醫療衞生服務 MEDICAL AND HEALTH SERVICES 45 The Hong Kong West Cluster of the Hospital Authority including TWGHs Fung Yiu King Hospital launched the Ortho-geriatric Collaboration for Elderly Hip Fracture Patients in Extended Care Setting Programme in October 2017. The Programme aimed at enhancing the rehabilitation of patients with geriatric hip fracture through additional physiotherapy services at weekends and on public holidays. The Programme was 醫院管理局港島西醫院聯網包括東華三院馮堯敬 醫院老人科及骨科於2017 年10 月推展長者髖關 節骨折病人延續護理計劃，隨後拓展至其它骨折 病人，包括椎骨、腕關節及盆骨骨折病人。老人 東華三院馮堯敬醫院 加強老年骨科協作計劃 Enhancement of Ortho-geriatric Collaboration at TWGHs Fung Yiu King Hospital TWGHs Fung Yiu King Hospital is dedicated to enhancing the end of life care to inpatients and participated proactively in End of Life Programme, with the aim to provide the best possible treatment to the elderly. Meanwhile, it has changed the management of elderly patients from curative to palliative approach. With the support of the Hospital Authority in 2020, the Hospital introduced the End of Life Clinical Plan for Inpatients (EOL-CPi) and Careful Hand Feeding (CHF) Programme for medical and geriatric patients. Up to September 2022, there had been 291 cases with EOL-CPi and 518 cases with CHF Programme activated. TWGHs Fung Yiu King Hospital also rendered support of end of life services for patients in Residential Care Homes for the Elderly (RCHEs), with the aim of providing outreaching palliative care and consultation services to the elderly with irreversible chronic diseases. The Community Geriatric Assessment Team (CGAT) of Hong Kong West Cluster of the Hospital Authority (of which TWGHs Fung Yiu King Hospital is a member) collaborated with the Palliative Medicine Unit of Grantham Hospital in providing the service. The medical and nursing staff will discuss the Advance Care Planning (ACP) and Do-Not-Attempt Cardiopulmonary Resuscitation (DNACPR) decisions with the patients and their family members. By September 2022, the Programme recruited 823 cases and signed up 801 ACP participants. The Programme was expanded to 47 RCHEs with 76% coverage in October 2022. TWGHs Fung Yiu King Hospital promoted the Programme of “Integrated Care and Discharge Support for Elderly Patients” by providing adequate beds to support the elderly patients referred under the Comprehensive Care Programme. From April to September 2022, a total of 106 patients were referred to TWGHs Fung Yiu King Hospital. 東華三院馮堯敬醫院一直致力提升住院臨終服 務，並且積極參與晚期醫護服務，將末期病症長 者的服務重心由治療模式轉為紓緩照顧。醫院在 2020 年獲醫院管理局支持，擬訂住院病人臨終臨 床照顧計劃及人手小心餵食計劃。直至2022 年9 月，共有291 名病人參與住院病人臨終臨床照顧 計劃，518 名病人參與人手小心餵食計劃。 東華三院馮堯敬醫院亦積極參與安老院舍晚期醫 護服務，向患有末期病症的長者，提供到診紓緩 照顧服務及日間診症服務。服務由醫院管理局港 島西醫院聯網包括東華三院馮堯敬醫院的老人評 估組與葛量洪醫院紓緩醫學科攜手合作。醫護人 員與病人及其家屬商討，在他們同意下制訂適切 的預設臨終照顧計劃及不作心肺復甦術指令。 直至2022 年9 月，有823 位長者參與此計劃， 當中801 名病人同時參與預設照顧計劃。服務於 2022 年10 月拓展至47 家安老院，覆蓋率76%。 東華三院馮堯敬醫院積極推展「支援長者離院綜 合服務」，安排足夠的病床予「全面老人護理計 劃」下轉介的病人。由2022 年4 月至9 月，共有 106 個位病人獲轉介到東華三院馮堯敬醫院。 東華三院馮堯敬醫院臨終照顧及 晚期醫護服務 東華三院馮堯敬醫院 「支援長者離院綜合服務」 End of Life Services of TWGHs Fung Yiu King Hospital "Integrated Care and Discharge Support to Elderly Patients" of TWGHs Fung Yiu King Hospital 翻新工程前的5C病房 Ward 5C before renovation 翻新工程完成後的5C病房煥然一新 The new look of Ward 5C after renovation The 4-year ward renovation project of TWGHs Wong Tai Sin Hospital commenced in 2019 is being completed in phases. Ward 5C of The Board of Management of The Chinese Permanent Cemeteries (BMCPC) Palliative Care Centre was once converted into a “medical surveillance ward” for admitting stable COVID-19 patients during the 5th wave of COVID-19 pandemic. Thanks to intra-hospital collaboration, the renovation of Ward 5C was completed in 2022 with resumption of palliative care services. The renovated ward is cosy and comfortable with a new look. In addition to that, it also comes with a series of “Smart Hospital” elements, including “Smart Panel” and “E-vital”, to enhance service quality and operational efficiency. 為期4 年的東華三院黃大仙醫院病房翻新工程於 2019 年開始，現正分階段落成，當中華永會紓緩 醫療中心的5C病房於2019 冠狀病毒病第五波期 間，曾轉為「監察病區」，接收病情穩定的確診 者。在各部門的協作下，5C病房翻新工程已於 2022 年順利竣工，繼續為社區病人提供紓緩治 療服務。病房採用溫和舒適的顏色，感覺煥然一 新，亦加入了一系列的「智慧醫院」元素，包括 「電子床頭顯示系統」及「電子維生指數系統」等， 藉此提升服務質素及運作成效。 東華三院黃大仙醫院病房翻新工程 Ward Renovation Project of TWGHs Wong Tai Sin Hospital
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