about us 2 · 2019. 1. 17. · 1 關於我們about us 2 信念、願景、使命values, vision,...

1 關於我們 ABOUT US 2信念、願景、使命 Values, Vision, Mission 2

服務目標 Service Objectives 3

服務範圍及運作模式 Service Scope & Mode of Operation 4

主席的話 Statement from the Chairman 6

年度主要數字 Major Figures for the Year 7

2 機構管治架構 CORPORATE GOVERNANCE 9

3 我們的服務 OUR SERVICES 12初級預防 Primary Prevention

健康教育 - 痛風症 Health Talk - Gout 14

健康訓練 - 體能訓練Health Education - Physical Training

17

次級預防 Secondary Prevention

健康檢查 Health Screening 20

主題健康檢查 - 骨質疏鬆症Themed Health Screening- Osteoporosis

22

三級預防 Tertiary Prevention

慢性病管理 - 知藥用藥Chronic Disease Management - Drug Compliance

26

慢性病管理 - 糖尿監控計劃Chronic Disease Management - Diabetes Home Care Scheme

28

護老者支援 Support for Carers 30

4 年度亮點 HIGHLIGHT OF THE YEAR 32新設服務點 New Service Points 32

維智護老社區護理計劃Community Cognitive Caring Scheme

34

「樂健同行」長者健康計劃Fun Fun Land Healthcare Program for Elderly

36

賽馬會銀鈴關護長者健康計劃Elderly Health and Cognitive Caring Programme

37

「活藥在社區」計劃 2017-2019 Drug Compliance Community Care Scheme 2017-19

38

5 未來展望 FUTURE OUTLOOK 40認知障礙支援 Support for Cognitive Impairment 40

主題健康計劃 Themed Health Programs1.「耆樂控三高社區健康護理計劃」 Elder Health Management Community Scheme2.「護理相藥在社區」藥物管理計劃 Drug Compliance Community Care Scheme

42

6 企業社會責任 CORPORATE SOCIAL RESPONSIBILITY

43

義工服務 Volunteer Service 43

專業義工 Professional Volunteers 46

伙伴合作 Collaborative Efforts 48

7 企業傳訊 CORPORATE COMMUNICATION 50黎惠蘭「金曲迎春慈善夜」Idy Lai and Friends Fund-raising Concert

50

媒體報道 Media Coverage 52

8 鳴謝 ACKNOWLEDGEMENT 55

9 財務報告 FINANCIAL STATEMENT 58

目錄 TABLE OF CONTENTS

信念 Values

願景 Vision

使命 Mission

● 尊重長者對社會作出的貢獻

● 傳承中國優良傳統敬老文化

● 為公益，不計報酬向有需要人士提

供服務

● 為長者帶來健康及快樂的晚年生活，

提高長者的生活質素，安老在家

● 期望長者能健康地、獨立地、安全

地生活在他們熟悉的社區環境內

● 鄰舍守望相助，建立和諧社區

● 向長者及其家庭、護老者免費提供

健康知識及護理諮詢，強化社區中

的預防措施

● 積極推動社區人仕關心及照顧身邊

的長者，建立一個互助關懷的社區

● 積極關懷長者，以訓練提昇長者自

我照顧能力

● 推行公眾教育，使大眾明白理解各

種老年人的疾病，從容面對黃金

歲月

● That the well-being of the elderly is enhanced for a happy and healthy life in their twilight years

● That the elderly may age in place in their familiar community safely, healthily and independently, with frequency of medical clinics and hospital visits reduced

● That the neighborhood community is caring and harmonious

● Consultation on healthcare freely provided to the elders, their families and caregivers in the community

● Advocate community caring deeds to attain a harmonized society

● Reinforce the elder's self-reliant ability towards active ageing

● Educate the public at large the general knowledge of old-age problems, diseases and issues, and the concept of primary health care, preparing everyone to face the challenges of old age

● Respect the contributions by the elderly to the society

● Uphold the esteemed Chinese culture of respecting seniors

● Serve without seeking rewards from the community

信念、願景、使命 Values, Vision, Mission

關護長者協會年報 2017-18 2

關於我們 ABOUT US1

服務目標 Service Objectives 關護長者協會向基層長者提供全方位

身、心、靈的照顧，包括：

● 積極推動社區人仕關心及照顧身邊

的長者，以達致一個高齡友善的社

區，令長者能健康地、獨立地、安

全地生活在他們熟悉的社區環境

● 加強長者自理能力，使能應付晚年

的健康挑戰

● 促進長者的健康，減少他們進出診

所及醫院的次數

● 在病患長者輪候公共醫療服務期間

給予適時的支援，有需要時轉介適

當的醫療機構或服務；並監督病患

長者服用藥物的情況

● 向有需要的長者提供心理及情緒輔

導，紓緩精神困擾及負面情緒，減

低自殺危機

● 向長者家人及護老者教授以護老知

識及技巧，並施以情緒輔導以解緩

護老心理壓力

CCAF takes a holistic approach to enhance the physical, psychological and mental well-being of the grass-root elderly people. Our service objectives are:

● To foster a community spirit of mutual caring. We aim to create an aged-friendly society with emphasis on physical and mental health so that the elderly may live an independent and safe life at home in their golden years.

● To strengthen the self-care ability of the elderly through health care knowledge and training so they may cope with the challenges of old age

● To maintain the elderly in good health, so as to reduce the frequency of their medical clinics visits and even hospitalization.

● To assist the ailing elderly cope with their diseases through free health consultation, and one-on-one case management service during their long queueing time for public hospital service, supervise their drug compliance, provide instant care or referral to appropriate medical institutions / services if needs be

● To provide psychological support to the elderly through counselling by clinical psychologists / social workers and neighborhood volunteers

● To empower family members or care-givers of the elderly with caring skills and mental agility to cope with the pressure on elderly caring

Community CareAge Foundation Annual Report 2017-18 3

服務範圍及運作模式Our Service Scope & Mode of Operation關護長者協會先導引進由註冊護士主

導的社區護士診所概念，開辦了「銀

鈴護士站」。協會積極宣揚「預防勝

於治療」的訊息，「銀鈴護士站」在

社區實踐三層式防禦性基層醫療服務

1) 向長者進行健康教育，預防疾病的

發生。

2) 進一步的預防服務繫於健康檢測，

以便及早洞悉健康隱憂，及早治療。

3) 再進階的就是針對性地幫長者管理

慢性病，預防惡化。

目的就是要全面減低長者見醫生、入

醫院及再入院的次數。護士站並向家

人及護老者培訓正確護老技巧，令照

顧長者不再是難事。註冊護士與註冊

社工一同在基層社區廣泛進行健康教

育及情緒輔導，令長者及護老者得到

身、心、靈的照顧，得以安老在家。

服務對象針對 60歲及以上基層長者，

「銀鈴護士站」的多元化、高增值的

護理服務包括 :

● 健康教育，幫助長者明白病理及健

康竅門，又以訓練令長者掌握自己

的健康狀況，提高自理能力，實踐

預防勝於治療

● 向長者進行身體功能專業評估，以

便分流轉介予專業醫療體系，及早

治療

● 向病患長者施行針對性個案管理，

跟進慢性病，避免健康惡化，減低

入院或再入院次數

Community CareAge Foundation (CCAF) actively promotes the message “Prevention is better than Cure”. Targeting underprivileged elderly in Hong Kong, CCAF sets up community-based Nurse Clinics, led by registered nurses and collaborated by registered social workers. We provide primary healthcare service on three levels:

1) Offer health education for healthy lifestyle to prevent occurrence of diseases.

2) Provide health checks for early detection and intervention in health issues.

3) Manage chronic diseases through individual case management to prevent deterioration.

Holistic well-being of the elderly and their caregivers is achieved through skill sets training for caregivers, health education and psychological counselling. We aim to reduce the elderly’s visits to doctors, and hospitalization rate so that they may age safely, healthily and independently in their familiar living environment.

Our targeted service users are 60 years old or above living in grassroots community. Our multifaceted and value-added service include:



● 在長者輪候公營醫療系統期間提供

即時諮詢，或在覆診期間提供藥物

諮詢及管理

● 需要時，護士和社工更擔當病患長

者與公營或私營家醫生的溝通橋樑

● 培訓醫療義工，照顧年老長者，輔

助進行生命表徵監控及藥物管理。

社區義工促進和諧社區的作用。年

輕長者的投入，更是助人並自助，

一樂也

本協會的長者護理服務，一律免費。

營運經費全賴社會各界熱心人士、公

眾、工商機構、慈善基金的捐助，和

不定時的政府部門配對項目捐款。

運作模式善用捐款協會希望得到的捐款能善用於長者身

上，故積極尋求與地區社福及志願機

構協作或合作，在他們的機構場地內

開設我們的護士診所，以省免昂貴的

租金，並有助提昇合作機構的服務多

元化，達致雙贏，一同配合，為社區

長者謀求福祉。

● Health education to enrich elderly’s understanding of the impact of diseases, provide keys to good health and training to enhance their self-care ability in order to achieve prevention

● Professional health assessment to help seniors early detect their health issues and refer them to special medical services for early intervention

● One-on-one case management by our professional nurses who continuously appraise and manage elderly’s chronic diseases to prevent their health from worsening and repeated hospitalization

● For ailing elderly strained by lengthy appointment periods with the public hospital system, we offer them timely consultations such as drug compliance for immediate solution to their problems

● When the need arises, we act as a communication medium between the elderly and the servicing medical officers in the public or private sector

● We train and build a team of healthcare volunteers to assist in monitoring vital signs and drug management for the elderly. In particular, we welcome “young olds” to be our volunteers, the practical healthcare techniques they gained will help them face the old age challenge more easily

All services of CCAF are free of charge. Our operating expenses depend on donations from the general public, charity trusts, CSR-minded corporations, as well as occasional government project matching grants

Mode of OperationNurse stations are set up in grassroots community for proximity to seniors in need. We seek collaboration with local social welfare organizations to locate our nurse stations to avoid high rental cost. In return, it adds value to the service scope of collaborators. We achieve win-win and together we work towards the well-being of elderly.


主席的話Statement from the Chairman不經不覺，關護長者協會已經成立了九年，踏進第十個年頭，是時候省覽一下過去

的工作。

一開始，我們設定了機構名字為「社區關護長者基金」，開設專為長者而設的「護

士診所」，推行基層醫療服務，照顧長者的健康。「社區」，是我們的目標所在，

我們認為服務應走進社區，免得長者舟車勞頓尋覓服務，才能真正切合長者的需

要。「關護」，指聘用全職的註冊護士來關顧長者，而「基金」者，寓意善長眾志成城，集腋成裘，提供資金，令

長者能獲免費服務。如今，機構的名稱簡化成為「關護長者協會」，護士診所也有一個名稱了－「銀鈴護士站」，我們的服務概念更加清晰了－就是由專業護士推行預防性基層醫療，結合不同界別的社福伙伴、主流醫護人員，及義務私家醫療，本著專業、貼心、高效率、共融的精神，扮演社區長者健康的守護者角色。

這九年來的成績是亮麗的，這要歸功於董事會的正確決策，各級員工的努力和創新，還有就是義工的無私參與。最

令我們欣慰的，是香港政府認同了基層醫療對大眾健康的作用，決定在全港十八區都開設協助市民保持健康或積極

重拾健康的康健中心。這些中心的服務對象是普羅大眾，並不限於長者。除了護士診所的預防性功能，還連結了醫

生和各種專科服務（如職業治療師、物理治療師、營養師甚至中醫等），為高危者或早期病患者提供及早治療甚或

復康，達致「病向淺中醫」的作用。我們非常期望康健中心能早日投入服務，協助各階層的市民管理好健康，那真

是香港之福。

最後，我以曾國藩的人生格言，與協會仝人共勉：

凡辦大事，以識為主，以才為輔

凡成大事，人謀居半，天意居半蘇家駒醫生

關護長者協會主席

Community CareAge Foundation (CCAF) was established nine years ago. Right from the beginning, our aim has been to establish nurse clinics in the community to provide free primary healthcare service for the elderly. We want the seniors to find medical support without leaving their local community. Our caring service is delivered through full-time registered nurses to ensure it is relevant to seniors’ needs. Our Foundation consists of members of society from all walks of life to provide us with professional support and sustainable funding. Today, through CCAF nurse clinics, we are building up an even wider network of members from social welfare sectors, professional medical staff, and medical support volunteers to offer professional and efficient preventive primary healthcare to the elderly so they may thrive in an aged-friendly society.

The achievements of CCAF during the past nine years had been most encouraging. I attributed these to the dedications of our Board of Directors, our hard-working staff, and the selfless support from our volunteers. We are glad to know that the Hong Kong Government is finally recognizing the vital role of primary care in protecting community health by its announcement to set up health centers in all 18 local districts, serving all citizens. The District Health Centres (DHC) shall practice preventive primary healthcare, bringing in not only nurses, but also a multi-disciplinary team of medical and healthcare professionals, to support patients in high-risk categories or at early stage of diseases in maintaining their health status. We look forward to the early establishment of the district health centres in the near future, which indeed is a blessing to all in Hong Kong.

I often believe that we can make great achievements by putting in our best efforts, but we should also learn not to take the gains and losses too seriously. I wish to share with all at CCAF the motto of Zeng Guo-fan, celebrated statesman and military general in the late Qing Dynasty:

To do great things, knowhow and experience is the key, talent is supplementary

To achieve great things, efforts and God's will, both are indispensable

Dr. So Kar KuiChairman, CCAF Board of Directors



本年度，我們繼續加強現有服務區域的

覆蓋。喜獲港城西北扶輪社的贊助，及

東華三院邱木城長者鄰舍中心的協作，

銀鈴護士站服務得以延伸至觀塘安達邨；

而深水埗亦與惜食堂合作於其海壇街堂

址提供護士站服務給惜食堂會員。至

2017-18年度，銀鈴護士站已於 4區共設有 9個服務點。

總括數據，長者會友 *以女性佔多、逾四成是 80歲或以上、差不多一半的長者會友患上三種或以上的慢性病。截至 2018年 3月 31日，本年度所有護士站合共提供各類型服務達 22,426人次而登記個案人數包括長者及護老者已達 2359人。

*已登記接受銀鈴護士站的護理跟進服務

This year, we consolidated our penetration within the needy districts we are serving. We expanded our service reach into On Tat Estate in Kwun Tong with financial sponsorship from Rotary Club of City Northwest Hong Kong, and venue support from Stephen Yow Mok Shing Neighbourhood Elderly Centre (Tung Wah Group

of Hospitals). Thanks to Food Angel, we also added another new nurse station in their Hai Tan Street Centre in Sham Shui Po. Up to 2017-18, CCAF had a total of 9 service points in 4 districts.

Our registered seniors* are mostly female. Over 40% are 80 years old or above. Almost half of the seniors suffered from three or more chronic diseases. As of March 31, 2018, we have provided 22,426 times of a wide spectrum of services and registered cases for seniors and caregivers came to 2,359 individuals.

* Registered to participate in nursing care service provided by CareAge Nurse Stations

年度主要數字Major Figures for the Year

服務使用者 Service Users

長者會友性別Gender of registered members

長者會友年齡 Age of registered members

60%

50%

40%

30%

10%

20%

0%

53% 高血壓 Hypertension

26% 糖尿病 Diabetes

10% 心臟病 Cardiovascular Disease

47% 三種或以上的慢性疾病 Multiple Disease

37%

37%19%

7%60-69

70-79

80-89

>90

27%73%

男Male 女Female

60%

50%

40%

30%

10%

20%

0%





37%

37%19%

7%60-69

70-79

80-89

>90

27%73%

男Male 女Female


長者會友病況 Health Status of registered members

60%

50%

40%

30%

10%

20%

0%





37%

37%19%

7%60-69

70-79

80-89

>90

27%73%

男Male 女Female

銀鈴護士站 CareAge Nurse Station

觀塘區Kwun Tong

九龍城區Kowloon City

港島東區Hong Kong East

深水埗區Sham Shui Po

合共 Total　

寶達邨安達邨

Po Tat Estate/ On Tat Estate

愛民邨何文田真善美村

Oi Man Estate/ Homantin/

Chun Seen Mei Chuen

勵德邨浣紗街

Lai Tak Tsuen/ Wun Sha Street

大坑西邨海壇街

Tai Hang Sai Estate/

Hai Tan Street

登記個案人數Number of Registered Members

809 870 418 262 2,359

服務人次 No. of Attendance

初級預防 - 健康教育Primary Prevention - Health Education健康護理講座 Health Talks

662 871 714 537 2,784

次級預防 - 疾病檢查Secondary Prevention Health Screening健康檢查活動 Health Check

2,171 1,953 783 1,086 5,993

三級預防 - 病患管理Tertiary Prevention - Disease Management護士個案跟進 Nurse Case Management

2,118 2,971 1,476 1,157 7,722

專科疾病監控 (痛風、三高、糖尿病等 )Special Medical Monitoring Service (Gout, 3 Highs, Diabetes, etc)

1,559 1,428 180 90 3,257

義工訓練 Volunteer Training 171 - 39 325 535

義工服務 Volunteer Service 607 345 534 565 2,051

其他 Others 15 9 60 - 84

合共服務人次Total No. of Attendance 7,303 7,577 3,786 3,760 22,426

2017-2018 服務統計數字一覽 Service Statistics 2017-18 (截至 2018年 3 月 31日 as of 31/3/2018)



本會創辦及管理團隊以專業醫護精英

為主，商業及非牟利機構骨幹為輔。

16位委員中，約半數擁有醫護界專業

資格，包括老人科專科醫生，註冊護

士，註冊物理治療師及臨床心理學家。

有 3位來自商界的委員更是兒童癌病

基金的創辦人。

協會由九人理事會制定發展藍圖，管

理及監察財務事宜，確保所有捐款善

用於協會成立目的，並委聘總幹事以

執行理事會的策略。理事會成員，三

年一任，由會員中互相推選而成，理

事會以下設有 6個諮詢委員會，就不

同的範疇給予職員適時指導。

The majority of CCAF members come from medical or health service background. About 50% out of 16 members are medical and health professionals : geriatricians, registered nurses, registered physiotherapist and clinical psychologist. 3 members from commercial background are in fact the founding members of Children Cancer Foundation.

The organization is governed by a Board of Directors consisting of nine members for devising the development blueprint. The Board also oversees finance matters, ensuring all fundings are strictly utilized in compliance with our founding purpose. A Chief Executive is designated to implement CCAF strategy, and to manage overall operations. Board members serve a term of three years and are elected among members. Six advisory committees serve under the Board and offer guidance to staff operation when needed.

薪酬委員會Remuneration

Committee

註冊護士及註冊社工觀塘區

Registered Nurse & Social Worker

Kwun Tong District

銀鈴護士站CareAge Nurse Station

寶達邨Po Tat Estate安達邨

On Tat Estate

註冊護士及註冊社工港島東區


Island East District


勵德邨Lai Tak Tsuen浣紗街

Wun Sha Street

註冊護士及註冊社工深水埗區


Sham Shui Po District


大坑西邨Tai Hang Sai Estate海壇街惜食堂Hai Tan Street

註冊護士及註冊社工九龍城區


Kowloon City District


愛民邨Oi Man Estate何文田

Homantin 真善美村

Chun Seen Mei Chuen

營運經理Operation Manager

助理營運經理Assistant Operation

Manager

總幹事Chief Executive

理事會Board of Directors

行政助理Administrative

Assistant 籌款委員會Fundraising Committee

義工發展委員會Volunteers

Recruitment Committee

專業支援委員會Professional

Support Committee

外務委員會External Affairs

Committee

會員及提名委員會Nomination & Membership Committee

審核委員會Audit Committee

諮詢委員會Advisory Committee

79%管理委員會平均會議出席率Board Meeting Average Attendance Rate


機構管治架構 CORPORATE GOVERNANCE2

1.蘇家駒醫生理事會主席老人科專科醫生

Dr So Kar KuiChairman of the Board of DirectorsSpecialist in Geriatric Medicine

10.鍾少玲小姐委員兼總幹事跨媒體管理人

Ms Shirley ChungMember and Chief ExecutiveVeteran in Cross Media Management

孫國林太平紳士 BBS MH籌款委員會名譽主席商人及慈善基金董事

Mr Suen Kwok Lam BBS, MH, JPChairman of Fund-raising CommitteeBusinessman and Director of Charity Fund

6.譚家明先生理事註冊社工

Mr Leo Tam Ka MingBoard DirectorRegistered Social Worker

14.周貴文先生委員註冊物理治療師

Mr Terence ChowMemberRegistered Physiotherapist

2.黎筱娉小姐理事會副主席兼會員及提名委員會主席資深電影工作者

Ms Terry Lai Siu PingVice Chairman of the Board of Directors, and Chairman of Nomination & Membership Committee Veteran in Movie Industry

11.趙寶琴小姐委員註冊護士

Ms Lucia ChiuMemberRegistered Nurse

7.李麗琴小姐理事臨床心理及催眠學家

Ms Hilda Li Lai KamBoard DirectorClinical Psychologist and Hypnosis Scientist

15.王嘉雯女土委員理財顧問

Ms Carmen WongMemberFinancial Consultant

3.林旭華先生理事會副主席兼外務委員會主席傳媒工作者

Mr Peter Lam Yuk WahVice Chairman of the Board of Directors, and Chairman of External Affairs Committee Veteran in Media Industry

12.陳廷清先生 MSc, FRICs, FHKIS, MCREA, FIIM委員註冊專業測量師

Mr Chan Ting Ching MSc, FRICS, FHKIS, MCREA, FIIMMemberRegistered Professional Surveyor

8.楊斌醫生理事兼專業支援委員會主席老人科專科醫生

Dr Yeung PanBoard Director, and Chairman of Professional Support CommitteeSpecialist in Geriatric Medicine

16.譚翠芳女士委員行政人員

Ms Christine TamMemberOffice Administration

4.余漢才先生理事兼司庫及審核委員會主席商人

Mr Edward Yu Hon ChoiBoard Director and Treasurer, Chairman of Audit Committee Businessman

13.羅美珊小姐委員註冊護士

Ms Hilda LawMemberRegistered Nurse

9.路婉儀小姐理事兼義工發展委員會主席註冊社康護士

Ms Dabby Lo Yuen YeeBoard Director, and Chairman of Volunteers Recruitment CommitteeRegistered Community Nurse

5.葉樹華先生理事行政人員

Mr Ernest Ip Shu WahBoard DirectorVeteran in Corporate Administration

委員 Members 名譽會員 Honorary Member

1

10 12 1411 13 15 16

4 72 5 83 6 9

理事會成員 Board of Directors (2016-2019)


機構管治架構 CORPORATE GOVERNANCE2

理事會下設 6個諮詢委員會，協助推行關護長者協會的工作Six advisory committees serve under the Board and offer guidance to staff operation.

籌款委員會 Fundraising Committee籌募經費，應付開支 to solicit donation for the Organisation 名譽主席 : 孫國林太平紳士 BBS MH Chairman: Mr Suen Kwok Lam, BBS, MH, JP

義工發展委員會 Volunteers Recruitment Committee招募社區義工以協助護士站日常長者護理支援，招募專業醫療義工團隊以強化協會專業形象 to recruit community volunteers and professional medical volunteers 主席 : 路婉儀女士 Chairman: Ms Dabby Lo Yuen Yee

專業支援委員會 Professional Support Committee 向診所專業員工提供專家判斷及知識 to provide professional medical opinion and advice to the nursing team 主席 : 楊斌醫生 Chairman: Dr Yeung Pan

外務委員會 External Affairs Committee對外宣傳、政府及行業聯繫 to support public relations and liaison with external stakeholders 主席 : 林旭華先生 Chairman: Mr Peter Lam Yuk Wah

審核委員會 Audit Committee審視賬目及財務報告，確保財務健全 to oversee accounts and financial matters 主席 : 余漢才先生 Chairman: Mr Edward Yu Hon Choi

會員及提名委員會 Membership and Nomination Committee監管會員操守，選賢者助會務 to manage membership matters and recruitment of new members主席 : 黎筱娉女士 Chairman: Ms Terry Lai Siu Ping

義務法律顧問 Honorary Legal Consultant陳志強律師 Mr Alan Chan Chi Keung

會計師事務所 Accounting ServicesＰ＆Ｐ Management Ltd

總幹事 Chief Executive 鍾少玲 Chung Shiu Ling, Shirley

行政助理 Administrative Assistant秦晞彤 Chun Hei Tung, June

營運經理 Operation Manager黃慧萍 (註冊護士 ) Wong Wai Ping, Virginia (Registered Nurse)

助理營運經理 Assistant Operation Manager李婉姬 (註冊社工 ) Lee Yuen Kei, Candy (Registered Social Worker)

註冊護士 Registered Nurse劉　敏 Lau Man, Nicole劉婉微 Lau Yuen Mei, Carol李景珊 Li King Shan黃敏儀 Wong Man Yee, Eva

註冊社工 Registered Social Worker張志立 Cheung Chi Lap趙康承 Chiu Hong Shing, Tally鄧詠彤 Tang Wing Tung李文軒 Lee Man Hin, John

職員名錄 Meet Our Staff

員工組合 Staff Composition

註冊護士Registered Nurse

註冊社工Registered Social Worker

中央行政Central Administration

合共Total

管理委員會組合Board Composition 老人科醫生Geriatrician 2

註冊護士Registered Nurse 3

臨床心理學家Clinical Psychologist 1

註冊物理治療師Registered Physiotherapist 1

註冊社工Registered Social Worker 1

商人Businessman 2

多媒體專業人士Multimedia Professional 2

高級行政人員Senior Administrative Personnel

2

理財顧問Financial Consultant 1

退休高級公務員Retired Senior Civil Servant 1

合共Total 16

男性 Male 女性 Female


「基層健康醫療（primary health

care）」是廣義基層醫療，是個人、家

庭及社區使用醫療制度的第一個接觸

點，要位處於市民居住或就業的地方。

在功能上，它要處理整體社區的健康

衞生問題，並且提供健康推廣、疾病

預防及治療，以及復康的服務。”

- 世界衞生組織

“PHC is usually the first point of contact people have with the health care system. It provides comprehensive, accessible, community-based care that meets the health needs of individuals throughout their life.

This includes a spectrum of services from prevention (i.e. vaccinations and family planning) to management of chronic health conditions and palliative care.”

- World Health Organisation

關護長者協會實行由護士主導的預防性基層醫療，

服務社區長者

1) 初級預防 - 在社區廣泛推行健康教育，預防疾病

2) 次級預防 - 組織各種健康檢查，偵測隱性病患，

以利及早治療，病向淺中醫

3) 三級預防 - 慢性病管理，作出復康、減低併發

症或復發措施

除三層預防外，本會更提供心理及情緒輔導，無論

長者或護老者皆受惠。透過多元化的健康護理訓

練，提高護老者的護老技巧。

Community CareAge Foundation offers nurse-led preventive primary health care to the community elderly

1) Primary prevention - conduct health education, prevent illness

2) Secondary prevention - organise health screenings to early detect hidden illness, to facilitate early intervention

3) Tertiary prevention - offer case management on chronic illness, offer training to the elderly for enhancing or revitalising their self care ability, avoid health deterioration and reduce frequency of hospital visits

In addition, we care for the mental and psychological health of the elders as well as the carers. Training is provided to carers to improve their caring skills and psychological composure.


我們的服務 OUR SERVICES3

初級預防Primary Prevention目的：向長者灌輸健康生活的知識，加強自理能力，令他們可以保持健康，在家安老。Objective: Educate elderly with health knowledge to strengthen their self-care ability so that the elderly may live a happy and healthy life at home in their golden years.

2017-2018 年度銀鈴護士站社區健康講座 (次 )：CareAge Nurse Stations organized health talks (time):

參與人次：Attendance:

內容涵蓋不同的長者社區護理題目 Topics covered ：

藥物知識Drug compliance

痛症處理Treatment of physical pains

慢性病自理Self-Care skills on chronic diseases

家居安全Household safety

中、西醫療知識Education on Chinese and Western medical treatments

照顧技巧Caring skills training for caregivers

壓力管理Stress management

長者運動Physical exercise training for seniors

流行病知識Education in Epidemiology

生活態度 Positive life attitudes

飲食和營養Healthy diet and nutrition

牙齒護理Dental health

782784

健康教育 - 痛風症 Health Talk - Gout

痛風症是長者中一種常見的關節炎疾

病，病因是由於病人身體內的“嘌呤＂

(Purine)新陳代謝紊亂，令血內尿酸過

高，尿酸鹽積聚於關節而導致發炎及

痛楚。嚴重的痛風會令關節變得畸形，

對長者的活動能力亦會有嚴重的影響。

除關節外，過量的尿酸鹽也可能積聚

於身體其他部份，導致腎臟或軟組織

產生結石，亦可能引致心臟病、中風

等嚴重併發症。

Gout is a common type of arthritis disease among seniors. Due to metabolic disorder of purine inside the human body high level of uric acid in the blood develops. The excess urate crystals created accumulate in the joints and lead to inflammation and intense joint pain. In serious cases, the joints may become deformed and limit the mobility of the seniors. Excess urate crystals could gather in other parts of the body, leading to stones in kidney or other soft tissues. It may also lead to complications like heart diseases or stroke.


我們的服務 OUR SERVICES3 - 初級預防 PRIMARY PREVENTION

622名社區長者作血液尿酸測試檢測結果Uric Acid Test Results (622 seniors)

血中尿酸濃度高於正常水平Level above Normal

307位seniors 49%

護理個案跟進 4至 6個月後有改善Cases showing Improvement (after 4-6 months)

92/123位seniors 75%

護理個案跟進 4至 6個月後回復至正常水平Level back to Normal (after 4-6 months)

45/123位seniors 37%

本年度獲得香港安斯泰來公司

（Astellas)贊助，於「痛風症護理計劃」

中為長者作血液尿酸測試。歷年來，

護士為 622名長者作血液尿酸測試，

檢測結果顯示有 307人即 49%長者的

血中尿酸濃度比正常高，並且曾有關

節腫痛情況，但無服用痛風症藥物或

作飲食控制。其中 304位較高風險的

長者和照顧者參加本會營養師和護士

舉辦的痛風飲食講座，並由本會註冊

護士作個別健康指導跟進。經過四至

六個月的護理個案跟進後，123位長者

再作血液尿酸測試，結果顯示 92位即

75%長者「血液尿酸」指標下降，當

中 45位近四成長者指數由偏高回復至

正常水平。

痛風不能根治，但適當的飲食控制可

以減低復發機會，從而大大改善長者

的生活質素。銀鈴護士站於社區為長

者提供免費健康風險評估、監察和檢

查健康問題、健康教育和提倡健康生

活方式，以及提供基本預防性護理服

務，確實可以幫助長者選擇健康的生

活方式，帶來更佳的健康效益，提升

生活質素，安享晚年。

Sponsored by Astel las company, this year we provided uric acid test to elderly through our “Gout Treatment Program”. Over the years, we provided ur ic ac id test for 622 s e n i o r s . 3 0 7 p e o p l e (49%) had results above normal and experienced swollen joints. They did not take gout medicines or diet control. 304 of them attended our health talks, and followed our treatment guidance. After 4-6 months, 123 patients retook the uric acid test. 92 seniors (75% of them) showed drop in reading. 45 seniors (close to 40%), their readings returned to normal.

Gout cannot be cured. But diet control could reduce its recurrence. Our nurse stations strive to provide free risk assessments, follow-up monitoring and health education to raise the quality of life for seniors.


在護士站的痛風症健康講座中，霍婆婆認

識到痛風症的病徵病狀，與自己的關節腫

痛非常相似，於是便到護士站接受血液尿

酸測試。檢測結果顯示，霍婆婆的尿酸指

數偏高，屬於高風險的長者。「哎呀！真

係冇諗過自己會有痛風症！」霍婆婆即場

接受護士健康指導及護理個案跟進，隨後

霍婆婆更獲邀請參加由本會營養師舉辦的

痛風症飲食講座，增加對痛風症飲食控制

的知識。

「原來戒口就可以預防痛風症，唔講我真

係唔知！」霍婆婆聽從護士和營養師的指

導，避免進食一些含「嘌呤」高成份的食

物如：酒類、動物的內臟、沙甸魚、魚卵、

貝殼類的海產、過量的肉類、家禽類和魚

類、過量的乾豆類、冬菇、椰菜花、菠菜

及鮮露筍等蔬菜。

經過半年的護理個案跟進後護士再幫霍婆

婆作血液尿酸測試，檢測結果顯示婆婆的

尿酸指數已由偏高指數回復至正常水平，關節腫痛情況亦

減少了。「而家少咗關節腫痛，個人都開心啲呀！」霍婆

婆笑著說。

Through the Nurse Station’s health talks, Granny Fok learned about gout symptoms and approached our nurse station for uric acid test. The result showed high readings of her uric acid. Our nurse provided her with health guidance and case management follow-up. We also invited her to our gout diet talk hosted by our dietitian volunteer.

Granny Fok followed our advice on healthy diet, avoid eating food with high purine contents: alcohol, animal’s giblets, sardines, roe, shellfish, and over intake of meat, fish, poultry, and specific vegetables. After 6 months’ efforts, her uric acid level is back to normal and the occurrence of swollen joints also decreased.

霍婆婆的健康問題Granny Fok's Conditions

銀鈴護士站的針對性對策CareAge Nurse Station's

Strategic Action

患有高血壓、糖尿病Hypertension, diabetes

健康指導、護理跟進Health Guidance , case management follow-up

有偶發性關節腫痛Occasional pain from swollen joints

懷疑婆婆尿酸作祟，邀請婆婆進行血液尿酸測試Arranged uric acid test

以為年紀大風濕骨痛不能醫治，對痛風症毫無認識Lacked gout knowledge. Did not realize the pain is treatable

安排婆婆參加營養師舉辦的痛風症飲食講座Invited her to attend dietitian talk on gout

尿酸指數偏高，屬於高風險的長者High uric acid reading. High risk factor

進行個案跟進，督促婆婆戒食含“嘌呤＂成份高的食物Initiated case management. Enforced special diet to reduce purine

半年內婆婆的尿酸指數由偏高指數回復至正常水平Granny Fok's uric acid level returned to normal in 6 months

霍婆婆是其中一位受惠長者，她患有高血壓、糖尿病，需定期到門診覆診。近年偶發性關節有腫痛情況，導致「食唔安，坐唔落，兼冇覺好瞓！」，本以為年紀大風濕骨痛不能醫治，沒有求醫，更被痛症纏繞多月。

Service user: Granny FokConditions: hypertension, diabetesStatus: Regular consultation at public clinicsGranny Fok occasionally suffered pain from swollen joints which affected her daily life including sleep. She thought having arthritis pain is normal due to old age, hence did not seek medical attention for months.

知多D　痛風走遠DKnow More Gout　No More Gout



健康訓練 - 體能訓練 Health Education – Physical Training

根據 2012年衞生署長者健康中心的統計，在三萬八千多位的 65歲以上的社區長者中，10.5%曾於半年內至少跌倒過一次。曾跌倒的長者中，有 9.7%因而骨折，部分長者從此失去活動能力至日常

自我照顧能力下降，甚至需要入住院舍。

不少長者亦會在跌倒後失去自信心，即

使只是輕微擦傷，却因害怕再跌倒而減

少出外，影響社交生活，變得情緒低落，

甚至抑鬱。若跌倒後不能爬起來，一旦

失救更可導致死亡。

跌倒可以預防，但必須多管齊下，按照

個別長者的風險因素來針對性處理，包

括視力、平衡能力、慢性病或藥物影響、

環境安全、營養等。長者宜經常做有助

強化肌力、伸展、身體協調和平衡的運

動（如太極）。照顧者須評估長者身體

活動能力、肌肉力量，指導長者運動，

以強化肌力，矯正姿勢，增強關節功能

及改善下肢力量，促進平衡。(資料參考：衞生署 )

銀鈴護士站為體弱長者作評估和制定社

區護理計劃，包括健康及疾病評估和個

案跟進，管理慢性病進展，為長者設計

適切的活動，減低跌倒風險和加強自理

能力。

According to a survey in 2012 by the Hong Kong Depar tment o f Hea l th , 10.5% out of about 38,000 seniors had fallen down a t leas t once w i th in 6 months . 9 .7% of such accidents led to bone fracture. Many of the elderly lost mobility and failed to lead independent life, some ended up in nursing homes afterwards. Furthermore, the seniors would lose confidence. To avoid falling down and getting hospitalized, they stay home all day, and often develop mental depression due to social isolation. Fall can be fatal too, if emergency rescue is not readily available.

Seniors falling down can be prevented through improvements of these areas: eye vision, body balance, impact of chronic diseases, drug compliance, household safety, and nutrition control. Proper physical exercises, such as Tai-Chi, could strengthen elderly muscle strength, flexibility, body co-ordination and balance. Caregivers could play vital role in assessing degree of senior mobility and assisting seniors through suitable exercise programs (Reference: Department of Health).

The CareAge Nurse Stations offer elderly with a comprehensive care plan including health assessments, one-one-one consultation, chronic disease management, and proper physical exercise sessions to reduce the risk of falling down and strengthen their self-care ability.

為增強因體弱而缺乏運動長者的肌肉及平衡力能力，減

少因肌肉流失而跌倒的風險，護士站特別開展關節運動

訓練組，由太極師傅和義工帶領，為這批體弱長者設計

在坐椅上進行的運動，目的是提升他們的肌肉能力預防

跌倒。

Aims to improve muscle strengths and balance power for seniors who are incapable of normal physical exercise due to health reasons. To reduce elderly muscle loss and risk of falling down, our exercise coach and volunteers help the elderly through special exercises including seated Tai-Chi sessions.

關節運動訓練組 Joint Strength Exercise Program

2017-2018年度關節運動訓練組Joint Strength Exercise Program (2017-18)

237 參加人次Elderly Attendance

27 參加人數Participants

114 義工參與人次Volunteers Attendance

訓練內容包括：

座式太極運動訓練、腹式呼吸、穴位按壓、

平衡力測試等

Class Contents: Seated Tai-Chi, abdominal breathing exercise, pressure point massage, balance skill reviews


護士有見婆婆在兩個測試都不達標，於是為婆婆評估她的

餐單，發現其少肉少蛋白質的飲食習慣是導致其肌肉能力

轉差的重要原因。於是，護士邀請婆婆每兩星期到銀鈴護

士站進行健康評估，定期為她評估飲食餐單及體重狀況，

並邀請她參與「關節運動訓練組」，透過適當運動及飲食

配合來增強肌肉能力。

護士站透過體能測試，使婆婆自我意識到飲食習慣欠佳及

缺乏運動而導致肌肉加速退化的問題。透過定期個案管理

及運動訓練，飲食習慣改善指令、加強運動、正確服用藥

物等辦法，再加上婆婆願意聽從護士指示，婆婆的肌肉能

力和疾病狀況慢慢重回正軌，人也精神多了！

Our nurse noticed Granny Yau attempted to adopt her own version of “healthy diet”, i.e. cutting down intake of meat, egg, and rice. This led to loss of muscles. As a result, the granny felt weak in the leg. The nurse provided assessment on the granny’s muscle strengths and body balance using Timed up & Go test (Podisadle & Richardson,1991) and Functional Reach Test (Duncan et al., 1990). The results were below designated standards.

The nurse reviewed the granny’s diets and determined the lack of protein was the main cause for loss in muscle strengths. Our nurse arranged health review for the granny every 2 weeks. She was introduced to our joint exercise training workshop. CCAF also sent volunteers on home visits to assess her domestic safety status.

CCAF nurse used results of physical evaluation test to raise the granny’s awareness of the deficiency in her diet and muscle loss. Our case management program, exercise sessions, diet recommendations, and drug intake guidance together with the granny’s willingness to comply led to remarkable health improvements.

丘婆婆的健康問題Granny Yau's

Conditions

銀鈴護士站的對策CareAge Nurse Station's

Strategic Actions曾患大腸癌，「三高」多年Record of Colorectal cancer;hypertension, hyperglycemia, hyperlipidemia for years

護士站為她定期測量血壓、血糖值、體重等指標以軟監察病情Monitored blood pressure, blood sugar level, body weight, etc on regular basis

體弱又健忘、需日服廿多粒藥物On multiple medications, physically weak, forgetful

施以藥物管理，將每日所需服用的藥物放在藥盒中教導她正確服用，觀察藥物副作用Educated drug compliance with separate pills in compartments; monitored drug side-effects

對自身的健康和疾病知識不足，自行戒食肉類、蛋白質及澱粉質來控制「三高」Lacked knowledge of disease and nutrition. Deficiency in proper intake of protein and starch

護士向婆婆進行兩項體能測試，令婆婆清楚理解自已問題所在。再評估她的餐單，發現其少肉少蛋白質的飲食習慣是元兇Performed tests on physical functions. Reviewed granny's diets. Found out the root cause was lack of protein from meat

邀請她參與「關節運動訓練組」，透過適當運動及飲食配合來增強肌肉能力Introduced granny to joint exercise program. Improved muscle strengths through diets and exercising

婆婆的肌肉能力和疾病狀況慢慢重回正軌Granny's muscle strengths and

disease conditions showed improvements

81歲的丘婆婆，7年前曾患大腸癌，「三高」多年，日服廿多粒藥物，體弱又健忘、對自身的健康和疾病知識不足。護士站為她定期測量血壓、血糖值、體重等指標以監察病情。在她因健忘的情況下不能正確服用多種藥物時，

定期為其作藥物管理，將每日所需服用的廿多粒藥物放在藥盒中教導她正確服用，及觀察藥物所引起的副作用再轉介醫生，以免長者忽略而引致意外。

Service User: Granny Yau (81 years old)Conditions: Colorectal cancer (7 years ago), hypertension, hyperglycemia, hyperlipidemiaStatus: Taking over 20 types of medicines, weak health, often forgetful, lacking proper understanding of own health conditions

護士在個案管理中發現婆婆刻意吃得清淡

來控制「三高」。由於攝取肉類不足，結

果加快了肌肉的流失。婆婆對護士說：「我

最近對腳好快攰，無咩力，企得耐仲會腳

震。」因此，護士為婆婆進行一系列的體

能測試，主要是測試婆婆的肌肉能力及平

衡力。第一個測試是透過起身行路的動作，

評估婆婆的平衡力。結果婆婆用了 15秒時間完成，未能達到 12秒的標準時間；第二個測試是把手臂向前伸展至 10吋半距離，婆婆只能伸展約 8吋，同樣是未能達標。

識得食至有氣力Eat Smart Get A Good Start



次級預防Secondary Prevention目的：尋找隱蔽病患及疾病高危長者，及早檢察、儘早治療；並提供專業評估，作相關的疾病篩檢及專業醫療體系轉介。Objective: To perform health assessment and screening on high risk elderly to facilitate early identification of chronic disease, so that early intervention may be possible, also provide professional evaluation or referral to medical specialists.

2017-2018年度各類型的社區健康檢查，服務項目及活動 (次 )：Community health screening, service programs and events (time):

參與人次：Attendance:

各種有關健康和慢性病的篩查，包括 Topics covered ：

眼疾檢驗Eye disease screenings

心電圖Electrocardiogram

記憶力測試Memory tests

手握力測試Handgrip strength tests

血液尿酸值Uric acid level in blood

血壓Blood pressure

視力Vision tests

血糖值Blood glucose level

骨質密度Bone density tests

身高體重指標等 Height / body weight measurements

1845993

在寶達邨內的街站式健康檢查中，護士發

現 79歲的莫婆婆血壓及血糖稍高，於是邀請婆婆到護士站作詳細的個案跟進。莫婆

婆有慢性腳痛，血壓及血糖指標持續偏高；

表徵觀察發現婆婆的身型有點異常，臉部

及身體軀幹圓厚略胖似的，但手腳不合比

例的纖幼，皮膚易瘀青，下肢乏力。與婆

婆詳談後發現，原來數年前婆婆因為慢性

痛症，在國內親友的介紹下自行購買止痛

藥物，婆婆服用了後感覺痛楚的確有所舒

緩，但亦因此愈來愈依賴該藥物，斷斷續

續地吃了好幾年，劑量亦逐漸提高。護士

詳細檢查下發現這止痛藥物含類固醇。

護士懷疑婆婆的情況為不當服用類固醇的

藥物反應，於是為婆婆預約普通科門診，

並為她寫了轉介信，詳細說明過去用藥情

況及各項健康徵象指數及可疑症狀。結果，

婆婆被確診為「庫欣氏症候群」(Cushing Syndrome) - 不當使用類固醇致使血壓偏高及骨質疏鬆，婆婆亦因此需要在專科門診

接受長期的診治及藥物治療。婆婆十分感

謝護士站的服務和護士經驗豐富又細心的

跟進，她估不到一次簡單的檢查居然找出

嚴重的病症，好彩能及早發現！

Venue: Street Health Checking Booth by Po Tat Estate nurse station

Service user: Granny Mok (79 years old)

Conditions: Hypertension, blood glucose level slightly above normal, chronic pain in the leg

Our nurse noticed some abnormality about a granny during health screening: her face and body trunk were slightly plump and round while the limbs were overly slender; her skin got bruises easily and lower limbs felt weak. On cross examination, it was found that Granny sourced certain type of over the counter medicine in mainland China some years ago to treat her chronic pain. The drug seemed to work but she became addicted to it with increasing dosage. Our nurse then found out this drug contained steroid.

Suspecting granny was suffering from side-effects from improper use of steroid, our nurse refered Granny Mok to visit general out-patient clinic. She was diagnosed with Cushing Syndrome, suffering from hypertension and osteoporosis due to steroid misuse. She was further referred to special medical service for treatment. Granny Mok was most grateful to our nurse for her expertise and keen observation in identifying this critical medical condition.

健康檢查 Health Screening

庫欣氏症候群症狀：Signs & Symptoms of Cushing Syndrome

● 滿月臉

● 體重增加，並以中樞性肥胖為主 -水牛肩，四肢則相對變細

● 皮膚變薄，皮下血管容易看到，皮下組織變弱，會出現暗紫色條紋和瘀青

● 高血壓

● 高血糖

● 肌肉無力

● 骨質疏鬆

● 毛髮增生

● 粉刺

● 長期疲倦

● 情緒改變

● 腎結石

● 月經不規則

● 性慾減低

● Rounded, rosy face

● Weight gain, especially upper body -"buffalo hump"

● Thinning skin that is easy to bruise

● High blood pressure

● High blood sugar levels

● Weak muscles

● Osteoporosis

● Extra hair growth on body and face

● Acne

● Being very tired

● Depression and anxiety

● Kidney stones

● Irregular periods

● Low sex drive and problems


我們的服務 OUR SERVICES3 - 次級預防 SECONDARY PREVENTION

在一次社區健康檢查血壓和血糖活動中，

護士發現 78歲的戴婆婆的血壓偏高，於是邀請婆婆到護士站作跟進了解。護士與婆

婆詳談後知道她是在 1998年從國內來港，曾經患有高血壓，並且在國內接受治療，

服用血壓藥物。來港後，婆婆不了解香港

的公共醫療設施及服務，所以沒有在香港

診治，她的高血壓亦因此中斷了治療，多

年來只時斷續地在國內購買血壓藥自行服

用。護士建議及教導婆婆前往普通科門診

作診治，護士又為她寫了轉介信說明健康

及藥物使用狀況。最後，婆婆聽從了護士

站的勸說，目前在門診治療高血壓，情況

穩定。

Venue: Community health screening event organized by CCAF

Service user: Granny Tai (78 years old)

Conditions: Hypertension

During a mass health screening session, our nurse picked up Granny Tai who indicated high blood pressure reading. Our nurse learned that Granny Tai came to Hong Kong from mainland China in 1998. She was already prescribed with medications for hypertension while in the mainland. Due to lack of understanding of the Hong Kong medical system, she continued to source medicine from the mainland, instead of seeking local medical treatment after coming to Hong Kong. Supply of medicine is often interrupted due to de l ivery issue. Our nurse referred her to HA’s general out-patient clinic with nurse station’s letter elaborating on the granny’s conditions. She i s now be ing t rea ted through outpatient clinic under stabilized status.

以上兩個個案說明了街站式社區健康檢查的重要性。不但能夠為眾多的長者進行身體檢查，更重要的是可以接

觸到不少平日不會主動求診、相對隱蔽被動的長者。如發現長者有異常便安排他們到護士站進一步跟進，有需

要時更會為他們轉介至各相應的醫療部門。這樣，長者們又再重拾健康。

The above two examples illustrated the vital role of extending CCAF service into the community through street booths and local screening events. These activities allow us to identify these “hidden” seniors who normally would not approach our clinic on their own. Our nurses could then follow up with further health assessments and referral to relevant medical service providers.


- 次級預防 SECONDARY PREVENTION

骨質疏鬆症在香港很常見，據醫院管理

局 2011年資料顯示，香港約有 30萬婦女及 10萬男士患有此症，骨質疏鬆性骨折的發病率有上升的趨勢，患有骨質疏

鬆症的老年人出現髖關節骨折的機會，

較沒有骨質疏鬆症的人為高。

2016-2017年香港約有 11,000宗髖骨骨折個案需進行手術。香港中文大學醫學院

指骨質疏鬆性骨折不但可引發高死亡率

的併發症，亦可能會大大影響患者日後

自理能力。骨質疏鬆性骨折患者當中有

過半需要植入骨內固定物，常見骨折包

括髖部骨折、遠端橈骨骨折、肱骨近端

骨折等。以髖骨骨折為例，醫院管理局

2013年的記錄顯示 65歲或以上長者每年就有約 5千 5百宗，佔全港骨科床位總用量的 17%。所有髖關節骨折病人至少有數個月需要使用助行架，接近一半的

病人可能從此需依靠手杖或助行器去輔

助步行，當中約三成病人，在骨折後一

年，完全需要別人照顧或入住護理院。

主題健康檢查 - 骨質疏鬆症 Themed Health Screening- Osteoporosis

Osteoporosis is very common with the ageing population in Hong Kong. According to information dated 2011 from Hospital Authority, there were around 300 thousand women and 100 thousand men diagnosed with osteoporosis, the trend is on the rise. Elderly with osteoporosis have higher chance to get hip fracture than others.

In 2016-17, there were around 11,000 hip fracture cases in Hong Kong needing operation. The Chinese University of Hong Kong pointed out that osteoporosis not only would induce complications with high mortality rate, but also adversely affect patients’ self-care ability. Over half of the fracture caused by osteoporosis required fixture to be implanted. The common fracture includes hip fracture, distal humerus fracture and proximal humerus fracture, etc. As per 2013 record from Hospital Authority, there were about 5500 elderly aged 65 or above taking up 17% of overall Hong Kong orthopedics wards’ beds. Patients with this type of injury often require the assistance of walking aids for months. Close to half of them have to use such aids permanently. 30% of these patients lost their independence or had to be admitted to nursing homes within 1 year.



接受免費的雙能量 X光吸收測量檢驗的 312位社區長者中，超過半數患有此症，接近四成骨質流失，這九

成多社區長者都是跌倒骨折的高風險長者！

Over 50% of the 312 seniors taking the DEXA test were diagnosed with osteoporosis. Close to 40% were found Osteopenia. They are all at high risk of bone fracture.

312位社區長者檢驗結果：312 seniors took the DEXA test, as a result:

本會透過社區檢查及早發現骨質疏鬆患者；

部分有需要的患者會獲本會慈善藥物贊助及

診治，同時亦會轉介至公營醫療部門跟進；

接受治療後再輔以護理個案跟進以便監測情

況。透過這三步曲，長者們終於不用再怕

「跌散骨頭冇人理」。

CCAF ident i f ied sen iors w i th os teoporos is , then provided medical consultations and drug prescriptions. Referral to public health sector was available when needed. We also followed up their status through individual case management.

Diagnosis 檢驗結果受惠長者人數Service Users %

骨質疏鬆症 Osteoporosis 167 53.50%

骨質流失 Osteopenia 118 37.80%

正常 Normal 27 8.70%

及早介入，儘早治療，成效卓越Early intervention brings about encouraging results

2017年尾，本會為上述曾接受藥物治療的 55位骨質疏鬆症長者於服藥二年後再檢驗骨質密度，欣喜發現其中八成長者

的骨質密度有所改善，而 14.5%長者更改善為骨質流失，跌倒骨折的風險大為

降低！

By end of 2017, CCAF ran a follow-up bone density test on the 55 osteoporotic seniors who received medical treatment for 2 years. 80% of them showed improvement in bone mass density while 14.5% even improved to osteopenia status It largely reduced the risk of fracture.

受惠長者人數Service Users

超聲波骨質密度檢測Ultra-sound bone density screening 441

雙能量 X光吸收測量檢驗DEXA test 312

老人科專科醫生診症 +藥物治療Physician consultations and drug prescriptions

144

2015年，本會得蒙香港鳳凰獅子會、ACR亞洲資本再保險集團私人有限公司，及香港流行

病研究的中心資助及贊助，開展「骨質疏鬆症」

社區健康主題計劃，為 441社區長者進行了疾病講解，繼而進行「超聲波骨質密度檢測」，

從中篩選了高風險的 312位長者進行「雙能量X光吸收測量檢驗」。檢驗後更為 144位證實為骨質疏鬆症及骨質流失的長者，安排老人科

專科醫生仔細診症，並由本會贈醫施藥。

With generous support from Lion’s Club and Asia Capital Reinsurance Group Pte. Ltd., and the Centre for Health and Medical Research, CCAF initiated the Community Osteoporosis Program in 2015. The program kicked off with talks on osteoporosis, inviting seniors to go through preliminary ultra-sound bone density screening, and DEXA test for those identified to be at risk. Seniors diagnosed with osteoporosis were then provided with physician consultations and drug prescriptions. The entire process was free of charge.



婆婆坦言有護士的監測，較以往安心，不用時刻擔心自己

的身體狀況；許婆婆更會放心地到長者中心做義工，更是

「義工金獎」的得主。

Granny Au (86 years old) and Granny Hui (75 years old) not knowing the impact of osteoporosis both benefited from our bone density screening program. They were diagnosed with osteoporosis in 2015 and received medical treatment and referral to public health sector. CCAF also offered comprehensive health education seminars on the subject. In 2017, they were both invited back to take the DEXA test again, and were greatly relieved that their conditions had improved.

The two seniors are grateful for the CCAF osteoporosis program. Its early intervention with nurse’s continued monitoring has given them a peace of mind. They urged this kind of service to be maintained and developed for the benefits of other elderly in the community.

歐婆婆和許婆婆的雙能量 X光吸收測量檢驗 ( DEXA - T score*) DEXA Test results of Granny Au and Granny Hui

2015年 4月(April, 2015)

2017年 11月(November, 2017)

髖骨頸Hip joint

歐婆婆 Granny Au -3.8 -3.1

許婆婆 Granny Hui -1.8 -1.2

腰椎Lumbar vertebrae

歐婆婆 Granny Au -4.3 -3.7

許婆婆Granny Hui -3.5 -2.6

86歲獨居的歐婆婆和 75歲的許婆婆是 144位中的受惠長者，兩位都患高血壓和高血

脂多年，從來未做過骨質密度測量，亦不

了解什麼是骨質疏鬆症及其風險、如何防

止骨質的流失。在 2015年 4月骨質密度測量中確診為骨質疏鬆症，誠蒙機構贊助接

受診治和為期約一年的骨質疏鬆藥物，在

護士站更接受健康講座教育和護理個案跟

進，了解自身狀況，增進對骨質疏鬆症和

慢性病的知識，在日常生活中加強運動和

鈣的吸收、曬太陽、留意家居安全和小心

出入，減低跌倒的意外，並獲轉介輪候公

營醫療體制的跟進治療。在 2017年 11月本會提供的雙能量 X光吸收測量檢驗中，二位婆婆欣然知悉骨質疏鬆的狀況不只沒

有惡化更有所改善，跌倒骨折的風險大為

降低，十分感謝本會的服務。

兩位婆婆最喜悅的是知道自己的骨質疏鬆

情況有所改善。許婆婆更形容在雙能量 X光吸收測量檢驗後由心而笑：「我睇到個

結果開心到笑，因為終於唔使提心吊膽自

己會跌倒跌散啲骨，要人照顧我！」她和

歐婆婆都很認同本會對於長者骨質疏鬆情

況的關注及支援，她們認為骨質疏鬆檢查

計劃、診治贊助等服務應該繼續發展。歐

婆婆說「很多長者有需要，但自己又唔識，

全靠護士站幫手」。在本會的介入後，歐

* T分是世界衛生組織作為診斷骨質疏鬆症的指標，以被檢查的骨質密度與同種族及性別的高峰骨質密度（約 35歲）作比較，差距以標準偏差為單位，稱作 T分 (T score)

*According to WHO, bone density test results are reported using T-scores. A T-score shows how much your bone density is higher or lower than the bone density of a healthy 35-year old adult.

世界衛生組織骨質疏鬆症的診斷標準WHO bone mass density standards

骨質密度正常Normal

T分為 -1或以上T-score of -1 or above

骨質密度偏低Low Bone Density or Osteopenia

T分為 -1-2.5之間T-score between -1 – 2.5

骨質疏鬆Osteoporosis

T分為 -2.5或更低T-score of -2.5 or below

嚴重骨質疏鬆Critical Osteoporosis

T分為 -2.5或更低 /曾患骨質疏鬆性骨折

T-score below -2.5, there have been osteoporotic fractures

唔驗唔知骨頭脆 Check Your Bone Before It is Too Late



三級預防Tertiary Prevention 目的：護士站為有需要長者提供個案護理管理，設計針對性的長期病患個案

管理、生命表徵監控、藥物管理，目的為減低入院次數。此外，針對長者常

見疾病特設專科疾病監控包括痛風、三高、糖尿病、輕度認知障礙及骨質梳

鬆等，由教育、檢查至管理跟進全面涵蓋。

Objective: Nurse clinic adopts case management approach when following up on seniors with chronic diseases. We provide vital signs monitoring and drug compliance assessment to reduce the elderly's hospitalization rate.

CCAF also assigns resources to specifically monitor conditions common among elderly patients: gout, hypertension, hyperglycemia, hyperlipidemia, diabetes, mild cognitive impairment, and osteoporosis. Our comprehensive services range from health education, screening up to continuous case management follow-up.

2017-2018年度護士個案跟進服務 (人次 )：Nurse case management (service time):

2017-2018年度專科疾病監控小組服務 (人次 )：Special Medical monitoring service (service time):

77223257


慢性病管理 - 知藥用藥Chronic Disease Management – Drug Compliance

「之前我都試過有食錯藥嘅情況。藥又多，

我雙眼又矇查查，個藥袋上面啲字又細，

睇到我眼都花。」

單單一個月內，梁婆婆因為頭暈、跌倒及

流感而留院治療 3次，在身體變得虛弱的情況下，要自行處理十多種口服藥物變得

更為困難。後來，婆婆透過地區組織認識

「深水埗銀鈴護士站」，開始接受護士諮

詢、藥物管理服務。

護士定期為梁婆婆檢查身體及疾病指標狀

況，制定個案管理計劃，教育疾病和藥物

知識。每月兩次透過使用藥盒協助婆婆按

時及正確服用藥物，特別是止暈藥，觀察

情況，靈活調節管理計劃。

「宜家有姑娘教我點食藥，我食藥就安心

好多，唔使成日擔心自己會食錯藥。仲教

我乜係血糖低、血糖高，點樣做，頭暈又

可以點。而且，姑娘幫我將啲藥擺哂落藥

盒，我可以好簡單就知道自己今日食左藥

未。」

「我好多謝姑娘幫我，多謝佢咁用心為長

者服務。」

Granny Leung often felt dizzy, and was once hospitalized three times within a month for various health issues. She got weak and had difficulty in sorting out her multiple medications. Her case was subsequently referred to Sham Shui Po CareAge nurse station in order to arrange nurse case management and drug compliance program for her.

Based on health assessments of the Granny, our nurse drew up case management plan, and also initiated training on disease control and drug knowledge. For twice a month, our staff helped sort out her medications using labelled pill box to ensure Granny take medications on time and properly.

With guidance from CCAF’s nurse on managing blood sugar, hypertension and dizziness, Granny Leung became more confident in taking care of herself.

透過護士站服務入院次數劇減Achieving reduction in hospitalization rate

梁婆婆患有高血壓、糖尿病，需要定期到專科門診覆診，同時服用十多種不同的口服藥物。以前，婆婆須要自己處理藥物，但面對眾多不同類型的藥物，她坦言經常都會有「執錯藥、食多食少藥」的問題出現。

Service user: Granny Leung

Conditions: Hypertension, diabetes

Status: Regular consultations at specialist out-patient clinic; taking multiple medications; and frequent confusions with types of drugs to take or with the dosage prescribed

霍婆婆的健康問題Granny Fok's Conditions

護士站的對策CareAge Nurse Station's

Strategic Actions

患有高血壓、糖尿病Hypertension, diabetes

定期為梁婆婆檢查身體及疾病指標狀況，制定個案管理計劃Establish case management plan based on health assessment and disease evaluations

有困難處理十多種口服藥物Had difficulty sorting out multiple medications

使用藥盒協助婆婆按時及正確服用藥物Use pill box approach to arrange various drugs and identify respective dosages


我們的服務 OUR SERVICES3 - 三級預防 TERTIARY PREVENTION

7722Case Management 2017-2018年專業護理跟進服務人次

No. of Case Management Attendance (2017-18)

護士站常舉辦以藥物為主題的小組、講座

及出版不同有關藥物的教育刊物，如：藥

物小百科、藥物安全單張等；希望教育長

者和護老者有關藥物護理的基本知識，目

標使他們能夠在家中實踐安全用藥的習

慣。而長者在參加這些活動後，均表示活

動可以令他們了解更多有關藥物的知識，

而且這些資訊對他們日常生活是十分重要

的。

護士站為有需要長者提供個案護理管理，

設計針對性的長期病患個案管理、生命表

徵監控、藥物管理，目的為減低入院次數。

CareAge Nurse Stations set up drug compliance patient groups, organize seminars, and publish education booklets, aiming to increase drug compliance by educating seniors and caregivers in basic drug management knowledge as well as compliance techniques. We adopt case management approach through health assessments and vital signs monitoring to reduce frequency of hospitalization.


- 三級預防 TERTIARY PREVENTION

慢性病管理 - 糖尿監控計劃Chronic Disease Management – Diabetes Home Care Scheme

護士邀發哥參與密集式的「家居控糖小

組」，包括每星期一天到護士站檢驗午餐

前及餐後二小時的血糖值、血壓及體重等

指標，以及日常飲食、服藥、運動的習慣；

發哥並要在小組的定期講座及聚會中，學

習正確的管理糖尿病知識，包括均衡飲食、

醣質交換法、營養標籤注意事項等。兩年

光景，現時他的「糖化血紅素」(HbA1c)為 6.8%，血壓和餐後血糖值等指標都維持穩定，發哥表示「相當滿意」。

發哥的例子說明了「及早介入」的重要性，

根據 2011年美國亞特蘭大研究顯示，糖化血紅素每下降 1%，即可減低微血管病變達 40%，換言之可減少患腎衰竭、中風等併發症，從而降低因患糖尿病死亡的風險

21%。銀鈴護士站提供免費健康諮詢及檢測予有需要的長者，正正發揮了『及早介

入，及早預防』的角色，使長者的健康有

更好的保障。

發哥在成功控制血糖後，積極投入義工工

作，使生活變得更有意義。他肯定護士站

的工作，認為「可以幫到很多長者」。發

哥保持健康後，也表示想「幫返護士站，

幫下其他人」，成為了護士站的關護大使，

更多次擔任活動司儀。發哥健談，因此護

士站每有拍攝宣傳等工作，都找發哥幫手，

發哥亦不會推辭。

Our nurse placed Uncle Fat under the intensive monitoring group for diabetes. This includes weekly measure of blood sugar level, blood pressure and body weight, diet control, drug compliance and regular exercise. He also attended CCAF seminars on diabetes education, learning balanced diet, carbohydrate exchange method and nutrition label reading, etc. Two years down the road, his HbA1c is now down to 6.8%. Blood pressure and other blood sugar indicators are also stabilized.

Uncle Fat’s case showed the importance of early intervention. According to U.S. Atlantic study, the dropping of HbA1c by 1% reduces the chance of microvascular complications by 40%, reducing occurrence of complications such as kidney failure or stroke, which in turn cut down the associated death rate by 21%. The CareAge nurse station provides the exact early intervention to prevent elderly’s health from being compromised.

Uncle Fat recognized the effectiveness of CCAF nurse service and decided to help more elderly by working as a CCAF volunteer, using his own experience to help others.

及早介入控制糖尿病減少患腎衰竭、中風等併發症Early intervention in monitoring diabetes allows room for timely treatment, reduces occurrence of complications such as kidney failure or stroke

77歲的發哥是一位糖尿病患者，一次偶然在街坊的介紹下在寶達銀鈴護士站接受社區護理跟進服務，護士發現發哥的血糖值不隱定，「糖化血紅素」(HbA1c)為 8.5%，屬於高風險水平。原因發哥對處理糖尿病的知識不了解，覺得『食藥唔舒服！』而自行減少糖尿藥的劑量。

Uncle Fat (77 years old), a diabetic patient, was found having unstable blood glucose level by CCAF nurse, his HbA1c was high at 8.5%. This was due to his arbitrary reduction of diabetes drug intake. "I feel unwell after taking the medicine", he said.



2017-2018家居糖尿監控計劃 : 六成參加計劃的長者的「糖化血紅素」(HbA1c)顯著下降

In 2017-18, the CCAF Diabetes Home Care Scheme managed to bring down the HbA1c level of 60% of scheme participants

發哥的健康問題Uncle Fat's Conditions

銀鈴護士站的對策CareAge Nurse Station's Strategic actions

糖尿病患者Diabetes

邀發哥參與密集式的「家居控糖小組」- 每星期一天到護士站檢驗午餐前及餐後二小時的血糖值、血壓及體重等指標，分析其飲食習慣及風險Invite Uncle Fat to join intensive diabetes monitoring group: Weekly measurements of blood sugar level, blood pressure and body weight; analysis of diet behavior and risk

血糖值不隱定，常自行減少糖尿藥的劑量Unstable blood sugar levelArbitrary reduction of his own drug dosage

通過講座吸收正確的管理糖尿病知識，包括均衡飲食、醣質交換法、營養標籤注意事項Uncle Fat to attend seminars on diabetes control, including healthy diets, carbohydrate exchange method and proper understanding of nutrition value labels

對糖尿病冇認識Lacks knowledge of diabetes

透過定期講座及聚會學會了正確的管理糖尿病知識和飲食、服藥、運動習慣Offers seminars on diabetes control, including healthy diets, drug compliance, and regular exercise

長者更勉勵自己，許願保持健康血糖值Seniors remind themselves to keep diabetes under control

觀塘及九龍城區的銀鈴護士站均有提供「家居控糖小組」，向新斷症的糖尿病友，血糖不穩定、不遵從藥物服用指示、或嚴重缺乏糖尿病知識的糖尿病長者，提供密切的跟進和教育，冀能控制病情，延止惡化，加強慢性病自理能力。每星期一天在護士站由護士帶領義工檢驗長者午餐前及餐後二小時的血糖值、血壓及體重等指標和飲食、服藥、運動習慣；護士和社工籌組定期的講座及聚會，教授疾病管理知識，包括糖尿病、併發症風險、藥物、飲食、生活調節等，亦提供機會和平台予病友互相分享，扶持同行。

在本年度參與「家居控糖小組」的 95位長者中，

● 有 60%長者 (57位 )的「糖化血紅素」(HbA1c)都顯著下降

● 近 40% (35位 )更降低至 7% 或以下，由高危下降至理想的血糖控制水平

● 更令人鼓舞的是其中 15% (14位 )長者，在沒有增加糖尿藥物劑量甚至是減低藥量的情況下而改善，這顯示病情不穩定的糖尿病長者也能在加強社區護理及教育下改善病情

CCAF offers Diabetes Home Care Scheme in Kwun Tong and Kowloon City. For newly diagnosed Diabetics patients having unstable blood sugar levels, poor in drug compliance, and lacking diabetes knowledge, we provide weekly measurements of blood sugar levels, blood pressure, and weight along with educations on healthy diets, drug compliance, and regular exercise. The nurse station also acts as a venue for the patients to exchange treatment experience and to offer support for each other.

This year, among the 95 seniors under the Scheme:

● 60% (57 elderly) experienced significant reduction in HbA1c ● Almost 40% (35 elderly) had their HbA1c level reduced to 7% or

below (from high risk to optimal level) ● 15% (14 elderly) showed improvements without diabetes drug

dosage increase, or even managed to have dosage reduced. This demonstrated the importance of community health care and education

銀鈴護士站開心報告Happy Sharing

糖尿病友的寶鑑Desirable for diabetic patients:血壓 blood pressure: < 130/80mmH

血糖值 blood sugar level : ● 空腹 Empty stomach: 4-7 mmol/L ● 餐後 1-2小時 1-2 hours after meal: < 10 mmol/L

糖化血紅素 HbA1c: < 7%

(衞生署 Department of Health)

小知識 Knowledge

銀鈴護士站給予長者針對性的護理服務CareAge Nurse station's directly related service



護老者支援 Support for Carers香港人口日漸老化，不少外傭擔當護

老者的重要角色。有見及此，本會於

2014年已開辦護老者及外傭訓練，包

括藥物課程及扶抱訓練，目的提高長

者在社區的生活質素，培訓照顧者的

照顧技巧，支援長者「居家安老」，

在社區中安享晚年。

不良的扶抱技巧，會使外傭及長者受

傷的風險增加，長期會出現勞損，嚴

重時可引致長者跌倒，導致骨折，使

長者長期臥床，失去活動的能力，因

此，學習正確的扶抱技巧，不容忽視。

過去的一年，我們舉辦了四節護老照

顧訓練工作坊，共有 46位護老者出席，

訓練針對護老者在照顧長者時所遇到

的困難，提供不同主題的訓練，其中

以扶抱技巧為主導，讓外傭及照顧者

在照顧過程中減少因扶抱而出現勞損、

扭傷及意外的風險，得以減低。

With ageing population in Hong Kong, it is now common for foreign domestic helpers to act as primary carers for the elderly. Starting from 2014, CCAF offered carer training including medication management as well as lifting & transfer techniques for domestic helpers. This is vital in helping the elderly live safely at home in their golden years.

Improper lifting and transfer techniques will increase the chance of injury for the elderly and their carers. These may lead to joint injury of the carers or mobility-impairing bone fracture of the seniors. This is why proper training is most important.

In the past year, we organized four workshops for carers which were attended by 46 people. These covered topics on difficulties faced by carers. The emphasis was on proper lifting and transfer techniques to avoid injuries to the carers.

課堂上由註冊護士講解理論、示範和實踐並用，教授內容包括 : The workshops were conducted by registered nurses and included safety theories and actual practices:

● 上落交通工具 Boarding and alighting transport vehicles

● 介紹社區中的無障礙設施 Barrier free facilities in the community

● 介紹及示範各助行器具、輪椅，使用方法及注意事項Introduction and practical use of mobility aids, such as walkers and wheelchairs

介紹枴杖及輪椅的使用方法及注意事項 Proper use of mobility aids



講解協助長者由椅、床、輪椅及坐廁間扶抱轉位事項 Proper Lifting and Transfer techniques training

在過去一年本會亦應協作友好機構邀請，提供護老者訓練及職員訓練。In the past year, CCAF also cooperated with other community care organizations in providing training for carers and their members.

中心Center

活動名稱 / 內容Activity

對象Service User

節數Sessions

出席人數No. of

participant出席人次

Attendance合作機構Partner

勵德Lai Tak

照顧者扶抱訓練工作坊Lifting & Transfer Training

外傭Foreign domestic helpers

2 19 32

香港基督教培道聯愛會莊重文敬老中心H.K. Christian Mutual Improvement Soc. Chuang Chung Wen Soc. Centre For the Elderly

何文田Homantin

認識糖尿病及血糖檢測技巧Understanding Diabetes & Blood Sugar Testing

協作機構職員護老者Partner's staff & carers

1 5 5香港基督教女青年會九龍城綜合家居照顧服務隊YWCA Kowloon City Centre

何文田Homantin

外傭扶抱訓練Lifting & Transfer Training

外傭Foreign domestic helpers

1 14 14

東華三院黃祖棠長者地區中心 Tung Wah Group of Hospitals Wong Cho Tong District Elderly Community Centre

愛民Oi Man

護老者扶抱訓練Lifting & Transfer Training

護老者Carers 1 13 13

循道衛理楊震社會服務處愛民長者鄰舍中心 Yang Memorial Methodist Social Service Oi Man Neighbourhood Elderly Center

合共 Total 5 51 64

外傭分享 Domestic Helper (Binti Kholipah) comments:

在課堂以外及在會見長者時，護士都留意我點樣

扶抱婆婆，例如出入門口時，一定要留意叫婆婆

收埋手踭，怕會撞到，推行前一定要睇吓婆婆的

腳係咪已經放喺腳踏上面，好彩有姑娘提醒。

I am often reminded by CCAF nurse on proper techniques for transfer of seniors, and how to use wheelchairs. When going through doorways in wheelchair, I need to retract the granny's elbows to avoid bumping them against the doorframe and ensure the granny's feet are placed on the footrest. These measures will avoid injuries such as bone fractures.

姑娘話婆婆要多啲行吓做運動，

有次婆婆行行吓突然腳軟，好彩

之前姑娘教過點樣扶抱婆婆，雖

然都有雞手鴨腳，婆婆總算平安，

我哋兩個都冇受傷。

One day, the granny slumped onto the ground due to weak knees. I put my lifting and transfer skills into practice and saved her from injury.



新設服務點New Service Points

安達邨乃觀塘

區新發展的區

域，為 23,600名居民提供

9,300個單位。據估計，40％的居民是老年

人口，接近

9,500人。

承蒙港城西北

扶輪社的贊助，東華三院邱木城長者

鄰舍中心提供地方，安達銀鈴護士站

於 2017年 9月開展服務，向安達邨有健康需要的長者及護老者，提供貼心

的護士站服務，包括社區健康普查、

藥物諮詢、健康評估、專題展覽、健

康講座等服務。至 2018年 3月共服務 95位個案，當中有 68%需 4-8周約見跟進其病情及藥物管理，而患糖尿或高血壓者亦佔 72%。

On Tat Estate is a newly developed public housing estates in Kwun Tong. It provides 9,300 housing units for 23,600 people. 40% of the residents (about 9,500 people) are seniors.

The latest addition to the CCAF nurse clinics is On Tat Nurse station which started operation at On Tat Estate from September 2017 under the sponsorship of Rotary Club of City Northwest Hong Kong and collaborated by TWGH Stephen Yow Mok Shing Neighbourhood Elderly Centre. We provide nursing care to seniors and carers especially in the areas of health screening, pharmaceutical consultation, health assessment, themed exhibitions, and health talks etc. As of March 2018, 95 seniors have signed up to receive our care service, 68% of them require nurse case management every 4-8 weeks. 72% are diabetes or hypertension patients.

觀塘安達邨 On Tat Estate, Kwun Tong

魏婆婆 72歲，獨居，患糖尿病 10多年，說客家話，每次靠有限簡單的廣東話，加上大量身體語言，才能成功地溝通

Service User: Granny Ngai (72 years old), living alone in On Tat EstateConditions: Diagnosed with diabetes for over 10 yearsSpeaks mainly Hakka dialect, making communications with nurses extremely difficult

護士翻看魏婆婆的紀錄，見婆婆近月的血糖不甚穩定；雖然每次見面都苦

勸她遵循糖尿餐飲和增加每天帶氧運動量，又叮囑她要定時服藥，血糖和

體重始終沒有進步。護士透過醫健通查閱醫生最新的藥物處方，才發現魏

婆婆因為語言問題未能與醫生清楚溝通，自行減少服用糖尿藥份量。因此，

護士特別為魏婆婆制定管理方案，經過多次的藥物指導，和教導使用藥盒

放置藥物以利正確服用，目前魏婆婆已能自行管理藥物，每天樂意使用藥

盒服正確劑量的糖尿藥，血糖漸見改善，更重要的是她笑臉再現 ...

Granny Ngai experienced unstable blood sugar readings recently despite repeated advice from CCAF nurse towards adopting healthy diet and more aerobic exercise. On accessing Electronic Health Record Sharing System (eHRSS), nurse found out about the root of her problem: due to miscommunication with her doctor because of language barrier, Granny reduced the diabetes drug dosage arbitrarily. Hence nurse offered drug compliance training, including dosage control and pill box management, for the Granny. As a result, Granny’s diabetic condition improved and she finally felt relieved.

魏婆婆目前已學會準確分藥和服藥Granny Ngai benefited from pill box management

藥物指導和分藥示範Drug compliance demonstration


年度亮點 HIGHLIGHT OF THE YEAR4

將護士站設立在長者飯堂是既貼地又

便利老友記的構思。惜食堂社區中心

於深水埗區服務獨居及有緊急困難的

長者，這與本會服務目標頗為吻合。

有溫飽之餘，擁有健康才能享受生活。

本會獲惜食堂鼎力支持，於 2017年 8

月於深水埗海壇街惜食堂社區中心內

增設「銀鈴護士站」。截至 2018年 3

月，我們已服務了 86位長者，護理跟

進 241人次。發現較多長者患上高血

壓、糖尿病及痛症。隨著服務需求增

加，本會職員逢星期四全日在惜食堂

為長者提供護理跟進。

Caring for the elderly comes no t on ly f rom the heart, but also from innovative consideration. Food Angel, one of the NGOs that cares for the well being of the local residents with financial needs, provides hot meal to seniors living alone or those with financial difficulties. It is an excellent partnership having a nurse station set up in the location where the elderly have daily meal. Subsistence + good health = adequate life.

With support from Food Angel, our nurse station started operating in their Hai Tan street centre from August 2017. As of March 2018, we have served 86 seniors with Case management for 241 times. Their cases mostly involved hypertension, diabetes, and pain management. With increasing demand, our staff is now providing full-day service every Thursday.

深水埗海壇街惜食堂 Food Angel (Hai Tan Street centre, Sham Shui Po)

王婆婆患有

糖尿病、高

血壓，每天

需要自行注

射胰島素及服

食降血壓等多種口服藥。2018年 3月，王婆婆因上呼吸道感染，往私家診所求醫，

獲處方數種口服藥物。婆婆因擔心服用藥

物太多，所以她自行停止注射胰島素及停

服降血壓等藥物。當本會護士得悉後，

即為婆婆檢測，發現血壓升至 199/114 mmHg，血糖值顯示 Hi (即超過血糖機可顯示最高數值 33.3 mmol/L)，須即時召喚救護車將婆婆送院治療，幸好她留院數天

後安全出院。

這次經歷讓王婆婆明白到正確用藥的重要

性，現時，王婆婆繼續由本會護士緊密監

王婆婆是其中一名在惜食堂接受護士跟進服務的長者，早前却發生了一次令婆婆十分難忘的經歷。

Service User: Granny Wong

Conditions: Diabetes, hypertension

Self-injection of insulin, taking multiple hypertension drugs

察健康狀況及協助使用藥盒按時準確服藥，惜食堂職員則

於午餐及晚餐派飯時，協助監控長者之飯量，確保她血壓

及血糖持續改善，安穩地居家安老。

In March 2018, Granny Wong went to a private clinic for upper respiratory tract infection. She was given various drugs. For fear of over-medication, the Granny decided to stop taking her insulin injection and hypertension drugs. Her blood sugar readings and blood pressure rose to critical levels. Our nurse found this out and immediately sent her to the hospital. She recovered and was discharged within a few days.

Now the Granny realized the importance of drug compliance. The CCAF nurse keeps a close eye on her health condition and makes sure she takes medicine properly using pill box. The Food Angel staff also makes sure the meal portion for Granny Wong is in accordance with her diabetes and hypertension restrictions.

Granny Wong is grateful that CCAF nurse taught her about drug compliance. She also found pill-box most convenient and easy for her to take pills properly.


維智護老社區護理計劃 Community Cognitive Caring Scheme

「靜靜雞講個秘密比你聽，唔好睇我嗰樣

咁後生，其實我就快 100歲啦。」歡姐笑言。

蔡婆婆 (花名“歡姐”)去年參與了本會推行，由衞生署轄下的「健康護理及促進計

劃」資助的「維智護腦社區護理計劃」。

這計劃針對區內長者輕度認知障礙 (Mild Cognitive Impairment, MCI) 的情況，提供為期一年的社區教育、檢測、小組訓練、

個案跟進及護老者支援服務，為高危長者

提供適切的健康護理及疾病防禦服務，讓

區內長者能維持其認知功能，避免在無支

援下逐漸退化成為認知障礙症。

「我以前好少參加中心啲活動，又少運動，

成日都無精神，記性又唔好，人地講完嘅

嘢，轉個頭就唔記得。有一次，社工趙生

叫我去做評估，先發現自已啲記性比以前

差咗。佢叫我參加小組，多啲郁下個腦。

最初我都唔想去，不過佢話有得玩遊戲同

做運動，我先試下參加。」

「上堂時，趙生同我地回憶以前嘅生活，

諗起以前做大家姐，要照顧咁多個細佬妹，

好似揹起成頭家咁辛苦，講起都有兩行眼

淚。有一堂講結婚嘅儀式同嫁妝，我示範

幫羅姑娘「上頭」，真係好好玩架。有時

上堂就做手工，有次用鈕扣整咗一幅畫，

將鈕扣用膠水黐實喺幅畫上面，拼成咗一

棵桃花，雖然用咗好多時間去做，但整完

真係好開心，幅畫仲掛緊喺屋企，有時啲

孫仔孫女黎探我，我都會比佢地睇。哈哈 ! 除咗玩遊戲，每堂都會同老友記一齊做毛

巾操，做完運動嗰人真係會輕鬆啲，又精

神啲，到而家我間唔中都會做。」

「參加完活動之後，我識咗好多朋友，雖

然唔係全部都記得佢地個名，但行街見到

都會打招呼，我覺得自已

記性比以前好咗 !」

歡姐完成整個訓練小組

後，評估發現無論在言語

表達、說話流暢度、以及

短期記憶方面均有改善。

她現在經常到中心找老友

記聊天及參與活動，擴

闊了社交圈子，亦培養

了運動的習慣，這都是

預防認知障礙的要訣。

Granny Choi is close to becoming a centenarian. She joined our Community Cognitive Caring Scheme which was funded by the Health Care and Promotion Fund under the Department of Health. The goal of the Scheme was to provide community education, cognitive screening, cognitive skills training support group, case follow-up and caregivers support to those who are identified to have mild cognitive impairment (MCI). Early intervention in the MCI stage is helpful in preventing the seniors to unknowingly dwindle into the state of dementia.

Granny Choi was identified as having MCI after the cognitive assessment conducted by CCAF nurse and volunteers. She was invited to join our cognitive skills training group. The group used games e.g. recalling memories from the past, handicraft making, painting, and physical exercises to encourage stimulation of the brain cells. Granny Choi noticed improvements in her memory on completion of the 6-months program.

As post MCI evaluation, Granny Choi has made improvements in articulation, speech fluency, and short-term memory retention. The support group also provided a venue for her to communicate more with other senior members, expand her social circle, and maintain habit of regular exercise. These are all essential factors in preventing further cognitive impairment.



活動Activity

人數Attendants

節數Sessions

社區教育及宣傳Community Education 1000 11

輕度認知障礙評估MCI Screening 443 19

第一階段參加人數 First Stage Participants

活動Activity

人數Attendants

節數Sessions

小組訓練Support Group 78 107

護士個案跟進Nurse Case Management

202 定期跟進Regular follow up

護老者工作坊Carer Workshops 263 7

第二階段參加人數 Second Stage Participants範疇Area

進步 (百分比 )Improvement

短期記憶Short-term Memory 63%語言流暢度Speech Fluency 46%視覺廣度 /數字操作Memory Span / Working with Numbers 42%整體認知功能Overall Cognitive Skills 76%

維智護腦社區護理計劃為期一年，共分為兩個階段。Community Cognitive Caring Scheme covers one year in two stages.

活動及訓練後，成效驕人 Encouraging Results

第一階段為教育及檢測 First Stage: Education and Screening以講座提升社區人士對輕度認知功能障礙的認識，如其成因、病

徵、及治療辦法，以及為長者進行認知評估，有效篩選高危長者，

及早介入，並預防病情惡化。

Seminars were organized in the community to educate the public on the causes, symptoms, and treatments for MCI.

Cognitive screening tests were conducted to identify the seniors at risk so that early intervention and treatment of MCI cases may be applied.

第二階段為認知訓練、個案跟進及護老者支援 Second Stage: Cognitive Skill Training, Case Follow-up, and Support for carers針對輕度認知障礙的長者，提供認知訓練，訓練結合了現實導向、懷

緬治療、認知功能訓練及中國儒家六藝概念，設計出一系列多元智能

健腦活動及小組練習功課，配合體能運動，評估結果證明訓練能有效

地協助組員延緩認知退化。

Multi-functional training exercises such as reality orientation, reminiscence therapy, cognitive training and six arts were offered to seniors with MCI to stimulate their mental skills and memory recall of past experiences. When combined with physical exercises, our mental training proved to be effective in slowing down cognitive impairment.

護士提供健康跟進，穩定長者的病情，維持長者的自我照顧能力。針對長者的認知及情緒轉變，舉行護老

者工作坊，講解長者的情況及病徵，並介紹適合的社區資源，加強護老者的照顧能力。

Our nurses provided health progress monitoring for the elderly, and helped them maintain self-care abilities. In anticipation of mental health issues associated with MCI seniors, we also offered workshops involving the carers, introducing community resources for better care of the patients.


「樂健同行」長者健康計劃Fun Fun Land Healthcare Program for Elderly 本會深信積極頤年是一個過程，我們要善用各種

機會，使年紀漸大的長者得以保持健康積極參與

社會事務並得到保障，從而提升他們的生活質素。

「樂健同行」長者健康計劃由滙豐香港社區夥伴

計劃贊助，於 2017年 9月 - 2018年 8月期間，在觀塘區舉行。計劃的主要目的，是提昇區內長者

及長者義工的健康管理意識、增加他們對個人生

活健康管理的認知。透過社區健康檢查，及早尋

找出健康有出現問題的長者；透過健康教育講座

及工作坊，讓長者增加健康護理相關資訊，協助

他們及早獲得適當的護理或治療。同時，同事亦

招募長者成為健康護理義工，學習知識以服務有

需要的長者，達致助人自助、積極頤年。健康計

劃內容非常多元化。

匯豐香港社區夥伴計劃是一個希望透過地區公益活動，促進以地區為本的社區活動，達致社會共融。計劃希望透過加強與相關團體的合作，回應各區的社會需要，並促進非政府組織和社區組織的職能發展。

The HSBC Community Partnership Programme aims to promote community harmony through addressing local society needs and working with local community organizations.

CCAF believes that the ageing process can be enriched through improvements in quality of life. We strive to utilize our available resources to help seniors participate in social activities and lead a healthy life.

Our Fun Fun Land Program, sponsored by the HSBC Community Partnership Programme, was implemented in Kwun Tong from September 2017 till August 2018. We aimed to raise awareness of healthcare management among seniors and young old volunteers. We used health screenings, and health talks, to early identify disease symptoms and provide relevant treatments. We also recruited young olds to be our volunteers so they may learn healthcare knowledge which would help themselves as well as other seniors.

藥物諮詢、健康檢查，推廣正確服藥方法、健康管理等知識Drug consultation, health assessments, drug compliance education, and health management training

免費血糖、血壓檢查及身體質量指數Free blood sugar / blood pressure / BMI tests

太極好 Easy - 教授行動不便長者如何強化肌肉及關節Easy Tai-chi - seated Tai-Chi exercise for muscle and joints training for seniors with mobility impairment

心臟健康社區檢測 - 透過簡易心電圖（ECG）及早檢測，預防心臟問題Cardiac Health Assessment - Through basic Electrocardiography Tests (ECG), identify cardiac problems so early treatments can be arranged

健康學堂 - 通過講座及工作坊使參加者認識有益於健康的行為和生活方式，消除或減輕影響健康的危險因素，主題內容包括心血管疾病代謝失衡症及家居防跌等。Healthcare Education - Provide seminars and workshops to promote healthy lifestyles, and control health risk factors. Topics included cardiac health, metabolic issues, and household tripping hazards.

笑笑每一天 - 笑是最自然最沒有副作用的止痛劑，能幫助舒緩疼痛Laughing Workshops - helps to relieve pain and has no harmful side-effects

Hongkong Bank Foundation



賽馬會銀鈴關護長者健康計劃Elderly Health and Cognitive Caring Programme

獲香港賽馬會慈善信託基金撥款贊助，本

會在港島東區及籌備中的葵涌區「銀鈴護

士站」推行為期三年的「賽馬會銀鈴關護

長者健康計劃」。以「社區為本」提供社

區健康教育，為長者提供單對單護理跟進

服務包括藥物諮詢、健康評估、提升自我

照顧能力訓練等，更設有護老者支援提供

照顧技巧訓練及心理情緒輔導，實踐基層

醫療保健，減少長者患病及進出診所及醫

院的次數，令長者可居家安老。

港島東銀鈴護士站已率先於 2017年 11月開展計劃，而預計在 2018年第二季初開展的葵涌區「銀鈴護士站」更會加入輕度認

知障礙專業服務，包括認知篩檢、訓練活

動及醫生到診諮詢。

Supported by The Hong Kong Jockey Club Charities Trust, CCAF initiated a three-year “Elderly Health and Cognitive Caring Programme” in the Hong Kong East and Kwai Chung area. To provide community-based healthcare for seniors, this program included mass community health education, case management involving drug consultations, health assessment, and self-care training. For carers, we provide training on caring techniques and psychological counselling. All these are for elderly to reduce their chance of illness or frequency of hospitalization in order to promote ageing in place.

We began the program with the Hong Kong East nurse station in November 2017. The second phase will be the setting up of a new nurse clinic in Kwai Chung area which will add in special feature service - mild cognitive impairment care which will include cognitive assessment, training and even on-site doctor consultation. Expected installation date of the Kwai Chung CareAge Nurse Station is early Q2 of 2018.

港島東銀鈴護士已開展計劃，提供免費健康服務給長者及護老者Hong Kong East nurse station already kicked off the Programme with free service provided to elderly and carers.


「活藥在社區」計劃 2017-2019Drug Compliance Community Care Scheme 2017-19藥到病除原來並非必然，疏漏或胡亂服藥對病

情起不了任何作用，甚至有害 !本會深水埗銀

鈴護士站於 2017年 10月開始，獲社會福利署

攜手扶弱基金配對凌速有限公司的捐款，資助

本會於深水埗區舉辦「活藥在社區」藥物教育

計劃。本計劃以社區為本的基本概念，舉辦多

元化的藥物管理教育活動，讓區內長者改善藥

物管理的態度，建立健康晚年，以提升生活質

素。本計劃動員大量義工關顧長者的健康，增

加社區內青年和成人義工與長者的交流機會；

促進耆青交流，共創鄰里互助，達至長幼共融

和諧社區。

CCAF Sham Shui Po Nurse Clinic initiated a drug compliance care program in October 2017 with f inancial support from Partnership Fund for the Disadvantaged (Social Welfare Department) and In Express Company Ltd. We provided comprehensive education program for seniors on drug handling and dosage monitoring, together with training on healthy lifestyle. The program enlisted assistance of volunteers from the community. Through interactions between seniors and the volunteers, we strive to foster harmony and mutual support among different age groups within the community.

相「藥」在社區 - 社區教育藥物展覽 Drug Compliance Exhibition以健康展板及遊戲攤位及藥物知識問答遊戲，向區內長者及護老者推廣正確服藥方法、藥物標籤、藥

物儲存等知識。

Making use of game booths, we introduced fun element into our training to seniors and carers on dosage control, drug labelling and proper drug storage.

齊齊做十巧手運動Group exercise activities

驗血糖Blood Sugar Level Test

心電圖檢查ECG Test

量血壓Blood Pressure Test

藥物知識遊戲Fun games on drug compliance



為推動社會福利界、商界和政府三方合作，建立伙伴關係，共同扶助弱勢社群，特區政府成立了社會福利署攜手扶弱基金。它的的設立目的，一方面是鼓勵非政府福利機構擴展網絡，爭取商業機構參與扶弱

工作﹔另一方面是鼓勵商界承擔更大的企業社會責任，合力建立一個團結和諧、充滿愛心的社會。

The HKSAR Government sets up the Partnership Fund for the Disadvantaged to promote tripartite partnership among the welfare sector, the business community and the Government to help the disadvantaged. The aim of the Fund is to motivate non-governmental welfare organizations (welfare NGOs) to expand their network in seeking and securing corporate participation, and to encourage the business sector to take up more corporate social responsibility for creating a cohesive, inclusive and caring society.

「藥」定你 — 專題教育班 / 「藥」要活得健康小組 Training Class and Support Groups

● 教育長者和護老者學習藥物護理的基本

知識，實踐安全用藥的習慣。

● 向參加者灌輸健康生活的訊息，配合控

制飲食習慣、進行適量運動，使藥物發

揮最大功效。

● Provided training on drug compliance and develop proper drug intake habits

● Communicated to the elders and carers the importance of healthy lifestyle, proper diets, appropriate amount of physical exercise to augment the effectiveness of drug intake

尋「優」探你 — 長者健康大檢閱 Community Visit ● 於區內舉辦大型義工探訪，為獨居長

者上門檢閱藥物，避免他們再誤服過

期藥物。

● 關心長者的身心健康、生活習慣及居

家安全。

● Organized volunteers to visit seniors living alone at home. Reviewed their drugs to discard those already expired, and ensured proper pharmaceutical compliance.

● Cared for physical and mental health of seniors, ensuring household safety standards are met


認知障礙支援Support for Cognitive Impairment

藉「香港賽馬會慈善信託基金」的支

持，為期三年的「賽馬會銀鈴關護長

者健康計劃」，除了惠澤港島東區長

者外，來年將於 2018年延伸至葵涌區，

提供免費基層醫療護理服務，有效地

管理慢性病。為針對葵涌區的社區特

性，本會銳意在本區重點加強「輕度

認知障礙」的相關服務，提供免費的

專題教育活動、認知評估篩檢、認知

訓練、護老者支援服務及安排專科醫

生到診服務，積極推動及早確診和治

療的原則，協助有輕度認知障礙表徵

的長者在取得公共醫療系統長期治理

前能得到照顧。

透過與南葵涌社會服務處合作，於 2018年第二季，

本會將在荔景社區健康促進中心設立銀鈴護士站。中

心採用「中式涼茶舖」為主題的室內設計，不僅配合

「懷緬治療」的宗旨，有助加強華人長者的認知訓練，

中心內更設有資源區、活動區和獨立診療室，方便公

眾人士使用和舉辦各種活動，為社區長者提供一站式

專業服務。

The Elderly Health and Cognitive Caring Programme funded by Hong Kong Jockey Club Charities Trust has kicked off with Lai Tak Nurse Station on Hong Kong Island in November 2017, and in the coming fiscal year, the Programme will be joined by our new service point Lai King Nurse Station in Kwai Chung district. Apart from our signature primary healthcare service for the elderly this nurse station will place bigger emphasis on Mild Cognitive Impairment (MCI) management service including education activities, MCI screening, cognitive training, support for carers, and for the first time medical specialist on-site consultation service. The aim is to provide early detection and interim treatment of MCI before the identified at-risk patients may be admitted into the public hospital system for long term follow up.

The service will be introduced in the new Lai King Nurse Station in cooperation with South Kwai Chung Social Service commencing Q2 of 2018. The center’s decor adopts a Chinese herbal teahouse theme in support of the reminiscence therapy approach for cognitive training. The center has separate areas for reference resources, group activities, and individual therapies.

葵涌銀鈴護士站於星期一至五開放予公眾，時間為

星期一至五 (上午九時至下午一時 )，及

星期二、三和五 (下午二時至下午五時 )，

預期第一年度能提供 7,000人次的服務。

Kwai Chung CareAge Nurse stationAM Opening Hour: Monday to Friday (9:00 – 13:00), PM Opening Hour: Tuesday/Wednesday/Friday (14:00 – 17:00)We expect to achieve 7,000 attendance on all services in the first year.


未來展望 FUTURE OUTLOOK5

認知障礙小知識 Facts about Cognitive Impairment

「認知功能障礙症」是腦部神經細胞

病的病變，可逐步蠶蝕大腦的正常功

能，令患者喪失記憶、理解、語言、

學習、計算和判斷能力，晚期患者甚

至會完全喪失自我照顧的能力。輕度

認知障礙（Mild Cognitive Impairment,

MCI）是一個界於正常認知功能與「認

知功能障礙症」間的過渡階段；雖然

現時醫學科技不能根治上述病變，但

研究証實，及早確診和治療，如特定

的治療訓練，有助提升輕度認知障礙

患者的認知能力，能有效延緩病情的

惡化。

隨年齡的增長，患「認知功能障礙症」的風險愈高，

據研究指出，60歲或以上人士，每年長五歲，患病的

比率便增加一倍，本港約十分一 70歲或以上人士，

被確診不同程度的「認知功能障礙症」，80歲或以

上人士，更上升至每 3人便有一人被確診。(衞生署

長者健康服務聯同香港中文大學醫學院精神科學系於

2005-2006 年研究 )

Cognitive impairment is a neurological disease. Due to deterioration of brain cells, the patient will lose abilities in memory, comprehension, language, learning, computation, and judgment. Late-stage patients may even lose all abilities of self-management. Mild Cognitive Impairment (MCI) is an interim stage between normal cognitive functions and cognitive impairment. Unfortunately, current medical technology is unable to cure the disease. However, early diagnosis and treatment will enhance the MCI patient’s cognitive abilities and slow down the disease’s deterioration rate.

The risk of cognitive impairment increases as the population grows older. Starting from 60 years old, the elderly will see this risk doubles as they age every 5 years. For Hong Kong people at 70 years old or above, about 1 in every 10 has been diagnosed with some degree of cognitive impairment. For those at 80 years old or above, the rate goes up to 1 in every 3 people. (According to a population-based study conducted jointly by the Elderly Health Service, Department of Health and the Department of Psychiatry, the Chinese University of Hong Kong in 2005-2006)

面對老齡化大趨勢，香港長者及其照顧者除了克服身體健康的挑戰，同時更需要面對顯著的認知障礙

需要。關護長者協會期望藉著「賽馬會銀鈴關護長者健康計劃」提供輕度認知障礙有關專業服務，為

社區上越趨嚴重的認知障礙問題解決迫切需要。

In view of the ageing population in Hong Kong, seniors and their carers need to maintain physical and mental health. With Hong Kong Jockey Club The Elderly Health and Cognitive Caring Programme, CCAF strives to address the need for MCI treatment service in the community.


主題健康計劃 Themed Health Programs本會銀鈴護士站的服務廣受社區上的

長者歡迎，在過去一年，亦得到善長

及不同慈善基金的認同和資助。

來年，我們會繼續在各區推出不同的

社區健康計劃：

1.「耆樂控三高社區健康護理計劃」 Elder Health Management Community Scheme

2.「護理相藥在社區」藥物管理計劃 Drug Compliance Community Care Scheme

由社會福利署攜手扶弱基金及麗新集團

旗下景耀國際有限公司配對資助。於愛

民邨、何文田及真善美村推廣預防高血

壓、高膽固醇及高血糖的知識，於社區

中舉辦風險檢測，及早識別高風險患者

並提供免費支援服務，協助長者管理病

情及增強自理能力。

由余兆麒醫療基金資助，於觀塘區內舉

辦藥物管理教育活動，讓區內的長者改

善藥物管理的態度，減少錯誤服用藥物

的情況。同時，亦透過本會專業醫護團

隊提供訓練及個案跟進服務，協助患有

長期病患的長者及其照顧者建立正確使

用藥物的習慣，改善用藥的依從性，讓

長者的療程能發揮最大效果，期望為長

期病患長者建立健康晚年。

This program is funded by a matching grant from Partnership Fund for the Disadvantaged under Social Welfare Department and Glynhill International Limited, a member of the Lai Sun Group. It will be implemented in Oi Man Estate, Homantin and Chun Seen Mei Chuen. The aim is to raise elderly's and carers' awareness of hypertension, hyperlipidemia, and hyperglycemia. Apart from health talks, health screening will be arranged to identify high risk patients and followed up with continuous nurse consultation. The goal is to strengthen the seniors' disease management skills and to enhance their self-care capabilities.

This program is funded by the S. K. Yee Medical Foundation. It will be implemented in Kwun Tong district. The aim is to raise awareness of drug compliance among seniors to ensure proper drug intake. We shall arrange educational seminars and then follow up with training / case management by our professional medical team. The goal is to help the seniors develop good habits in drug management so as to maximize efficacy of the prescribed drugs.

本會將由下年度開始成為香港公益金會員機構，獲支持的是整個寶達銀鈴護士站的運作。得到認同，是

對我們整個盡心盡力的醫護團隊一個很大的鼓勵，鞭策我們要更努力，不負支持者的期望。

Next year, CCAF will become a member agency of the Hong Kong Community Chest which will support the entire operation at the Po Tat CareAge Nurse Station. This form of recognition is a tremendous boost to the morale of our entire team. We shall continue to strive and live up to expectations from our supporters and the community.

Our nurse station service was well received by seniors in the community. During the past year, we also received recognition and financial support from numerous individuals and institutions in society.

In the coming year, we plan to offer the following diverse sponsored community programs:


未來展望 FUTURE OUTLOOK5

義工服務 Volunteer Service

義工的參與是我們提供持續性免費服務的

重要支持，除了在服務中協助我們關顧社區

的長者外，我們亦在過程中讓參與的社區

人仕、學生及不同機構公司的義工隊了解長

者健康退化及居家護理的困難，鼓勵多諒解

及關注長者。本會亦積極招募「年輕長者」

(young olds)成為義工，他們在義工訓練及活動中，慢慢會掌握守護健康的知識及護理

技巧，達至「助人自助」效果，讓他們預早

體驗如何能夠安享晚年。

CCAF enlisted volunteer help from members of local community, including students, staff from corporations, and young olds. They provide assistance to CCAF and also learn valuable lessons for themselves in senior care. The experience gained is especially important for the young olds as what they learn prepares them well to meet the ageing challenge ahead.

本年度義工服務次數Total attendance of Volunteer Service this year

勵德Lai Tak

何文田Homantin

愛民邨Oi Man

安達邨On Tat

寶達邨Po Tat

深水埗區Shamshuipo

總數Total

健康檢查 Health Check 482 92 175 22 209 564 1544

健康講座 Health Talk 10 16 10 19 7 1 63

心理輔導 Psychological counseling 9 0 1 0 6 0 16

健康技巧訓練 Health Training 33 45 6 0 344 0 428

Total 534 153 192 41 566 565 2051

535 2017-18 義工訓練參與人次 Attendance of Volunteer Training

2,051 2017-18 義工服務的參加人次 Total attendance of Volunteer Services

833 2017-18 義工服務的參加人數 Number of volunteers

包括：健康檢查、健康及疾病、家居狀況家訪、藥物檢察、長者運動、專題小組、電話慰問等

including health screening, health education, home visits, drug compliance, physical exercise sessions, support groups, caring phone-calls etc.


企業社會責任 CORPORATE SOCIAL RESPONSIBILITY6

「藥物處理與貯存」義工訓練及社區大型探訪Pharmaceutical Handling and Storage: Volunteer Training and Community Visits本會向來支持醫社合作的概念，積極與區內長者服務

機構合作。因此，深水埗銀鈴護士站便與鄰舍輔導會

合作舉辦社區大型義工探訪活動。有別於一般探訪，

是次的義工必需先完成本會註冊護士安排的藥物管理

及長者家居護理訓練，再由長者中心社工安排探訪區

內健康狀況較差的長者。讓長者認識銀鈴護士站的服

務外，亦藉此尋找需健康跟進的長者。

探訪期間除了送出小禮物，亦透過由本會註冊護士編

制的藥物管理及健康問卷，了解每位被訪長者的服藥

習慣及貯存狀況。活動中，義工學以致用，發現長者

曾食錯藥，更有長者貯存很多過期藥物，在傾談中，

發現長者因用藥節儉，不願丟棄食剩的藥物才存放了

過期藥物，更有食錯藥及忘記食藥的情況。幸得義工

們的協助，本會註冊護士向這些有藥物管理問題的長

者跟進，教導長者正確用藥、儲存方法及處理過期藥

物，及早介入長者病情，增加他們自身的藥物管理，

減少不必要到醫院求診需求。

是次探訪活動獲 50多位義工參加，在本會註冊護士為義工完成藥物處理與貯存的基本訓練後，於 2017年 6月 3日義工們以「長幼配對」形式分成 25小隊浩浩蕩蕩出發。Over 50 volunteers participated in this activity. The community visit took place on June 3, 2017 after the volunteers were properly trained.

堅毅義工，持續服務Thanks to Devoted Volunteers for supporting our service sustainability

鳴謝下列服務義工及機構 Acknowledgement to Volunteers

施家緣

巫麗英

傅惠玲

徐鳳蓮

戴娥英

蔡元源

劉可欣

孫妙娟

羅金好

曾志謙

陳志榮

劉月玲

李玉蘭

楊嘉慧

李玉清

張漢義

黃淑嫦

鄭艷芬

周鳳嬋

黃偉玲

李觀華

黃佩貞

畢嘉莉

王偉成

樊惜愛

梁二妹

孫妙娟

梁弟芳

李舜華

林麗霞

林鎂庭

楊淑娟

陳淑珠

歐陽燕儀

鍾維慶

黃淑儀

譚玉嬋

陳惠芳

黃佩玲

鄧惠芳

唐美潔

謝珠鳳

關慧芳

何綺蓮

何惠嬋

張慕霞

林永森

陳蕊

李玉梅

梁明玉

曾艷萍

黃芷悠

林曉蔚

鍾婉卿

郭影嫻

陳逸霖

張睿芝

朱洛瑤

黎彥曦

楊梓晞

林慧麗

王樂軒

楊泳其

陳李田

盧靜儀

胡玉明

趙淑玲

雷依齡

謝景珍

睛彩慈善基金港城西北扶輪社聖雅各福群會灣仔紅十字耆英團

俊和發展集團義工隊香港基督教培道聯愛會莊重文敬老中心香港中華基督教青年會大學青年會

香港大學公共衞生學院香港明愛專上學院健康科學院香港理工大學護理學院 University of Kent

To put into practice the concept of medical/social collaboration, our Sham Shui Po CareAge Nurse station and The Neighborhood Advice-Action Council jointly organized a large-scale volunteer community visit. Unlike other similar activities, CCAF ensured that the volunteers received pharmaceutical compliance and senior household healthcare training in advance by our registered nurses before being sent out to visit seniors. We aim to introduce our service to the seniors and identify those who are in need of follow-up healthcare service.

During the visits, our volunteers smartly identif ied confusions among the elderly about disposal of expired drugs, drug labelling/storage, and dosage control through special questionnaires. For cases needing special attention, the seniors were also referred to nurses at CCAF clinic for further counselling on drug compliance to avoid hospitalization.



李玉清師父，老友記的太極義務老師Master Lee, Volunteer Tai-Chi Teacher 因才施教 Caring Teacher李師父鑽研太極 20多年，2013年開始在公益金寶達銀玲護士站教授老友記太極。對師父來說可算是頗具挑戰。老友記的體力、

身體協調等能力一般不及年輕人，師父決定在招式上作出了不少

調整。靠著每堂的觀察，師父調較了一套專為長者而設的太極拳，

使長者既能容易上手，又能鍛鍊身體的不同部位；針對長者不能

久站，更加入了坐式太極的元素，師父還安排她較年輕的弟子來

作義工，從旁協助；師父更為太極每一招加入口訣，令長者更易

記。因為師父的用心改良，太極成為了老友記的重要運動。

Master Lee is an experienced Tai-Chi teacher who started to teach Tai Chi for free at Po Tat CareAge Nurse Station since 2013. Knowing that the physical strengths and body coordination of seniors are not as good as younger people, Master Lee modified the Tai-Chi movements to seated-movements for mobility-impaired seniors. She also brought in her younger students as class assistants and used catchy movement names and continuous review sessions to help the seniors remember the Tai-Chi moves. Seated Tai Chi now becomes the most committed exercise commitment for the elderly at Po Tat.

師父感言 Master's Thoughts轉眼間，

李師父在

護士站教

授長者太

極已有 5年，與長

者間建立

了深厚的

情誼，師

父最為安

慰是「協助教授太極的義工，平日工作忙碌，

起初還擔心他們會慢慢流失，想不到他們一

幫就 5年了，對於義工如此投入服務長者，我十分安慰」。而最令師父喜悅的，是大家

一起成長。「每個人都在進步，不單是我和

義工，還有一群參加太極班的老友記！誰說

老人家不會進步！」

Being a Tai Chi teacher for the seniors at CCAF for 5 years, Master Lee has established and treasured the friendship made with her aged students. She is also grateful to the volunteers who are so supportive to help out in her classes all along. “I am so happy to see the seniors making good progress, we all should if we put our hearts in.”

老友記的轉變：身體進步 Improvement: Physical Strength隨著課堂年月的增長，不少長者都向師父反映，

他們的平衡力、睡眠質素、排便等等更有所改

善。師父最開心長者跟她分享：「我而家冇咁易

跌倒了」。

The seniors found that their balancing strength, sleep quality, bowel system and even overall health had improved through the Tai-Chi exercise.


專業義工 Professional Volunteers

本會一直關注長者「身、心、靈」的健

康，但我們不會滿足於現狀，除護士及

社工提供的服務外，更希望讓區內的長

者及護老者能接受多元化的專業跟進，

得到更全面的健康服務。此外，專業服

務的適切介入，有助紓緩長者在輪候漫

長的公共醫療服務時所出現的擔憂及病

情惡化。

在過去的一年，本會聯繫了 19位熱心於長者服務、來自不同範疇的專業人士，

組成專業義工 V-Hero 大聯盟，其中包括有老人科專科醫生、牙科醫生、臨床心

理學家、物理治療師、職業治療師、註

冊營養師、視光師、聽力學家，言語及

吞嚥治療師和足病診療師等等，在各區

護士站不定期地舉行講座、工作坊、個

案諮詢等服務。例如物理治療師為長者

舉辦緩痛講座、註冊營養師即場烹煮有

「營」菜式、臨床心理學家為有情緒問

題長者進行心理輔導等等。

護士站的專業團隊結合專業義工團隊，

是集各專業所長，互補不足，每天為各

區長者謀求福祉，讓長者能健康快樂地

渡過黃金歲月。

CCAF’s ultimate objective has always been to enhance the physical, psychological, and mental well-being of the elderly. In addition to our dedicated nurses and social workers, we believe recruitment of professional volunteers from different disciplines will provide more comprehensive and multifarious healthcare support to seniors while they await the service from the public health sector.

We are happy that 19 professional volunteers have joined us to form a V-Hero Alliance in the past year to provide senior healthcare support: doctor in geriatric medicine, dental surgeon, clinical psychologist, physiotherapist, occupational therapist, registered dietitian, optometrist, audiologist, speech therapist, podiatrist, etc. They provided seminars, workshops, and consultation sessions at our nurse stations. Our seniors have benefited from pain-relief talks by physiotherapist, cooking workshops with nutrition focus, and counselling by clinical psychologist.

We believe the combination of our healthcare staff team and professional volunteers from the medical field renders us a mighty troupe to help the seniors age happily and proficiently at home.

專業義工 V-Hero 大聯盟，強大後盾 (排名不分先後 )

List of CCAF Professional Volunteer V-Hero Alliance (not in particular order):

Dr Chuang Lai 莊麗醫生Doctor in Geriatric Medicine老人科專科醫生

Dr Chan Wah Fat陳華發醫生Psychogeriatrician 老人精神科醫生

Dr Sandra Lee 李瑜醫生Dental surgeon 牙科醫生

Billy Li 李百常先生Physiotherapist 物理治療師

Danny Chan 陳汝威Occupational therapist 職業治療師

Ivan Lee 李振豪先生Pharmacist 藥劑師

Ryan Lau 劉庭耀先生Podiatrist 足病診療師

Vin Ip 葉俊言先生Registered Dietitian 註冊營養師

Christina Chan 陳碧霞女士Speech Therapist 言語及吞嚥治療師

Eric Fung馮君智先生Registered Optometrist 註冊視光師

Annabelle Wong 黃靖曄女士Audiologist 聽力學家

William Ku 古國威先生Registered Nurse 註冊護士

Christine Wong PHD 黃秀珍博士Clinical Psychologist 臨床心理學家

Theresa Yeung 楊文慧女士Clinical Psychologist 臨床心理學家

Mishell Chung 鍾淑芝女士Clinical Psychologist 臨床心理學家

Hilda Li 李麗琴女士Clinical Psychologist 臨床心理學家

Terence Chow 周貴文先生Physiotherapist 物理治療師

Lucia Chiu 趙寶琴女士Registered Nurse 註冊護士

Hilda Law 羅美珊女士Registered Nurse 註冊護士



專業義工周貴文

我是物理治療師周貴文

Terence，現在是關護長者協會的委員，亦兼任專業義工。

最初接觸到協會，真的是機緣

巧合。在工作上認識到協會副

主席黎筱娉女士，她當時是我

的病人。在治療過程中，她向

我介紹協會的服務及宗旨，我

十分認同，亦想了解更多協會

的工作。過程中，我被協會熱心助人的理事們感

動，尤其是幾位創辦人的無私付出，驅使我參與

其中，運用我本身物理治療的專業，向有需要人

士提供幫助，回饋社會。

成為義工後，先後兩次為協會的同工、長期義工

及相關人士提供訓練，包括 (一 )防跌理論及實踐，講解長者跌倒的成因及預防方法，並介紹正確選

用及使用步行器具的方法，讓前線同事增加對長

者防跌的認識，以及 (二 )處理一般痛症理論及示範，即場會見長者，以問答形式逐步找出長者痛

症成因，指導同工如何找出問題癥結，並提供活

動 /處理痛症建議，為長者緩痛，而前線同工亦能運用所學的專業知識，為社區上的長者即時作出

指導。

成為協會的專業義工，能為有需要的老人家提供

實際有用的解決方案，幫到他們，感覺相當激勵。

不過，由於協會的地方和設備有太多限制，所以

在有限的資源下，要提供理想的解決辦法，有時

並不實際。因此，需要穩定的前線團隊全心投入、

鍥而不捨、靈活多變，才能有所作為！

非有心有力者很難成事！為大家打氣！

Terence與陳婆婆陳婆婆話「好開心可以見物理治療師，幫我改善我對腳既情況。物理治療師見到我個膝頭有少少紅腫，摸落去有啲熱，係發炎，要我用冰敷，無紅腫痛之後就熱敷，可以紓緩，無咁痛。另外見我對腳唔夠力，就教我用枴杖同步行架，一步一步教我做，枴杖放好腳嗰邊，先行枴杖，再壞腳，最後到好腳，我依家先知道原來我一直都行錯，唔怪得對腳會成日痛。又教我好痛時用助行架，用手力撐起，就可以卸咗腰和腳啲力，用咗幾日，立即冇咁痛。」

Terence 指導陳婆婆正確使用步行架Terence taught Granny Chan proper use of walking aids

Terence為陳婆婆診症Terence advised Granny Chan in physiotherapy

「而家就行得好好多，又比以前穩陣，起碼可以落去商場行街，又可以去中心參加活動。好多謝物理治療師嚟教我、幫我，學咗啲正確方法之後，冇咁痛，又冇跌親，而家真係開心好多。」

Terence and Granny ChanTerence met Granny Chan during a therapy session. She used to have inflammation at the knees and felt weak at the legs. Terence suggested ice therapy to relieve the inflammation. She was also taught the proper use of walking cane and walkers. She is now feeling much better and is able to walk around with ease. The pain is relieved and the risk of tripping is also reduced. She is now a much happier senior.

Professional Volunteer Terence ChowMy name is Terence Chow. I am by profession a physiotherapist. I am a board member of CCAF as well as one of its professional volunteers.

I first learned about CCAF through Ms Terry Lai, the Vice Chairman of CCAF. I was impressed with the CCAF values and service objectives. The enthusiasm and selfless dedications of the founding members persuaded me to join CCAF. I wish to apply my professional knowledge in physiotherapy to serve seniors in need.

I have provided training for CCAF staff, volunteers and service users on the following areas:

1) Senior Tripping Accidents ● Causes of senior tripping ● Theories and practice in tripping prevention ● Choice and proper use of walking aids

2) Pain Management ● Causes of common pain ● Pain treatment techniques ● Face-to-face consultations for seniors suffering

from pains

Training for CCAF front-line staff is one of my goals so they may offer immediate support to seniors in the community.

I feel excited to be able to help out seniors in need. However, due to limited space and facilities at the nurse station, it is often frustrating not being able to provide an ideal physiotherapeutic solution for our service users. Therefore, we are often relying on the flexibility and creativity of our staff to overcome various therapy obstacles on a daily basis. Add oil, team!


伙伴合作 Collaborative Efforts

為擴展宣傳及積極尋求合作伙伴，以提供全面的

免費基層醫療服務，在 2018 年 3 月 16 日參與香港社會服務聯會在會展中心舉辦的「商界展關

懷」社區伙伴合作展。當日場面非常熱鬧，各同

事均落力地向商界參觀者宣傳銀鈴護士站的服

務，尋求更多支持及合作。政務司司長張建宗先

生 GBM, GBS, JP出現會場，好高興地和一眾同事合照。恒基兆業地產集團執行董事孫國林太平

紳士 BBS, MH，以及寰亞洲立電影集團名譽主席黎筱娉女士，也到場支持本會。得到各政商界猛

人𦲷臨，實在令我們非常鼓舞，我們會繼續竭盡

所能，繼續守護長者的健康。

積極推廣尋求合作伙伴 Seeking Collaborative Partners

CCAF is always looking to promote our vision and actively seek partners for collaboration to practise p r i m a r y h e a l t h c a r e . I n M a r c h 2 0 1 8 , w e p a r t i c i p a t e d i n t h e Caring Company Expo organized by the Hong Kong Council of Social Service. The event was well-attended. Our staff made ful l use of the opportunity to interact with visitors from local business community. Important visitors to our booth included Mr. Matthew Cheung GBM, GBS, JP (Chief Secretary for Administration), Mr. Suen Kwok-Lam BBS, MH, JP (Executive Director, Henderson Land Development Company Limited), and Ms Terry Lai (Honorary Chairman, Intercontinental Group Holdings Limited). Their visit was most motivating to us.

醫療團隊義務服務 Free Service from Professional Medical Team誠蒙劉明珠醫生主理的『香港流行病研究中心』於 2017年開始每年為本會 120位長者提供免費的 (DEXA)雙能量 X光吸收測量骨質密度，為有需要的長者量度骨質密度，及早確診骨質疏鬆症，避免長者延誤病情，及早診治。

Starting from 2017, Dr Edith Lau of Center for Health and Medical Research offered free Dual Energy X-ray Absorptiometry (DEXA) service to CCAF’s elderly clients. 120 elderly benefited. DEXA is by far the most effective examination method in diagnosing osteoporosis so the elderly may receive early treatment.

義工和長者在位於中環的香港流行病研究中心等候進行雙能量 X光吸收測量Seniors accompanied by our volunteers visited the Center for Health and Medical Research in Central to take the bone density DEXA test



眼科義診 - 『睛彩慈善基金』 Ophthalmology Free Consultations – Eye Care Charitable Foundation『睛彩慈善基金』的眼科醫生繼續在本年度數次

為 249位地區長者提供詳盡的眼部檢查，其中 28位長者需要轉介至眼科專科門診作跟進，令長者

能及早檢察、儘早治療。

In response to CCAF invitation, eye-care professionals from Eye Care Charitable Foundation provided vision inspections on multiple occasions for a total of 249 seniors. To early intervene, 28 of the seniors were subsequently referred to ophthalmology specialist clinic for further treatments.

商界機構義務專業服務 Business Community provided Free Service本會亦全力尋找相關的商界機構，提供所需的義務專業服務。

眼睛是人的靈魂之窗，讓我們可以看見世界的美好。不過，有些人的窗戶會朦朧一片，世間的事物也不顯得那麼精緻，

令人無法細味箇中精妙之處；遠處的事物不再清晰，高山汪洋也變成一片雲霧，與大自然的美擦身而過；眼前的面

貌模糊不清，站遠才能看見，拉開了人與人距離。幸好，本會與『瞳視一家』合辦義務驗眼配鏡服務，為長者檢查

眼睛，並為有需要的長者轉介義務配眼鏡，令長者的雙目重現光彩，走出朦朧的蔭谷，看見生活的美好，看見孫兒

的微笑，活出「睛」彩晚年。

CCAF received generous support from Okian Optical in offering free optometric examination and free prescription service for eye glasses.

醫療團隊疾病篩檢專科醫療體系轉介Professional Medical Team: Screening and Referral

2017年 7月 29日賀澤烽醫生又到深水埗為長者作眼疾檢測And again for seniors in Sham Shui Po in July 2017

2017年 6月 18日賀澤烽醫生到愛民邨為長者作眼疾檢測Dr Woo Chai Fong provided vision inspections for seniors at Oi Man Estate in June 2017

「瞳視一家」為 131位有需要長者配置眼鏡Okian Optical provided free prescription of eye glasses for 131 seniors2017年 7月 13日「瞳視一家」的視光師一行 6人，專程來到寶達邨，替一眾行動不便的老友記進行視力測試、配鏡片及鏡框服務。「嘩 ! 好像將成間眼鏡舖搬左去長者中心咁 !」參加是次「愛心瞳分享」活動的袁婆婆雀躍萬分的說。視光師利用專業儀器為老友記驗眼，並耐心解答其疑問。老友記面對琳瑯滿目的鏡框，立時返老還童，展現天真滿足的笑容。

In July, 2017, optometrists from Okian Optical came to CCAF nurse station at Po Tat Estate. They provided free vision testing and free prescription of eye glasses to our service users. The seniors were delighted with the service.

68歲外貌年輕的陳婆婆數年來覺得視力逐漸朦糊，她說情況不是好差但不知道眼睛

出現什麼問題，擔憂會繼續惡化，又不知

道如何能轉介至眼科求診。年前在本會和

『睛彩慈善基金』安排的社區眼睛檢測進

行眼底檢查，才發現有輕微白內障，由賀

澤烽醫生轉介至公營專科診所接受跟進，

陳婆婆的憂慮才得以減輕。陳婆婆：「而家有醫生幫我轉介

又教我點做，知道是白內障有得醫，我都安心好多！」

在社區眼睛檢測中同時發現陳婆婆有需要更換眼鏡，而她亦

有經濟困難，於是轉介她到「瞳視一家」接受義務配眼鏡服

務。配了新眼鏡的陳婆婆很感激本會：「真係好多謝，我而

家睇野清楚好多，睇書都冇問題，亦不再朦查查驚跌親！」

Granny Chan (68 years old) found that her vision was getting blurry. Through screening test from Eye Care Charitable Foundation, she was diagnosed with early stage of cataract. Dr Woo Chai Fong referred her to further treatment in specialist eye clinic in public hospital. Granny Chan felt greatly relieved.

Through our eye test, Granny Chan was also found to require new eye glasses. Due to her financial difficulty, CCAF referred her to the free prescription eye glasses service from Okian Optical. She is now the proud owner of a new pair of glasses which makes her daily reading much easier.


黎惠蘭「金曲迎春慈善夜」Idy Lai and Friends Fund-raising Concert

江欣燕的「梅姐」唱腔，大獲好評TV Celebrity Elvina Kong demonstrated her singing skills.

本會籌款委員會主席孫國林太平紳士 BBS, MH 獻唱「卡門」、一曲終結，掌聲雷動。The singing talent of Mr Suen Kwok Lam was well-received.

黎惠蘭老師傾情演出Ms Idy Lai brought life to a repertoire of songs.

黎惠蘭老師和學生 Nancy到寶達邨家訪長者，親身體驗協會的長者健康關護服務是如何貼地、貼心，於是決定為基層長者出錢出力，造福社區。Seniors at Po Tat Estate explained to Ms Idy Lai and her student how they benefited from CCAF service, which prompted Ms Lai to host the Charity Concert

唱歌可以陶

冶性情，可

以鍛練心肺

功能，更

加可以做善

事！歌唱藝

術造詣非

凡、極負盛

名的中國民

族聲樂學會

表演藝術家

兼經驗豐富

的聲樂教師

黎惠蘭女士，在 2018年 2月 3日於新光戲院舉行「黎惠蘭金曲迎春慈善夜」演

唱會。黎老師聯同一班學生，籌辦是次

慈善演唱會；演唱會的收入扣除必要開

支後，全數撥捐本會，幫助基層長者安

老在家。

演唱會當晚有不少名人齊來支持，包括

民政事務局局長劉江華太平紳士、前特

首梁振英夫人梁唐青儀女士、標準工時

委員會主席梁智鴻醫生、房協主席鄔滿

海先生及兩位區議會副主席周弈希先生

和周潔冰博士等。車淑梅小姐擔任司儀，

妙語如珠，令場內氣氛熱烈非常。江欣

燕小姐是特別嘉賓，以媲美「梅姐」的

唱腔令觀眾陶醉不已。孫國林太平紳士

更粉墨登場，一首「卡門」，掀起演唱

會第一個高潮。黎老師和她的一眾慈善

學生們非常有意念，表演者年齡橫跨數

代，由二十多歲至九十歲都有，但他們

歌聲的美妙，表演的投入，令觀眾拍掌

叫絕！大家都明白到音樂是令人長壽健

康的靈丹。

演唱會獲寰宇電影公司支持，慷慨解囊，

購入部份門票，並送贈予本會 300位長者及照顧者，讓他們也能享受這次慈善

The famous singer and vocal teacher, Ms Idy Lai, and her students held a charity concert at Sunbeam Theatre on February 3, 2018. All proceeds from ticket sales, after deduction of expenses, were donated to CCAF to support our service to the elderly.

Ms Lai felt deeply for the welfare of seniors in our community. She joined with CCAF Directors to visit the elderly in public housing estates. She gained first-hand knowledge about CCAF service in primary health care and was impressed with our service objective about ageing happily and healthily at home. Consequently, she decided to organize the charity concert to support the services provided by CCAF.

Many dignitaries attended the concert to show their support. These included Secretary for Home Affairs - Mr Lau Kwong Wah, JP, Mrs Leung Tong Ching Yee, spouse of Hong Kong’s ex-Chief Executive Mr CY Leung, Dr Leong Che Hung - Chairman of the Standard Working Hours Committee, Mr Wu Moon Hoi - Chairman of Hong Kong Housing Society, as well as District Councils Vice-chairmen, Mr Chow Yick Hay and Dr Chow Kit Bing. The concert was a great success. The attendants were treated to a memorable evening with many beautiful songs.


企業傳訊 CORPORATE COMMUNICATION 7

本會主席蘇家駒醫生、梁智鴻醫生、劉江華太平紳士、前特首梁振英夫人梁唐青儀女士、伯恩光學 (香港 )有限公司代表楊俊光先生、徐美琪爵士、本會籌款委員會主席孫國林太平紳士禮成合照CCAF showed gratitude to our dignitary sponsors and guests for supporting the event.

觀眾熱情投入The concert was well-received by the audience.

每位出席長者獲贈福袋，長者們回贈燦爛笑容CCAF Vice Chairman, Ms Terry Lai, presented gift bags to the audience.

活動。回程時，本會創會副主席黎筱娉

女士得到善長的支持，更向每位出席者

送贈福袋，共襄善舉。我們的長者在旅

遊巴士的歸途上均笑逐顏開，興奮地回

味演唱會的點滴。

趁此有意義的活動，本會在演唱會開始

前更借機多謝及表揚幾位對長者服務大

力支持的善長和機構，包括恒愛慈善基

金、伯恩光學 (香港 )有限公司楊建文先生及徐美琪爵士。致謝儀式由本會籌款

委員會主席孫國林太平紳士及主席蘇家

駒醫生主持，民政事務局局長劉江華太

平紳士、前特首梁振英夫人梁唐青儀女

士及梁智鴻醫生監禮。大會祝願恒愛慈

善基金、楊建文先生及徐美琪爵士福有

攸歸，福澤綿綿。

Universe Entertainment and Culture Group Company Limited generously sponsored 300 concert tickets and offered them for free to seniors and their caregivers. Our Vice Chairman, Ms Terry Lai also enlisted the support of generous donors to offer gift bags to the senior attendants.

Before the concert, CCAF also took the opportunity to thank the generous support of various generous supporters including Hang Oi Charitable Foundation, Mr Yeung Kin Man of Biel Crystal Manufactory Limited and Dame Margaret Zee. The ceremony was officiated by Mr Suen Kwok Lam BBS, MH, JP and Dr So Kar Kui, and witnessed by Mr Lau Kwong Wah, JP, Mrs Leung Tong Ching Yee, and Dr Leong Che Hung. We are grateful to our dedicated sponsors for their generous support.

特別鳴謝 : 黎蕙蘭老師暨各位慈善歌手 Special thanks to - Ms Idy Lai, Ms Nancy Leung, Mr Tommy Tang, Mrs Annie Lee, Mr Peter Lee, Mrs Lee Fung Yuen Ngor, Mr Wayne Lo, Mrs Linda Wong, Mrs Rachel Hui, Mr David Leung, Mr Puri Lau, Mr William Chan, Mr Suen Kwok Lam, Hang Oi Team of Care, and WSM Music Group

眾歌手以大合唱，完美地結朿溫馨又熱鬧的一晚Ms Idy Lai and her friends brought down the house.


媒體報道 Media Coverage感激各媒體支持，今年的報道可以「密

集式」來形容，包括 3次電視報道、

4份報章雜誌及 1次社福媒體報道，報

道深入詳盡令長者基層醫療及本協會

的服務目的獲得社會各界更多關注。

We are grateful for coverage on CCAF by various mass media: television, newspaper, magazine, and social service news. These enabled the public to understand more about the essence of primary healthcare and the contribution made by our nurse stations towards the well-being of the elderly.

電視報道 Television Report

香港特首施政報告提出拓展基層醫療服務，無

綫新聞把緊時機，探討護士診所的角色。銀鈴

護士站的免費基層醫療服務，早著先鞭，自然

成為採訪對象。在 TVB訪問中，協會主席蘇家駒醫生深入講解基層醫療服務的精粹。

Hong Kong’s Chief Executive indicated the need to strengthen primary healthcare service in her Policy Address. TVB news followed up on this topic with a review on the role of nurse clinic. As a forerunner of this practice, CCAF was a subject of TVB’s subsequent news interview. Our Chairman, Dr. So Kar Kui gave an in-depth elaboration on the importance of primary healthcare.

香港長者對醫療服務的需求有增無減，特首林鄭月娥於 2017年司政報告大力推動基層醫療，早已落區推行基層醫療的銀鈴護士站，如何推行

基層醫療才不離地，切合市民所需？

Hong Kong Chief Executive indicated the government’s desire to promote primary healthcare. Demand for senior healthcare grew increasingly with the ageing population. CCAF explained the essence for implementing primary healthcare in a practical manner.

2017年 10月 07日 TVB無綫新聞 TVB News (October 7, 2017)

2018年 3月 11日 Now新聞【經緯線】節目 Now TV News Program (March 11, 2018)

不少長者因長期病患或害怕肥胖而戒口，但原來長者比中年人更需要進

食含有蛋白質的食物，以防肌肉流失。銀鈴護士站接受訪問，解釋如何

測試肌肉力及分享飲食習慣如何影響長者的健康。

Many seniors overly restricted their diets for fear of obesity. However, protein is actually essential for maintaining healthy muscles. CCAF nurses went on Now TV to explain the ways for testing muscle strength and the importance of proper diets in elderly healthcare.

2017年 12月 02日 Now TV「杏林在線」銀髮餐單 Now TV Medical Program: Special Diet Menu for Seniors (December 2, 2017)



報章雜誌報道 Newspaper and Magazine Coverage

協會主席蘇家駒醫生在向信報表示，眼見高齡海嘯來犯而社會並未

做好預備，蘇醫生於 9年前與其他熱心人士成立關護長者協會設立護士診所，親力親為關注長者健康問題。

CCAF Chairman, Dr. So Kar Kui, explained his concern with the lack of support for an ageing population. He worked with other like-minded partners to set up CCAF nine years ago to provide quality nurse clinic service for elderly in the community.

公院供求失衡，香港急須拓展基層醫療。協會

護士黃姑娘分享基層醫療需進入社區，才可與

病人時常保持互動，進行健康教育及有效率跟

進病情。

In view of an overburdened public health system, Hong Kong is in desperate need to revamp primary healthcare. CCAF nurse Ms Wong explained that in order for primary healthcare to be effective, it is imperative that the service should be interactive with patients at the community level such that health education and regular follow-ups can be promptly delivered.

2018年 1月 5日信報推社區診所力抗高齡海嘯Hong Kong Economic Journal (January 5, 2018) Against ageing tsunami with community clinic

2017年 9月 18日 HK01香港急須拓展基層醫療HK01 Newspaper (September 18, 2017): Hong Kong's Urgent Need for Primary Healthcare

2017年 12月 10日蘋果動新聞 Apple Daily News Site (December 10, 2017)

【求醫之苦】落樓下就有護士社區診所助長者減少衝急症 Importance of Nurse Clinic within the Community in terms of reducing attendance to Accident & Emergency

協會主席蘇家駒醫生處理老人醫療問題廿多年，深感現行主流醫療制

度，只能被動等待長者健康惡化入院治療。他決定走進長者居住的公

共屋邨，設立社區診所。讓有需要長者「一落樓就有」身體檢查，隨

時能向護士查詢飲食及藥物問題，從根本出發為長者管理好健康情況。

CCAF Chairman, Dr. So Kar Kui, a geriatrician in the public hospitals for over 20 years, put the concept of community nurse clinic into practice. Instead of the ailing elderly visiting public hospitals from time to time, burdening the system with various kinds of diseases, nurse clinics located within reach of seniors in their own community can provide health education, nurse consultations, health screening and medicine advice to the elderly. Prevention is always better than cure.


食藥對長者而言困難重重，幾時食、食幾多、如何食都一知半解，不明白之下胡亂食藥，導致病情不但沒有

好轉更出現惡化。銀鈴護士站幫長者分藥，利用藥盒加上圖案教導長者按時及正確食用藥物，配合運動訓練、

糾正飲食習慣及定期檢查改善長者病情，讓他們生活開心及安心。

Drug overdose and misuse are common among seniors due to misunderstanding. CCAF nurses help seniors identify and sort out their numerous prescription drugs to ensure proper intake, avoid confusion, using labelled pill box for easy identification. They also provide education on regular exercise, proper diets, and follow up on health progress to safeguard the well being of the elderly.

2018年 3月 7日東周刊教人食藥有辦法 East Magazine (March 7, 2018) Proper Drug Compliance

社福媒體報道 Social Service Media Reporting

患有糖尿病四十年的工泰娸婆婆於 2013年因藥物控制差，加上腳部傷口處理不當而需要截肢，出院後血糖控制及藥物處

理仍然不理想，經醫院轉介到「銀鈴護士站」。劉姑娘監察

婆婆日常身體狀況，協助分配好每日需要服用的藥物。在劉

姑娘四年多的支援及關顧下，工婆婆的血壓、血糖及膽固醇

都有所改善，自 2013年轉介至今，工婆婆沒有再入院了。

CCAF nurse station provided support to a diabetic granny with amputated limb. Our nurse kept close eye on her health progress and ensured proper drug compliance. It took four years of hard work to keep the granny’s blood pressure, blood sugar, and cholesterol levels in control. Her conditions are now stable and she has not been hospitalized ever since her referral to CCAF’s service in 2013.

2017年 10月 25日社聯頻道社區「護士站」服務長者 Hong Kong Council of Social Service Channel (October 25, 2017) Nurse Clinic in community serving elderly in need



在過去一年，感激善長、工商機構及政

府部門的資助，各位義工、社區團體的

參與，合作伙伴的協作及各界傳媒對本

會的推廣，我們得以持續提供服務予有

需要的長者。

We are deeply grateful for the generous donation from our supportive donors, business corporations, and government departments; participation of volunteers and various local service organizations; and support from our collaborators and service providers. Our gratitude is also extended to the mass media for promoting our services and activities. All the supports given make our vision possible to continue servicing elderly in need.

鳴謝善長及撥款機構 (排名不分先後 )

Acknowledgement of the Funding Organizations and Donors (in no particular order)

Ms Lai Siu Ping, Terry

Mr Alan Aw

Mrs Catherine Aw

Mr Edward Yu

Ms Shi Nan Sun

Ms Leung Shuk May Margaret

Mr Chan Wing Man Raymond

Miss Se Yuet Lin

Ms Yip Woon Cheung

Mrs Eleanor Morris

Ms Ng Shan Yung Wendy

Mr Siu Shing Chung

Ms Linda Fung

Ms Paulina Yeung

Ms Stella Leung To Yun

Mr & Mrs Reuben Chin

Ms Hilda Li

Mr Chan Wing Mei

Mr Ilagan Jeffrey Mirano

Dr Woo Chai Fong

Ms Kwan Yuk Bing

Mr Macor Wan

鄭翔玲女士

鄺永源先生

陳妙聰先生

薛振聲先生夫人

莊惠兒女士

Hongkong Bank Foundation

黃偉常先生

楊建文先生

黎惠蘭女士 Ms Idy Lai and friends - Ms Nancy Leung, Mr Tommy Tang, Mrs Annie Lee,

Mr Peter Lee, Mrs Lee Fung Yuen Ngor, Mr Wayne Lo, Mrs Linda Wong,

Mrs Rachel Hui, Mr David Leung, Mr Puri Lau, Mr William Chan, Hang Oi Team of Care,

Mr Suen Kwok Lam and WSM Music Group慈善為懷，落力演出，捐出演唱會淨收益

Donated net proceeds of charity concert

蔡漢錦醫師道然藥圃有限公司

Dao Yin Chinese Medical LimitedWitman Publishing Co (HK) Ltd Violet Jewellery and friends

Fat Tai Customs Tailor Co Gar Cheong Manufactory Ltd SJ&H Apparel Ltd

Remad Foundation Limited The Wong Family Charitable Fund via HKCSS WiseGiving Ltd

Margaret Zee Charitable Foundation Ltd


鳴謝 ACKNOWLEDGEMENT8

鳴謝協辦活動機構及合作夥伴 (排名不分先後 )

Acknowledgement of the Collaborators and Service Providers (in no particular order)

H.K. Christian Mutual Improvement Soc. Chuang Chung Wen Soc. Ctr. For the Eldy

CNEC Kei Shek Church

東華三院邱木城長者鄰舍中心Tung Wah Group of Hospitals

Stephen Yow Mok Shing Neighbourhood Centre

東華學院中西醫護及復康中心 Tung Wah College Integrative Health Centre

香港亞洲歸主協會常光睦鄰中心Glorious Light Neighbourhood Centre

香港防癆會中醫診所暨香港大學中醫臨床教研中心 The Hong Kong Tuberculosis Association

Chinese Medicine Clinic cum Training Centre of the University of Hong Kong

東華三院黃祖棠長者地區中心 Tung Wah Group of Hospitals Wong Cho Tong District

Elderly Community Centre

救世軍南泰長者中心The Salvation Army Nam Tai Centre

for Senior Citizens

鄰舍輔導會深水埗康齡社區服務中心 The Neighbourhood Advice-Action Council,

Shamshuipo District Elderly Community Centre

聖雅各福群會九龍慈惠中心St. James'Settlement Kindness

Centre (Shek Kip Mei)

聖雅各福群會灣仔長者地區中心 St. James' Settlement Wan Chai District

Elderly Community Centre

聖雅各福群會綄紗長者中心St. James' Settlement Wun Sha

Elderly Centre

聖雅各福群會青萌銅鑼灣綜合服務中心 St. James' Settlement Causeway Bay

Integrated Services Centre

清晰聽香港聽力中心 EasyHear Hearing Centre

嗇色園主辦可榮耆英鄰舍中心 Ho Wing Neighbourhood Centre for Senior Citizens

(Sponsored by Sik Sik Yuen)


鳴謝 ACKNOWLEDGEMENT8

鳴謝服務及物資贊助 (排名不分先後 )

Acknowledgement of Non-Monetary Donations (in no particular order)

贊助人及機構 Donor 項目 Item

周潔冰議員「粵藝傾情繫社群敬老粵劇晚會」門票

「良施好友會知音」粵劇門票

家園便利店臨時會員卡 10,000張

月餅

香港理工大學活齡學院主辦之第三齡體驗大學課程名額予長者及護老者

驗眼配鏡服務

眼科檢查及義診

粵劇及折子戲門票

毛展鵬先生觀塘辦公室牆面翻新

Mr Elton Lee 資訊科技顧問

Ms Jacqueline Chan 協助籌備慈善演唱會

Ms Rebecca Lao (Reckitt Benckiser Hong Kong Limited) 關節保健品 & 假牙清洗片

Ms Connie Tan 茉莉花茶包

Ms Fanny Lee

萬金油

Ms Betsy Ma 福祿壽演唱會門券

春雷計劃基金 Springblossom Project Foundation 愛心灑春蕾慈善粵劇晚會門票

香港安斯泰來製藥有限公司 Astellas Pharma Hong Kong Co., Ltd

尿酸檢查機及試紙


COMMUNITY CAREAGE FOUNDATION LIMITEDSTATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME

FOR THE YEAR ENDED MARCH 31, 2018

2018 2017HK$ HK$

Revenue 7,248,363 3,432,875

Other income 229,579 697,080

7,477,942 4,129,955

Administrative expenses

Activities and campaign expense 672,562 1,106,798

Auditor’s remuneration 21,950 30,100

Bank charges 200 500

Depreciation 15,627 20,124

Insurance 17,210 12,570

Printing and stationery 6,448 29,498

Rent and rates 12,000 12,000

Secretarial fee 4,930 4,950

Staff costs 3,883,916 3,849,950

Sundry expenses 1,450 11,400

Telephone, fax and postage -- 4,158

Travelling expenses -- 5,116

4,602,658 5,087,164

Surplus / (deficit) before taxation 2,837,282 (957,209)

Income tax expense -- --

Surplus / (deficit) and total comprehensive income for the year 2,837,282 (957,209)

For details, please refer to the full set of Audited Financial Statements which is obtainable from our Registered Office.


財務報告 FINANCIAL STATEMENT9

COMMUNITY CAREAGE FOUNDATION LIMITEDSTATEMENT OF FINANCIAL POSITION

AS AT MARCH 31, 2018

2018 2017HK$ HK$

Non-current assets

Property, plant and equipment 10,808 26,435

Current assets

Other deposits 2,000 2,000

Cash and cash equivalents 2,824,406 468,306

2,826,406 470,306

Current liabilities

Accrued expenses 43,214 40,023

Loans payable -- 500,000

43,214 540,023

Net current assets / (liabilities) 2,783,192 (69,717)

Net assets / (liabilities) 2,794,000 (43,282)

Reserves

Accumulated surplus / (deficit) 2,794,000 (43,282)



COMMUNITY CAREAGE FOUNDATION LIMITEDSTATEMENT OF CASH FLOWS

FOR THE YEAR ENDED MARCH 31, 2018

2018 2017HK$ HK$

Cash flows from operating activities

Surplus / (deficit) for the year 2,837,282 (957,209)

Adjustments for:

Depreciation 15,627 20,124

Bank interest income (215) (248)

Operating cash flows before working capital changes 2,852,694 (937,333)

Changes in working capital

Increase in accrued expenses 3,191 752

Decrease in government grant received in advance -- (481,624)

(Decrease) / increase in loans payable (500,000) 500,000

Cash used from / (used in) operating activities 2,355,885 (918,205)

Cash flows from investing activities

Acquisitions of plant and equipment -- (21,163)

Bank interest received 215 248

Net cash used in investing activities 215 (20,915)

Net increase / (decrease) in cash and cash equivalents 2,356,100 (939,120)

Cash and cash equivalents at beginning of year 468,306 1,407,426

Cash and cash equivalents at end of year 2,824,406 468,306



財務報告 FINANCIAL STATEMENT9

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