紓緩治療服務

1. 醫管局紓緩護理服務
 醫管局轄下提供紓緩治療服務的醫院共有十六間，
  a total of about 360 beds.
 為末期病人提供全面的綜合專科治療護理: 對身體徵狀控制的紓緩
治療 病人及家屬的心理輔導和支援 協助病人克服社交困難 心靈
上的支緩
 The scope of HA palliative care services covers the continuum of care
from hospital to community settings. There are four main service
components, including inpatient and consultative, ambulatory,
community and bereavement care.

 Currently 16 hospitals under Hong Kong’s Hospital Authority

provide end-of-life, palliative or hospice care services, with a
total of about 360 beds. This is comprehensive care for the
terminally ill that includes control of a patient’s symptoms or
pain, psychological counselling for patients and their families,
and spiritual support for those who want it.

 Medical PC teams also used to serve cancer patients, but they have been
extending their services to non-cancer patients in recent years due to
patients’ needs.

 The teams are led by palliative care specialists who are either working in
the Department of Medicine (medical PC teams) or the Department of
Clinical Oncology (oncology PC teams).

2. 寧舍 Hospice Home hk
 社區寧養支援
 讓病人在治療期間，獲得家人及朋友的肯定及支持，並在醫護人
員於其身、心、社、靈方面協助下，對自己的生命作出欣賞與感
謝，並能更加善用及珍惜可貴的時間，為他們提供貼身和有效的
藥物治療,護理照顧及支援

3. 基督教靈實協會
 司務道寧養院 Sister Annie Skau Holistic Care Centre
 非牟利、自負盈虧的院舍
 紓緩治療 / 安寧照顧 : 由紓緩治療科及老人科專科醫生和護士帶
 領的團隊，為晚期病人提供 24 小時專業護理及全人照顧。駐院醫
生每日巡房(假日除外)，為院友提供快速、有效的徵狀控制和優質
的醫療護理；駐院院牧及社工，配合護理團隊，為院友及其家屬
提供心理、社交及靈性關顧。
 共設有 100 張病床

4. 善寧會
 非牟利慈善團體 
 首家獨立的寧養護理中心 – 白普理寧養中心
 香港特別行政區政府撥地予善寧會+香港賽馬會慈善信託基金的資
助下 『賽馬會善寧之家』
 協助晚期病者及家人以正面及積極的態度，透過愛與關懷面迎人
生。「賽馬會善寧之家」提供服務包括住院服務、家居照護、日
間照護、寧養及紓緩服務、喪親支援, 為晚期病者及其家人提供服
務
  offers 30 beds.

 the Jockey Club Home for Hospice (JCHH) – a part-public, part-

private facility operated independently by the Society for the
Promotion of Hospice Care, which opened late last year – offers 30
beds. JCHH, which operates independently, can be contacted directly
through its hotline, by email or in person. Where available, referrals
are preferred, especially from clinicians. Some patients may be
referred by a social worker.

Palliative care service first started in Hong Kong in 1982. Since then, in Hong Kong, it has
developed into a territory wide service, largely specialist-led and hospital-based, and serving
cancer and non-cancer patients

Definition: The World Health Organization defines palliative care as an approach that
improves the quality of life of patients and their families facing the problems associated with
life-threatening illness, through the prevention and relief of suffering by means of early
identification and impeccable assessment and treatment of pain and other problems, physical,
psychosocial and spiritual.

Palliative care:
  provides relief from pain and other distressing symptoms;
 affirms life and regards dying as a normal process;
 intends neither to hasten or postpone death;
 integrates the psychological and spiritual aspects of patient care;
 offers a support system to help patients live as actively as possible until death;
 offers a support system to help the family cope during the patients’ illness and in their
own bereavement;
 uses a team approach to address the needs of patients and their families, including
bereavement counselling, if indicated;
 will enhance quality of life, and may also positively influence the course of illness;
 is applicable early in the course of illness, in conjunction with other therapies that are
intended to prolong life, such as chemotherapy or radiation therapy, and includes
those investigations needed to better understand and manage distressing clinical
complications.

EOL:
Definiton: End-of-life care is the provision of care to the patient whose disease
condition is not responsive to curative treatment, and his/her life expectancy is
estimated to be within days or months.
1. Affirms life and regards death and dying as an integral part of life continuum. 2.
Client includes patient and/or family. 3. Provides measures for relief from pain and
other distressing symptoms. 4. Attends to physical, psychological, social, spiritual and
cultural aspects of care. 5. Offers support to help client maintain optimal quality of
life. 6. Prepares the best possible supportive environment for client to end life with
dignity and comfort. 7. Offers support to help the bereaved family to cope with the
loss of a family member or loved one.

1. HA
 Starting from 2015-16, an EOL care programme has been piloted by
CGATs to provide better support for terminally ill residents living in
RCHEs. CGATs work in partnership with the hospital PC teams, and
collaborate with RCHEs and NGOs to enhance the medical and nursing
care of elderly residents facing terminal illness and to provide training
to RCHE staff. The programme started with four CGATs (RTSKH, FYKH,
SH, TMH) in 2015-16, and was extended to the CGATs of QEH/KH as
well as CMC in 2016-17.
2. Jockey Club Home for Hospice (JCHH)