{"id":5598,"date":"2023-12-22T12:22:16","date_gmt":"2023-12-22T04:22:16","guid":{"rendered":"https:\/\/jcecc.10u.org\/effectiveness-and-impact\/phase-i-project-2016-2018\/%e5%ae%89%e5%af%a7%e5%9c%a8%e9%99%a2%e8%88%8d%e8%a8%88%e5%8a%83\/"},"modified":"2024-07-13T18:03:27","modified_gmt":"2024-07-13T10:03:27","slug":"eolc-in-residential-care-homes-for-the-elderly-rches","status":"publish","type":"page","link":"https:\/\/foss.hku.hk\/jcecc\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/","title":{"rendered":"EoLC in Residential Care Homes for the Elderly (RCHEs)"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column]<div id=\"ultimate-heading-44406a599e2dec64b\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-44406a599e2dec64b uvc-7860 tit fs36 text-center green\" data-hspacer=\"no_spacer\"  data-halign=\"center\" style=\"text-align:center\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-44406a599e2dec64b h2'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h2 style=\"font-weight:normal;\"><i>EoLC in Residential Care Homes for the Elderly (RCHEs)<\/i><\/h2><\/div><\/div>[vc_single_image image=&#8221;5673&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column]<div id=\"ultimate-heading-67146a599e2dec6ae\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-67146a599e2dec6ae uvc-1964 txt fs18\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-67146a599e2dec6ae h3'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h3 style=\"font-weight:normal;\">Beneficiaries<\/h3><\/div><\/div>[vc_column_text el_class=&#8221;txt fs18&#8243;]\n<p>The HKAG programme aims at upskilling RCHEs staff to provide EoLC. Residents in their end of life are the end users of the programme. Hence, the programme\u2019s impacts on EoL residents were also evaluated. Particularly, we are interested in the programme\u2019s effectiveness on improving the quality of life and reducing unnecessary medical service utilisation of EoL residents in the RCHEs. By the end of December 2018, the HKAG programme has served 384 residents, including those admitted to EoLC and residents who were engaged in the discussion of advance care planning. The programme has also benefited more than 2,000 family members.\n<p>[\/vc_column_text]<div id=\"ultimate-heading-27836a599e2dec6fb\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-27836a599e2dec6fb uvc-5895 txt fs18\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-27836a599e2dec6fb h3'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h3 style=\"font-weight:normal;\">Methodology<\/h3><\/div><\/div>[vc_column_text el_class=&#8221;txt fs18&#8243;]\n<p>Residents were assessed their symptoms at service intake and after 6 months of service. Structured and standardised symptom assessment tools for end-of-life patients were employed. Regarding service impact, the medical service utilisation in the last 3 months in life of deceased patients in the HKAG programme was compared to that of deceased end-of-life patients in 2015 in Hong Kong who had a principal diagnosis of cancer, COPD, congestive heart failure, end-stage renal diseases, motor neuron disease, and Parkinson\u2019s disease. These data were retrieved from the Central Panel on Administrative Assessment of External Data (CPAA) of Hospital Authority in a clinical data mining (CDM). With the introduction of EoLC services, it is expected that there would be an impact on the medical service utilisation of patients in the last few months in life.\n<p>[\/vc_column_text]<div id=\"ultimate-heading-61326a599e2dec743\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-61326a599e2dec743 uvc-71 txt fs18\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-61326a599e2dec743 h3'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h3 style=\"font-weight:normal;\">Achievements<\/h3><\/div><\/div>[vc_column_text el_class=&#8221;txt fs18&#8243;]\n<ul>\n<li>Among assessed residents with dementia (n=60), the overall symptom improved by 8% when compared between baseline and 6-month assessment. The improvement was statistically significant. In particularly, residents with dementia experienced significantly improved symptom relief regarding shortness of breath (p&lt;.01), depression (p&lt;.05), and agitation (p&lt;.05).<\/li>\n<li>Among assessed residents without dementia (n=13), the overall symptom severity reduced by 47%, which was also statistically significant (<em>p<\/em>&lt;.05). When individual symptom was examined, these residents reported significantly reduced pain and sadness by 56.1% and 73.2% respectively (<em>p<\/em>&lt;.05).<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_single_image image=&#8221;5676&#8243; img_size=&#8221;full&#8221;][vc_column_text el_class=&#8221;txt fs18&#8243;]\n<ul>\n<li>Regarding service impact on medical service utilisation in the last 3 months of life, retrievable data from 37 deceased residents suggested that deceased residents in the HKAG programme had 13.25 fewer hospital beddays and 0.33 fewer A&amp;E attendances than EoL patients in general. This result supports the effectiveness of the programme in helping residents to avoid unnecessary hospitalisation and stay longer in a familiar environment \u2013the RCHEs.<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_single_image image=&#8221;5679&#8243; img_size=&#8221;full&#8221;][vc_column_text el_class=&#8221;txt fs18&#8243;]\n<ul>\n<li>Extrapolating this finding to 384 residents served by the HKAG programme, it is estimated that the programme have helped spared 5,088 hospital bed days and 126.72 number of A&amp;E attendance to other needy patients. Taking the cost of these medical services into consideration, the EoLC programme in RCHEs have also helped save 25.4 million medical costs.<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_single_image image=&#8221;5682&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column]<div id=\"ultimate-heading-39386a599e2dec78b\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-39386a599e2dec78b uvc-8705 txt fs18\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-39386a599e2dec78b h3'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h3 style=\"font-weight:normal;\">Learnings in phase I and way forward in phase II<\/h3><\/div><\/div>[vc_column_text]\n<ul>\n<li>The programme not only relieved both physical and emotional distress of EoL residents, but also reduced the torment to dying residents caused by repeated hospitalisation. In the coming three years, HKAG will expand their services to more RCHEs to benefit more residents who have EoL issues.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"share  border-bottom py-4 mt-3 wow fadeInUp\">\n                    <!-- AddToAny BEGIN -->\n                    <div class=\"a2a_kit a2a_kit_size_32 a2a_default_style\"><a class=\"a2a_dd\" href=\"https:\/\/www.addtoany.com\/share\" aria-label=\"\u958b\u555f\u66f4\u591a\u5206\u4eab\u9078\u9805\" tabindex=\"0\"><\/a><a class=\"a2a_button_facebook\" aria-label=\"\u5206\u4eab\u81f3Facebook\" tabindex=\"0\"><\/a><a class=\"a2a_button_twitter\" aria-label=\"\u5206\u4eab\u81f3X\" tabindex=\"0\"><\/a><a class=\"a2a_button_email\" aria-label=\"\u5206\u4eab\u81f3\u96fb\u90f5\" tabindex=\"0\"><\/a><script async src=\"https:\/\/static.addtoany.com\/menu\/page.js\"><\/script>\n            <!-- AddToAny END --><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column][vc_single_image image=&#8221;5673&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column][vc_column_text el_class=&#8221;txt fs18&#8243;] The HKAG programme aims at upskilling RCHEs staff to provide EoLC. Residents in their end of life are the end users of the programme. Hence, the programme\u2019s impacts on EoL residents were also evaluated. Particularly, we are interested in the programme\u2019s effectiveness [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":920,"menu_order":103,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-5598","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v18.1 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>EoLC in Residential Care Homes for the Elderly (RCHEs) - \u300c\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u300d\u793e\u5340\u5b89\u5be7\u5168\u4eba\u7167\u9867\u8ab2\u7a0b<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jcecc.10u.org\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EoLC in Residential Care Homes for the Elderly (RCHEs) - \u300c\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u300d\u793e\u5340\u5b89\u5be7\u5168\u4eba\u7167\u9867\u8ab2\u7a0b\" \/>\n<meta property=\"og:description\" content=\"[vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column][vc_single_image image=&#8221;5673&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column][vc_column_text el_class=&#8221;txt fs18&#8243;] The HKAG programme aims at upskilling RCHEs staff to provide EoLC. 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el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column][vc_single_image image=&#8221;5673&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row bwd_tbc4vd_show_weekday=&#8221;&#8221; el_class=&#8221;boxshadow mt-5 mb-5&#8243;][vc_column][vc_column_text el_class=&#8221;txt fs18&#8243;] The HKAG programme aims at upskilling RCHEs staff to provide EoLC. Residents in their end of life are the end users of the programme. Hence, the programme\u2019s impacts on EoL residents were also evaluated. Particularly, we are interested in the programme\u2019s effectiveness [&hellip;]","og_url":"https:\/\/jcecc.10u.org\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/","og_site_name":"\u300c\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u300d\u793e\u5340\u5b89\u5be7\u5168\u4eba\u7167\u9867\u8ab2\u7a0b","article_modified_time":"2024-07-13T10:03:27+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/jcecc.10u.org\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/","url":"https:\/\/jcecc.10u.org\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/","name":"EoLC in Residential Care Homes for the Elderly (RCHEs) - \u300c\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u300d\u793e\u5340\u5b89\u5be7\u5168\u4eba\u7167\u9867\u8ab2\u7a0b","isPartOf":{"@id":"https:\/\/learn-v2.jcecc.hk\/jcecc\/#website"},"datePublished":"2023-12-22T04:22:16+00:00","dateModified":"2024-07-13T10:03:27+00:00","breadcrumb":{"@id":"https:\/\/jcecc.10u.org\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/jcecc.10u.org\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/jcecc.10u.org\/en\/effectiveness-and-impact\/phase-i-project-2016-2018\/eolc-in-residential-care-homes-for-the-elderly-rches\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Effectiveness and impact","item":"http:\/\/localhost\/jcecc\/effectiveness-and-impact\/"},{"@type":"ListItem","position":2,"name":"Phase I Project (2016-2018)","item":"http:\/\/localhost\/jcecc\/effectiveness-and-impact\/phase-i-project-2016-2018\/"},{"@type":"ListItem","position":3,"name":"EoLC in Residential Care Homes for the Elderly (RCHEs)"}]},{"@type":"WebSite","@id":"https:\/\/learn-v2.jcecc.hk\/jcecc\/#website","url":"https:\/\/learn-v2.jcecc.hk\/jcecc\/","name":"\u300c\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u300d\u793e\u5340\u5b89\u5be7\u5168\u4eba\u7167\u9867\u8ab2\u7a0b","description":"\u8cfd\u99ac\u6703\u5b89\u5be7\u980c\u665a\u671f\u75c5\u4eba\u8207\u7167\u9867\u8005\u7db2\u4e0a\u5b78\u7fd2\u5e73\u53f0\u5fd7\u5728\u70ba\u665a\u671f\u75c5\u4eba\u8207\u7167\u9867\u8005\u63d0\u4f9b\u4e00\u500b\u5730\u65b9\u5b78\u7fd2\u57fa\u672c\u7684\u5b89\u5be7\u7167\u9867\u77e5\u8b58\uff0c\u5305\u62ec\u5b89\u5be7\u7167\u9867\u6982\u5ff5\u3001\u6e9d\u901a\u6280\u5de7\u3001\u81ea\u6211\u95dc\u9867\u548c\u793e\u5340\u8cc7\u6e90\u3002\u5e73\u53f0\u4e0a\u8f09\u4e0d\u540c\u7684\u5f71\u7247\u3001\u6587\u5b57\u548c\u81ea\u6211\u53cd\u601d\u7df4\u7fd2\uff0c\u5e0c\u671b\u70ba\u589e\u9032\u665a\u671f\u75c5\u4eba\u8207\u7167\u9867\u8005\u7684\u5b89\u5be7\u7167\u9867\u77e5\u8b58\uff0c\u5f9e\u800c\u63a8\u52d5\u95dc\u611b\u793e\u6703\u3002","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/learn-v2.jcecc.hk\/jcecc\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/pages\/5598","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/comments?post=5598"}],"version-history":[{"count":3,"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/pages\/5598\/revisions"}],"predecessor-version":[{"id":5685,"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/pages\/5598\/revisions\/5685"}],"up":[{"embeddable":true,"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/pages\/920"}],"wp:attachment":[{"href":"https:\/\/foss.hku.hk\/jcecc\/en\/wp-json\/wp\/v2\/media?parent=5598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}