Page 185 - Hospital Authority Convention 2017
P. 185

Parallel Sessions
                                                                                   Parallel Sessions



                PS6.1     Service Planning for the Ageing Population                10:45  Convention Hall A

               Planning for the Future Elderly Services – a Local Perspective
               Lam CC
               Elderly Commission, Hong Kong                                                                       HOSPITAL AUTHORITY CONVENTION 2017
               In the face of an ageing population and increasing longevity, Hong Kong policymakers must adopt a proactive approach
               towards planning ahead to meet the growing demand for elderly services. Furthermore, the future generations of elderly have
               higher expectations of the quality of service delivery, diversity and choices, as well as their autonomy in making informed
               choices.

               The Elderly Commission, led by the speaker formulates the Elderly Services Programme Plan (ESPP) by making long-term
               projections of future service needs of the elderly and giving advice to the Government on the strategic directions that elderly
               service sector should evolve towards. Perspectives on the roles of medical and healthcare professionals and public health
               policymakers in the paradigm shift in future elderly services will also be shared.

























                PS6.2     Service Planning for the Ageing Population                10:45  Convention Hall A

               Considerations for a Geriatric Surgery Service
               Tan KY
               Department of General Surgery, Khoo Teck Puat Hospital, Singapore

               The management of elderly surgical patients has to be at a higher level compared to a younger patient. Geriatric surgical
               patients require multi-faceted holistic care. Considerations should include the physiological changes associated with ageing.
               Surgical management and planning for these patients must thus be holistic and all encompassing. It should be anticipatory
               of not only medical and surgical problems that may arise but also address the psychosocial issue that may arise. It should
               not aim to reduce morbidity and mortality in this group of patients only but more importantly, their post-operative functional
               status should be addressed aggressively so as to preserve their independence. Indeed, failure to address all these issues
               in an elderly patient may have a negative impact on the outcomes. Treatment goals have to be clear when the elderly are   Wednesday, 17 May
               treated. Appropriate informed consent is important to ensure a satisfactory outcome for all sides.
               Competing comorbidities, functional deficits and frailty in elderly surgical patients demand a more coordinated multifaceted
               care in order to achieve good outcomes. It is also beneficial to use geriatric practice in elderly surgical patients. While most
               centres claim that all surgical patients are managed in a multi-disciplinary fashion, experts from each discipline may still be
               working in their own silos. Only with a trans-disciplinary approach can achieve an optimal fashion that these complex patients
               demand. Only then can the real and practical outcome measure of functional return be achieved.


















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