Page 198 - Hospital Authority Convention 2018

Corporate Scholarship Presentations
HOSPITAL AUTHORITY CONVENTION 2018

C3.2 Chronic Disease Management 14:30 Room 428

Overseas Corporate Scholarship Programme for Clinical Leaders in Gerontology Nursing – Inspiration from
Bournemouth in Dementia and Delirium Care: Putting into Practice
Tang LN
Department of Medicine and Geriatrics, United Christian Hospital, Hong Kong

Aging population is one of the well-known global challenges faced by all healthcare professions. Bournemouth, one of
the small aging towns in the United Kingdom (UK), is not an exceptional. In addition, due to the shortage of healthcare
professionals, the situation is further aggravated, especially in dementia and delirium care. This is always a major issue
focused by the geriatric team in Bournemouth.
As delirium is often under-diagnosed or mismanaged, all patients over 75 years of age admitted non-electively will be
screened for delirium upon admission in Bournemouth. Appropriate management and education will be initiated to those
diagnosed patients and their caregivers by delirium nurse specialists through a standardised care pathway. In addition, they
also provide additional support and advice to those patients and their family when they return home so that it can facilitate
early discharge and reduce re-admission.

As person-centred care is well developed and widely used in daily practice in UK, nurses and other allied health professionals
pay a lot of time and effort on interacting with dementia patients and their caregiver, aiming at empower them to formulate
a tailor-made care plan. Besides, a “life dairy” recording all the details of patients is well used to promote communication
between patients and healthcare providers during hospitalisation.
In order to adopt those good practices from UK, we launched two clinical quality improvement programmes in this aspect.
Firstly, a Delirium and Dementia Assessment Team was established which focused on early detection, early intervention and
early discharge for patients with onset of cognitive change in acute geriatric setting. Secondly, a Delirium-caring Culture
Nurturing Programme (DCNP) was optimised to strengthen the knowledge and awareness of nurses on delirium care.

C3.3 Chronic Disease Management 14:30 Room 428

Psychogeriatric Nursing in St Vincent’s Mental Health, Melbourne, Australia
Lee KC
Old Aged Psychiatry, Castle Peak Hospital, Hong Kong

The author is honoured to attend the Australian Overseas Corporate Scholarship Programme for Clinical Leaders 2016/17 in
Tuesday, 8 May 2018 Victoria has led the way in Australia for de-institutionalisation and development in community-based clinical and non-clinical
Psychogeriatric Nursing organised by St Vincent’s Hospital, Melbourne of Australia from 13 February to 10 March 2017.

mental health services.

(1) Several aspects will be shared in the presentation:Overview of the Victorian Mental Health Service System and
Community-based Service Delivery
(2) Mental Health Act in Australia
(3) Aged Mental Health Services in Australia
• Acute inpatient unit which provides 20 beds and is divided into three wings to accomodate certain type of patients.
• Aged Psychiatry Assessment and Treatment. This is a specialist service for elderly people who live in the community
to improve their mental health and wellbeing by providing home visits, conducting mental health assessments,
developing caring plans, making referrals and providing follow-up support and consultation.
• Intensive Community Team which offers alternative treatment for clients in an acute inpatient unit and for clients who
would prefer to have treatment at home.
• Residential Support Team and Behavioural Assessment and Specialist Intervention Consultation Service which
provides programmes for elders aged 65 years or above with mental illness and challenging behaviours. It aims to
enhance caring for clients/residents in more effective ways and to empower them to stay in their own accommodations
to reduce actual admission.

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