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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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