Enhancing the Quality of Care for Old-Age d Home Residents with Dysphagia Throug h a Community Speech Therapy Pilot Proje ct in the Hong Kong East Region Speech Therapy Department Ruttonjee and Tang Shiu Kin Hospit als Candy Ngan (Speech Therapist i/c) Rita Wong (Speech Therapist) Christina Chan (Speech Therapist) Jamy Wong (Clerk)
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Speech Therapy Department Ruttonjee and Tang Shiu Kin Hospitals
Enhancing the Quality of Care for Old-Aged Home Residents with Dysphagia Through a Community Speech Therapy Pilot Project in the Hong Kong East Region. Speech Therapy Department Ruttonjee and Tang Shiu Kin Hospitals Candy Ngan (Speech Therapist i/c) Rita Wong (Speech Therapist) - PowerPoint PPT Presentation
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Enhancing the Quality of Care for Old-Aged Home Residents with Dysphagia Through a Community Speech Therapy Pilot Project in the Ho
ng Kong East RegionSpeech Therapy Department
Ruttonjee and Tang Shiu Kin Hospitals
Candy Ngan (Speech Therapist i/c)
Rita Wong (Speech Therapist)
Christina Chan (Speech Therapist)
Jamy Wong (Clerk)
BackgroundProblems encountered at out-patient ST clinic Patient: frail elderly, chair-/bed-bound
with transport problem OAH staff: inadequate knowledge on risks
prevention and swallowing management
Speech Therapist: face with poor carry-over, poor compliance and
high default rate
Extent of problems
A) 24% of out-patient speech therapy referrals are OAH residents
(Survey: by ST Department, RHTSK, from Oct, 2000 - March, 2001)
Extent of problemsB) 8.5% (119) OAH residents require non-
oral feeding
9.1% (128) OAH residents (on oral feeding) were reported to have swallowing difficulties
(Questionnaire Survey to 14 OAHs in HKE region)
Extent of problemsC) Average time spent for transportation by
NEATS
= 168 minutes
(Survey: 1 - 28 February, 2001 in ST Clinic, RHTSK)
CST Pilot Project Community Speech Therapy (CST) service
for HKE commenced in May, 2001
Aim: enhance service quality and outcomes to OAH residents with swallowing
problems
Preparation Work Liaison work with
- CGAT, HKE
- OAH in-charges
- Medical and Geriatric teams of other hospitals in HKE through our CGAT
- Speech Therapy Department of PYNEH/TWEH/WCHH
- Finance Department
Preparation Work Educational materials Risk identification and swallowing
management protocol Service guidelines Referral guidelines