NURS3122 - Nursing in the Community

Community project – Kwun Tong

Taken at the Urban Renewal Authority (市區重建局 ) in Kwun Tong22-9-2011

Chan Cheuk YuChan Wing KiChan Siu Ling

Kwok Ka WingLeung Ki

East of Hong Ning Road West of Hip Wo Street North of Kwun Tong Road

Kwun Tong – area selected

From Google map

Reason 1.Old and poor district (One of the first new towns in Hong Kong)2.Under renewal3.Public concerned district

Kwun Tong – area selected

http://www.swd.gov.hk/en/index/site_district/page_kwuntong/sub_districtpr/

16.2% - 98500 people

Hong Kong (overall) -13.2%higher than average

People – Population Profile

Mainly the elderly and the middle-aged

The elderly in Kwun tong

• Dressed simple and plain

Buying at the market with companies(taken at the market)

The elderly - Activity

Resting and chatting at the park

Social life

The elderly - Activity

Seeking health care at the Jockey club

The elderly - Activity

Picking up paper board for recycleto earn little amount of moneymay be the low-income group

The elderly - Activity

nearly 45% - the elderly(>65 years old):Low-income group

The elderly - Ranking

Chart fromThe Hong Kong Council of Social Service(http://www.hkcss.org.hk/cb4/report_card/kwuntong.pdf ) The elderly 767,225 88,678

The low-income elderly 307,455 39,710

49,400 of the elderly is receiving the Social Security Allowance (生果金 )occupying the greatest proportion in Hong Kong

Most also receives Comprehensive Social Security Assistance (綜緩 ).

Major expenditure:

Studied by Oxfam Hong Kong

INSUFFICIENT!

People – income & expenditures

Meals Payments (rental/mortgage/ electricity, etc.)Transportation Medical care

Problem encountered by the elderly Suggestion

• Not knowing the application procedure/ perceiving the procedure as complicated

• Refer to social worker

• High expenditure in seeking medical care

• Educate the elderly to seek allowance

• Low-income elderly people mainly spend a large proportion of their income on food

• Suggest Food Bank (at Kwun Tong) to the elderly

Problem & suggestion

Social Systems in Kwun Tong

Sitting-out area; Rest garden With long chairs, chess tables, well

greening, light exercising facilities, etc.

Provide a clean and fresh environment in a community with dense population, buildings and traffic

Promote healthy lifestyle A good place for elderly to enlarge

social circle

Outdoor recreation opportunities

Special facilities are provided for the disadvantaged elderly group

Usually found in public areas, e.g. sitting-out area, recreational park

Help the disadvantaged elderly group to easily access these areas and utilize the facilitiesmore convenient and safe

Churches with different religious backgroundscan promote social and spiritual life

Churches

Transportation MTR – Kwun Tong Station Minibus – to Mongkok, Tsuen Kwan

O, Tsuen Wan, North Point...... Bus Terminal – Kowloon Bus, City

Bus MTR $2 Fare Promotion for the

Elderly extended to 31 August 2012

Kwun Tong Police Station, Sau Mau Ping Police Station

Police patrolling - ensure safety of the community

Kwun Tong Crime Prevention Office at Concorde Road – various activities organized such as leaflets distribution, crime prevention talks

enhance elderly’s alertness in the area of crime prevention

Police Protection

http://www.e123.hk/CareGiver/details/101622/238

【蘋果日報】「阿伯，攞咁多錢做乜呀！」機警銀行職員見年邁老翁到銀行提取 8 萬元現金心生懷疑向事主查詢，揭發老翁早前接獲騙徒電話，指其兒子因欠債被禁錮要 8 萬元贖金，銀行暗中通知警方。觀塘警區重案組探員將計就計暗中跟蹤事主付贖金，在黃大仙追逐 200 米拘捕取贖金內地男子，一名警長追捕騙徒時擦傷手腳。

險受騙慈父姓葉（ 76 歲），家住觀塘區，葉在家中接獲一名男子電話，指其子欠債不還遭禁錮，要事主交出 8 萬元贖金，否則對其子不利，對話期間，另一男子在聽筒旁大叫：「阿爸，阿爸，救我呀。」事主心慌誤以為呼救者真是其兒子，立即往觀塘協和街中國銀行提取 8 萬元現款，騙徒要事主拿住手電保持聯絡，阻止他致電其子查證。

現場消息稱，當事主在銀行櫃位提款時，銀行一名女職員見他神色慌張，加上他一次過提取一大筆現金，懷疑事不尋常，問事主：「阿伯，攞咁多錢做乜呀 ! 」葉伯隨口回應道：「我要去救人，救我個仔呀。」

銀行職員向葉伯進一步了解事件後，通知上司按銀行與警方的通報機制，暗中知會東九龍防止罪案科，並拖延事主在銀行。

見取款老翁慌張通知警方 銀行職員識破電話騙徒

Kwun Tong fire station Regular checking of

fire facilities Promote fire safety

Fire Protection

Ambulance

ParknshopShui Wo StreetFu Yan Street

Watsons'Fu Yan Street

Yu Man Square Market

Provide daily needs

Supermarkets/Convenience stores

Street Clinics/Health Care Services

http://www.pokoi.org.hk/entxt/services_cmedical_detail.aspx?id=108

Dental clinics private general clinicsChinese medicine practitioners

dispensaries

Night clinics Health check – Blood pressure, glucose level, etc.

Pok Oi Hospital Chinese Medicine Mobile Clinic- provide professional and reliable Chinese Medicine services to the general public

- offer special discounts and assistance to the elderly and deprived groups

Old Aged Home/ Elderly Centre

Activity雲漢長者地區中心 - 十月活動一覽

開心星期六之平安福音堂慶中秋 如何處理緊張和憂慮講座 防騙小常識—認識防騙講座 護老者聚會：老化過程知多「啲」 ( 六 )

認識綜合社會保障援助 ( 綜緩 ) 講座 老有所為活動計劃—「幼耆學必有其樂」 全港長者運動會 2010—招募運動員及啦啦隊

A place for elderly to learn and have fun Health care knowledge related to high risk diseases,

medication, stress relaxation, aging Other: Crime prevention, social welfare, festival celebrations

OAHhttp://www.caringelderly.com.hk/index.php?action=house/detail/100

Total no. of OAH

Price range

Ranking

Facilities provided(Mainly)

(Specific)

Help the elderly to ask for specific need, e.g. supportive facilities, health care service

Increase the level of convenience Improve the quality of life of elderly

Kwun Tong District Council

Health related poster promotion found in estates and roadside

Enhance the awareness of the importance of health and disease preventions

Kwun Tong District Council

Major health institutionsUNITED CHRISTIAN HOSPITAL

• an acute general hospital in east Kowloon(in-patient, day-patient, out-patient and community care services)

Scope of Services

• Specialties : Medicine and Geriatrics• Specialty Centres & Ambulatory Services : Geriatric Day Hospital• Others : Community Nursing Services (CNS)

specific geriatrics' services - the Medicine and Geriatrics Specialty

Cover the needs of the elderly CNS service

provide continuous care for the discharged elderly

from Yu Man Square to UCH From 0600 – 2400, every 8 minutes Fee: $2.5

http://www.i-busnet.com/minibus/kln/r50.php

Minibus route no. 50

Green Minibus :50 Kwun Tong (Yue Man Square) – United Christian Hospital (Circulate Route)

Transportation

Route map

Discount for the elderly (senior citizen card holders) full fare $ 1.3Transportation time: within 10 minutes

The locations of the stations are easy to access The fare is affordable as discount is offered for the elderly Busy traffic

Get on and off on the roadside

Kwun Tong Jockey Club Health Centre

Services• General out-patient clinic• Other sub-clinics : Kwun Tong Jockey Club Dental Clinic

get the general medication service through the clinic Elderly with dental problems can seek help here

Kwun Tong Elderly Health Centre

Service provided:- physical check up and health assessment

- counselling and curative treatment ($45 per consultation)- health promotion ,education and disease prevention programmes

(annual health check : FREE )

Yung Fung Shee Memorial Centre

Provide holistic care for the elderly

Human-made environment

Roads marked by easily seen (big font size)& understandable signs Clear instructions

Road marks

Need greater effort to walk hard for the elderly

walk with sticks wheelchairs

uphill: need great strength downhill: increase risk of injury

Slopes

Narrow path Pedestrians walk on the traffic road Pedestrians compete with the vehicles

dangerous

Pedestrian vehicle conflicts

Construction sites narrow roads → easily collide with others

Obstacles on the roads→ Risk of fall

Construction sites

Heavy traffic with high density of buildings

Vehicles

Waste gases

Air pollution

Elderly

affected

High density of buildings

Wall effect

Air Pollution Index (API)

http://www.epd-asg.gov.hk/english/apisum/apisum.html

Elderly people are sensitive to air pollution Air pollution :

increase risk of respiratory disease e.g. pneumonia, lung cancerincrease risk of cardiovascular disease

Air Pollution

Housing

Public housing estates

Home ownership scheme estates

Private sectors

Types of housing in Kwun Tong

70% residents in Kwun Tong live in public housing estates or Home ownership scheme estates

The rest live in private sectors

Most public housing estates are very old. Some even reach 50 years, for example, 和樂邨 .

Home ownership scheme estates were built at a later time, but are already 20-30 years.

Private sectors are as old as public housing estates, reaching 30-40 years.

Living Environment No elevator: elders have to walk upstairs, which are as

high as 10 floors. Risk of fall is high. Narrow, poorly lit corridors: difficult to see clearly, may

trip over easily. Worn-out wires and pipes: Leakage is dangerous.

Incident of power supply exposion led to electricity cut recently.

Problems of old buildings to elderly

Living Environment Old private sectors are not managed by companies.

Buildings are not very safe. Big fire broke out several times. Life threating to elders, as they are less likely to escape fast.

Small shops located on the ground floor of the buildings. Places are wet and narrow. Elders need to elbow through the area every time they go out.

Redevelopment Covers part of Kwun Tong only Many elders still live in worn-out buildings Incidents of falling objects from buildings under

renovation can be dangerous to elders

Problems of old buildings to elderly

Redevelopment Complicated procedures in selling old flats for

redevelopment are frustrating to elders Areas in redevelopment are quite at dark. Security

becomes poor. Dangerous for elders to go out and exercise in early morning.

Neighbours move out of old buildings. Loss of bonding.

Old buildings not under redeveloped Elders worry they have no place to live and the money

they can get back from the developers. Elders worry they cannot adapt to new environment if

they are to forced to move away.

http://www.epd-asg.gov.hk/english/apisum/apisum.html

http://www.who.int/phe/health_topics/outdoorair/databases/health_impacts/en/

http://www.youtube.com/watch?v=d0ebcIAQhWs http://news.hotpot.hk/fruit/art_main.php?iss_id=2011

0709&sec_id=4104&art_id=15416185

http://www.ha.org.hk/visitor/ha_hosp_details.asp?Content_ID=100156&Lang=ENG

http://www.dh.gov.hk/clinictimetable/ehc.htm

http://www.info.gov.hk/tb_chest/contents/c611.htm

http://www.dh.gov.hk/english/main/main_ds/main_ds.html

Elderly health centrehttp://www.info.gov.hk/elderly/english/index.htm

UCHhttp://www3.ha.org.hk/uch/hospital/show.asp?c=auAddress

Minibus50http://www.16seats.net/chi/gmb/gk_50.html

Minibus23Bhttp://www.16seats.net/chi/gmb/gk_23b.html

Major health institutionsUNITED CHRISTIAN HOSPITAL

• an acute general hospital in east Kowloon(in-patient, day-patient, out-patient and community care services)

Scope of Services

• Specialties : Medicine and Geriatrics• Specialty Centres & Ambulatory Services : Geriatric Day Hospital• Others : Community Nursing Services (CNS)

specific geriatrics' services - the Medicine and Geriatrics Specialty

Cover the needs of the elderly CNS service

provide continuous care for the discharged elderly

from Yu Man Square to UCH From 0600 – 2400, every 8 minutes Fee: $2.5

http://www.i-busnet.com/minibus/kln/r50.php

Minibus route no. 50

Green Minibus :50 Kwun Tong (Yue Man Square) – United Christian Hospital (Circulate Route)

Transportation

Route map

Discount for the elderly (senior citizen card holders) full fare $ 1.3Transportation time: within 10 minutes

The locations of the stations are easy to access The fare is affordable as discount is offered for the elderly Busy traffic

Get on and off on the roadside

Kwun Tong Jockey Club Health Centre

Services• General out-patient clinic• Other sub-clinics : Kwun Tong Jockey Club Dental Clinic

get the general medication service through the clinic Elderly with dental problems can seek help here

Kwun Tong Elderly Health Centre

Service provided:- physical check up and health assessment

- counselling and curative treatment ($45 per consultation)- health promotion ,education and disease prevention programmes

(annual health check : FREE )

Yung Fung Shee Memorial Centre

Provide holistic care for the elderly

Human-made environment

Roads marked by easily seen (big font size)& understandable signs Clear instructions

Road marks

Need greater effort to walk hard for the elderly

walk with sticks wheelchairs

uphill: need great strength downhill: increase risk of injury

Slopes

Narrow path Pedestrians walk on the traffic road Pedestrians compete with the vehicles

dangerous

Pedestrian vehicle conflicts

Construction sites narrow roads → easily collide with others

Obstacles on the roads→ Risk of fall

Construction sites

Heavy traffic with high density of buildings

Vehicles

Waste gases

Air pollution

Elderly

affected

High density of buildings

Wall effect

Air Pollution Index (API)

http://www.epd-asg.gov.hk/english/apisum/apisum.html

Elderly people are sensitive to air pollution Air pollution :

increase risk of respiratory disease e.g. pneumonia, lung cancerincrease risk of cardiovascular disease

Air Pollution

Housing

Public housing estates

Home ownership scheme estates

Private sectors

Types of housing in Kwun Tong

70% residents in Kwun Tong live in public housing estates or Home ownership scheme estates

The rest live in private sectors

Most public housing estates are very old. Some even reach 50 years, for example, 和樂邨 .

Home ownership scheme estates were built at a later time, but are already 20-30 years.

Private sectors are as old as public housing estates, reaching 30-40 years.

Living Environment No elevator: elders have to walk upstairs, which are as

high as 10 floors. Risk of fall is high. Narrow, poorly lit corridors: difficult to see clearly, may

trip over easily. Worn-out wires and pipes: Leakage is dangerous.

Incident of power supply exposion led to electricity cut recently.

Problems of old buildings to elderly

Living Environment Old private sectors are not managed by companies.

Buildings are not very safe. Big fire broke out several times. Life threating to elders, as they are less likely to escape fast.

Small shops located on the ground floor of the buildings. Places are wet and narrow. Elders need to elbow through the area every time they go out.

Redevelopment Covers part of Kwun Tong only Many elders still live in worn-out buildings Incidents of falling objects from buildings under

renovation can be dangerous to elders

Problems of old buildings to elderly

Redevelopment Complicated procedures in selling old flats for

redevelopment are frustrating to elders Areas in redevelopment are quite at dark. Security

becomes poor. Dangerous for elders to go out and exercise in early morning.

Neighbours move out of old buildings. Loss of bonding.

Old buildings not under redeveloped Elders worry they have no place to live and the money

they can get back from the developers. Elders worry they cannot adapt to new environment if

they are to forced to move away.

http://www.epd-asg.gov.hk/english/apisum/apisum.html

http://www.who.int/phe/health_topics/outdoorair/databases/health_impacts/en/

http://www.youtube.com/watch?v=d0ebcIAQhWs http://news.hotpot.hk/fruit/art_main.php?iss_id=2011

0709&sec_id=4104&art_id=15416185

http://www.ha.org.hk/visitor/ha_hosp_details.asp?Content_ID=100156&Lang=ENG

http://www.dh.gov.hk/clinictimetable/ehc.htm

http://www.info.gov.hk/tb_chest/contents/c611.htm

http://www.dh.gov.hk/english/main/main_ds/main_ds.html

Elderly health centrehttp://www.info.gov.hk/elderly/english/index.htm

UCHhttp://www3.ha.org.hk/uch/hospital/show.asp?c=auAddress

Minibus50http://www.16seats.net/chi/gmb/gk_50.html

Minibus23Bhttp://www.16seats.net/chi/gmb/gk_23b.html