2024-05-182024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/714825<span style="background-color:rgba(255, 255, 255, 0.85098);"><p class="MsoNormal"><span style="font-family:Arial;"><strong><span>Goal</span></strong></span><span style="font-family:Arial;"><strong><span><span class="Apple-converted-space"></span>of clinical services </span></strong></span><span style="color:black;font-family:Arial;">We provides "elderly centered" integrated clinical services according to the condition of disease, disability level, family or community resources, potential to recovery and personal preferences of older persons. Our focus is to make the elderly receiving comprehensive and continuity medical services.</span><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span style="font-family:Arial;"><strong><span>Clinical Services<span class="Apple-converted-space"></span></span></strong> 1. Health promotion and preventive health care<span class="Apple-converted-space"></span> 2. Integrated geriatric medicine clinic<span class="Apple-converted-space"></span> 3. Acute care<span class="Apple-converted-space"></span> 4. Consultation<span class="Apple-converted-space"></span> 5. Long-term care</span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span></span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span style="font-family:Arial;"><u>Health promotion and preventive health care<span class="Apple-converted-space"></span></u> 1. Organize health talks<span class="Apple-converted-space"></span> 2. Line with the government health policy to organize preventive care delivery and elderly health check-up in Taipei</span><span style="font-family:Arial;"><span class="Apple-converted-space"></span> 3. Follow up the elderly who had abnormal screening result, and providing health education and medical advise according to individual medical conditions 4. Avoid the complications occurred on the elderly in acute wards, long-term care facilities or home care.</span></p><p class="MsoNormal"><span><span></span></span><span><span></span></span></p><p class="MsoNormal" style="text-indent:-6pt;"><span style="font-family:Arial;"><u>Integrated geriatric medicine clinic<span class="Apple-converted-space"></span></u>comprehensive geriatric assessment in the clinic -- Prevention, diagnosis and treatment for common diseases of the elderly -- Physical, psychological, social and functional assessment -- Manage geriatric syndrome -- Consultation and referral to long-term care facilities -- Set up special out-patient clinic for common disease in the elderly or geriatric syndrome (ex: osteoporosis, dementia, depression, urinary incontinence)</span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span style="font-family:Arial;"><u>Acute care</u><span class="Apple-converted-space"></span> 1. Clients: Acute illness elderly with multiple health problems 2. Services: Provide a safe and supportive environment to<span class="Apple-converted-space"></span> -- Reduce the incidence of iatrogenic disease -- Provide multidisciplinary medical care according to the individual needs </span><span style="font-family:Arial;">of the elderly<span class="Apple-converted-space"></span> 3. Medical team members: physicians, nurses, social workers,<span><span class="Apple-converted-space"></span></span>physiotherapists, occupational therapists, language therapists, dietitians, pharmacists</span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span style="font-family:Arial;"><u>Consultation</u></span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;">Provide recommendation in medical management for the elderly admitted to other departments</span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;"><span><span class="Apple-converted-space"></span></span>-- Pre- and post-op assessment and recommendation for the elderly</span><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;"><span class="Apple-converted-space"></span></span><span style="font-family:Arial;">-- Consultation for the disabled elderly transferred to long-term care</span></p><p class="MsoNormal"><span style="font-family:Arial;"><span class="Apple-converted-space"></span></span><span style="font-family:Arial;">-- Management and prevention of common geriatric syndromes</span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;">Through the process of consultation, the geriatrician in the department of geriatrics could communicate with medical staff in other departments,<span class="Apple-converted-space"></span></span><span style="font-family:Arial;">to increase knowledge and experience in caring the elderly</span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span><span></span></span></p><p class="MsoNormal"><span style="font-family:Arial;"><u>Long-Term Care</u></span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;">Institutional care - nursing home</span></p><p class="MsoNormal"><span style="font-family:Arial;"><span><span class="Apple-converted-space"></span></span>Clients:</span></p><p class="MsoNormal"><span style="font-family:Arial;"><span><span class="Apple-converted-space"></span></span>-- Physical and psychological disabled, high daily activity dependence, lack of family care resource.</span></p><p class="MsoNormal"><span style="font-family:Arial;"> Elderly cannot be cared in the community and at home, but needs technical nursing care services (ex: foley catheters, nasogastric tube and trachea tube replacement, wound dressing)</span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;"><span><span class="Apple-converted-space"></span></span>-- Content of service:<span class="Apple-converted-space"></span></span><span style="font-family:Arial;">Medical, nursing, rehabilitation, personal, accommodation and daily life of care</span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><p class="MsoNormal"><span style="font-family:Arial;">Community-based care - home care</span></p><p class="MsoNormal"><span style="font-family:Arial;"><span><span class="Apple-converted-space"></span></span>-- Community nurse provide home visit to bed-ridden or mobility disabled in older patients as home visits, </span></p><p class="MsoNormal"><span style="font-family:Arial;"> to assess the problem encountered by the elderly</span></p><p class="MsoNormal"><span style="font-family:Arial;"></span></p><div style="color:#444444;font-family:'Segoe UI', Segoe, Tahoma, Helvetica, Arial, sans-serif;font-size:17.280000686645508px;font-style:normal;font-weight:normal;text-align:start;background-color:rgba(255, 255, 255, 0.85098);"><span style="font-size:12pt;font-family:Arial;"><span><span class="Apple-converted-space"></span></span>-- Doctors, social workers, physiotherapists, occupational therapists and other professionals provide the necessary intervention of professional services according to the needs of the elderly, and use the</span><span><span style="font-size:12pt;font-family:Arial;"> availability social and medical resources to help.</span></span></div></span>成立宗旨 依老人罹病情況、失能程度、家庭或社會資源、恢復潛力與個人喜好等狀況之不同,提供「以老人為中心」的整合性臨床服務,期使老人獲得完整而連續性之服務。 醫療服務項目 健康促進與預防保健 老年醫學整合門診 急性醫療照護 照會服務 長期照護 功能特色   老年醫學部提供「以老人為中心」的整合性臨床服務,依老人罹病情況、失能程度、家庭或社會資源、恢復潛力與個人喜好等狀況之不同,分別視需要提供預防保健與健康促進、老年醫學整合門診、急性/亞急性病房、照會服務、護理之家、居家照護等各式服務,以使老人獲得完整而連續性之服務。 未來展望   欲加速國內老年醫學的發展,迎頭趕上歐美先進國家的水準,「老年醫學部」是不可或缺的重要組織。藉由培養老人醫療與長期照護所需之專業人才,建立完整的醫療照護制度與文化,以提升我國相關臨床服務、教學與研究之水準,成為全臺灣最完善的老年醫療照護服務及教研機構。Geriatrics and Gerontology-NTUHAcademic Institute