1. FM&PHC HKWC Hospital Authority Family Doctor Your Health Partner Dr. Wang Hua Li, Jenny LMCHK, FKCFP, FRACGP, FHKAM (FM) Associate Consultant In-charge Sai Ying Pun Family Medicine Specialist Clinic Family Medicine and Primary Healthcare Department, HKWC

2. FM&PHC HKWC Hospital Authority What is a Family Doctor and why I need a family doctor? Physical check up vs. Health assessment Mental well being

3. FM&PHC HKWC Hospital Authority A family doctor cares about patients beyond the treatment of their diseases. He is capable of providing comprehensive, continuing, whole person and preventive care to an individual and family in their own community or environment so as to ensure physical, psychological and social well-being for his patients. As part of the multi-disciplinary care team, he also co- ordinates the care provided by other healthcare professionals.

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6. FM&PHC HKWC Hospital Authority HEALTH ASSESSMENT

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10. FM&PHC HKWC Hospital Authority Systematic Health Assessment Identifying the right people (case finding) Baseline assessment Formulation of personalized preventive care plan Care co-ordination Monitoring and review

11. FM&PHC HKWC Hospital Authority Baseline assessment – “physical check up” History –Review the medical and psycho-social history –Assess the level of function and risk profile –Identify common health problem early Focused Physical examination –To perform examination to identify risk factors and common chronic diseases Investigation (screening) –Early identification of diabetes mellitus, hyperlipidaemia, cervical and colorectal cancer

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13. FM&PHC HKWC Hospital Authority Screening for Cancer? Should be individualized Based on risk level Recommended for HK people –Cervical cancer Up to 65 years Pap smear –Colorectal cancer 50-75 years FOBT (2) Fexible sigmoidoscopy (5) Colonoscopy (10)) Other common cancers in Hong Kong ?

14. FM&PHC HKWC Hospital Authority Other common cancers in Hong Kong ?

15. FM&PHC HKWC Hospital Authority Other common cancers in Hong Kong ?

16. FM&PHC HKWC Hospital Authority Systematic Health Assessment Identifying the right people (case finding) Baseline assessment Formulation of personalized preventive care plan Care co-ordination Monitoring and review

17. FM&PHC HKWC Hospital Authority Formulation of personalized preventive care plan

18. FM&PHC HKWC Hospital Authority MENTAL WELL BEING

19. FM&PHC HKWC Hospital Authority Mental well being Life cycle change Cognitive impairment (Dementia)

20. FM&PHC HKWC Hospital Authority Family Life Cycle

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24. FM&PHC HKWC Hospital Authority Mood Disorder Geriatric Depression Scales (GDS 15) Geriatric Depression Scale 4-item Cantonese Version (GDS–4) Patient health Questionnaire (PHQ-9)

25. FM&PHC HKWC Hospital Authority GDS–4

26. FM&PHC HKWC Hospital Authority PHQ-9

27. FM&PHC HKWC Hospital Authority Integrated Mental Health Program (IMHP)

28. FM&PHC HKWC Hospital Authority Memory Problem

29. FM&PHC HKWC Hospital Authority Some screening tests Abbreviated Mental Test (AMT) Mini-Cog Test Mini–Mental State Examination (MMSE)

30. FM&PHC HKWC Hospital Authority AMT

31. FM&PHC HKWC Hospital Authority MMSE

32. FM&PHC HKWC Hospital Authority 18/20/22

33. FM&PHC HKWC Hospital Authority MCI (Mild Cognitive Impairment) –Mild cognitive impairment (MCI), an intermediate stage between normalcy and dementia, is characterized by fewer symptoms and less functional decline than dementia –MCI may or may not lead to dementia –10‐15% conversation rate per year from MCI to dementia Dementia

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35. FM&PHC HKWC Hospital Authority Q & A

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