Nursing care service aims at providing comprehensive and continuing care tailored to the patients’ and their family’s needs. Individualised planning and implementation of the nursing care will be formulated following thorough assessment and discussion with the concerned parties. The ultimate goals are to promote their self-management and caregiving skills, so as to reinforce therapeutic outcomes and improve quality of life.
Services
Clinical care and supervision
The case management model is applied to ensure comprehensive examination of a patient’s medical history, health status, lifestyle habits and nursing needs, etc., so that assessments, implementation of treatment plans, progress monitoring and follow-up reviews can be completed effectively.
Health Management
Based on patients’ diagnosis, family history and their basic vital signs, health plan will be formulated for those who are lack of knowledge about the importance of healthy life. Advices on diet and living habits that help to establish a healthy lifestyle will be given together with regular health monitoring and early intervention to prevent complications, relapse and recurrence.
壓傷或不癒合傷口
終生殘障或長期病患者
Intervention
Case management
To get a full picture of the patient’s medical history, health status, living habits, nursing care needs, etc under a case management model in accordance with the nursing assessment, planning, implementation, progress review and follow-up.
Tube Care
Replace tubing including gastrostomy tube, nasogastric tube, urinary catheter, etc and empower patients and their caregivers to properly care for such tubes.
Wound Care
Nurses will conduct professional assessments, treatments and care for the wounds of rehabilitated persons. They will closely monitor the progress of wound healing, and provide wound care guidance to the clients and their caregivers in order to accelerate wound healing and prevent flare-up.
Drug Management Service
Nurses will review drug management at home, including the reliability of taking medication, the method of drug storage and the handling of old drugs. For rehabilitated persons who are unable to effectively manage their own drugs, nurses will visit regularly to help them manage drugs and back up drugs according to their doctor’s advice, to ensure accurate and on time drug-taking, and improve drug compliance.
Follow-up of Chronic Diseases
Nurses will monitor patients’ health and prevent deterioration of diseases or complications. They also provide drug management and advice for rehabilitated persons at home, and make early intervention and referrals for follow-up treatments when necessary.
Health Guidance and Counseling
Based on patients’ illnesses, family health history, and vital signs of rehabilitated persons, nurses will formulate health plans for them and provide advice on diet and lifestyle in order to help patients establish a healthy lifestyle.
Education and guidance
Share guidance or nursing care knowledge with the patients and their caregivers so as to enhance their understanding of their illness and improve their self-care ability. In addition, suitable medical equipment and devices will also be suggested to the patients to enhance the effectiveness of care.
Telephone Enquiries and Follow-up
Nurses also facilitate communication between patients and their caregivers to help other health practitioners fully understand the status and needs of each patient. Nurses can also accompany patients to follow-up consultations to describe the medical progress and discuss follow-up items with doctors.

