Hospitalization and death of the elderly due to falls is one of the main medical problems in Hong Kong. In 2019, there were more than 45,000 cases. The rate of falls during hospitalization of public hospital patients is 0.42 per 1,000 people in 2020. The HA has recently introduced two patrol machines. People TEMI and MIMI regularly broadcast anti-fall messages in the ward.
The patrol robot has the functions of broadcasting, video call and game at the same time. It is one of the transfer therapies and can help patients with dementia reduce anxiety.
Shi Qiwen, a consultant nurse at the Department of Internal Medicine and Geriatrics of the New Territories East, said that the main hope is to use repetitive speech and use the health education model to remind patients with dementia that "Don't leave your position casually" to help reduce the risk of falling.
Patrol robots Tian Zi and Mimi entered service at the end of last year. They worked in two male wards of internal medicine and geriatrics, including Sha Tin Hospital and Che's Nursing Home. They mainly assist patients with dementia who are at higher risk of falling.
Tim Tsai and Mimi have built-in ward routes. They assist in patrols every morning, afternoon and evening, and work for a total of 17 hours. In addition to broadcasting anti-fall messages, they will stay at the bedside and play songs or videos based on fair distribution and patient needs to relieve patients. Anxiety.
In a patient satisfaction survey conducted in February this year, more than 90% were satisfied with the patrol robot service.
Tim Tsai helps stabilize the mood of patients with dementia
New Territories East Department of Internal Medicine and Geriatrics consultant nurse Shi Qiwen said that there was a patient in her 80s with dementia who was not used to the unfamiliar environment of the hospital. He kept clamoring to leave the bed and pulling out the sheets and bed. The mattress was also thrown on the ground by him, and then he began to remove the bed board.
Fortunately, I just met Tim Tsai on the tour, the medical staff immediately introduced Tim Tsai to his uncle, hoping to soothe uncle’s uneasy emotions by playing the video, Ms. Shi Qiwen said
"We have installed the "Emperor Flower" line into the face. I watched Uncle Zhang and found out that he was immediately uninterested. After a long time, Uncle wanted to see Jacky Cheung. After watching Jacky Cheung for a few minutes, he didn't remove it anymore. Hey, just follow the music and shook his head." Shi Qiwen said. The doctors and nurses in the ward were very impressed by the incident.
Shi Qiwen said that she hopes to use the health education model to remind patients with dementia not to walk around casually through repetitive speech.
(Photo by Xiao Xiaoci)
In addition to smart patrol robots, medical care has also introduced many facilities and electronic products to improve the patient's fall problem in the hospital.
Including doll therapy for patients with dementia, which requires patients to take care of a baby doll, distract them, and comfort them to help reduce stress and relieve anxiety symptoms.
In addition, the seat belt central alarm system, pressure sensor alarm system, safety helmets and hip pants are suitable for rehabilitation and continued care of patients. These measures are mainly to reduce the risk and injury of patients who fall after leaving the seat.
Develop smart hospitals and improve service standards
The HA has earmarked $10 million for the implementation of the nursing quality improvement plan. Tang Huagen, Senior Administrative Manager (Nursing)/Principal Nursing Officer of the HA, said that the development of smart hospitals is one of the most important sustainable development strategies of the HA. There are currently seven The Internet uses electronic hospital beds with multiple functions. It is currently in the stage of mass procurement. It is estimated that all hospitals in Hong Kong will be widely used within five years. It also points out that patrol robots can develop personalized functions, which will depend on the progress of future technological development. To update related functions.
The Hospital Authority stopped issuing the new anti-epidemic subsidy plan in August. Only the staff of the North Lantau Temporary Hospital and others can apply for the HA’s “18 District Chinese Medicine Clinic” app. They must watch the 5 major Q&As before making an appointment. The outpatient list is attached. Difficulties, oral solvents to reduce the burden of swallowing, help treatment lasted for seventy years, professors two "close to the ground" research awards for the minibus physical examination gait instrument to measure the risk of falls in the elderly
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