistics Department of the HKSAR Government, life expectancy for men and women in Hong
Kong is now ranking top in the world. Currently, 15% of Hong Kong’s population are aged 65 or above, and this is expected
to rise to 26% by 2031 and 30% by 2041. Moreover, 75% of older persons aged 65 or above are reported to have at least
one chronic illness, and after the age of 65, the prevalence of disability increases about 1.5 times every five years. As one
becomes older, multiple diseases and pathology will sooner or later set in. With increasing disability, the elders will become
more dependent on medical, nursing, rehabilitation and personal care services as well as psycho-social-spiritual support.
To meet the multi-faceted needs of elders and to promote the policy of “ageing in place” of the Hong Kong government,
various collaborative projects between the medical and social sectors have been rolled out, leveraging and maximising the
use of resources by pooling talents and expertise, improving accessibility, reaching out to target population, and generating
more holistic and patient-centred care for elders to stay healthy in the community, and to avoid unnecessary hospitalisation.
Effective collaboration between clinical team, welfare sector, and empowered patients could offer a “triple win” situation, and
successful programmes could be launched as long term partnerships.
In this presentation, key milestones in the development of patient-centred care through medical-social collaboration for
the elders will be discussed, including Community Geriatric Assessment Service, Community Health Call Centre, Patient
Empowerment Programme, Integrated Care Model, Dementia Community Support Scheme, End-of-life Care Programme
in residential care homes for the elderly, Community Volunteer Service engaging local non-government organisations and
chaplaincy services.

M14.2 Geriatric Pearl 13:15 Room 423 & Room 424

Geriatric Paradox
Au Yeung TW
Department of Medicine and Geriatrics, Pok Oi Hospital, Hong Kong

A paradox is a statement that leads to a contradiction or a situation which defies logic or reason. In the context of geriatric
Wednesday, 17 May competing mortality. In this presentation, the paradoxical relationship between obesity, blood pressure, glycaemic targets
medicine, it refers to the condition that a risk factor for adverse health outcomes in general adult medicine may become a
protective factor for older persons. Following the same rational, treatment guidelines or targets for various diseases derived
from clinical trials in robust participants may not be applicable in older patients who are frail with multiple co-morbidities and
and adverse outcomes will be discussed to illustrate the importance of individualised therapy in patients who are old and
frail.

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