【生死教育第三講】
講題 Title:預設醫療指示與預設照顧計劃 Advance Directive and Advance Care Planning
報名鏈接Registration Link: https://bit.ly/3tE9RgE
日期 Date:12/6/2021(Sat)
時間 Time:3:00-4:30pm
地點 Venue:沙田澤祥街12號香港中文大學鄭裕彤樓地下演講廳1A (LT1A)
Lecture Theatre 1A, Level 1, Cheng Yu Tung Building, The Chinese University of Hong Kong, 12 Chak Cheung Street, Shatin, N.T.
講者 Speaker:陳裕麗教授 Prof Helen Chan / 鍾一諾教授 Prof Roger Chung
主持 Moderator:伍桂麟先生 Mr Pasu Ng
講座內容 Synopsis:
現今醫療科技發達,很多疾病均可治癒或受控制。當疾病到了末期,醫療科技有時只能提供維持生命治療,但延長死亡過程對病人可能沒有意義,甚至增加痛楚。面對這情況,病人、家屬和醫護人員可以商討是否中止對生活質素沒有幫助的維持生命治療,讓病人安詳離世。香港中文大學醫學院那打素護理學院副教授陳裕麗博士和香港中文大學公共衛生及基層醫療學院助理教授鍾一諾博士會在由中大公共衞生及基層醫療學院主辦的公眾「生死教育」四講系列的第三講和大家分享『預設醫療指示』 (Advance Directive)和『預設照顧計劃』(Advance Care Planning)的概念與應用。這兩種健康護理選擇不但可以免卻家屬決定病者死時所受到的困難和壓力,減少作出決定後感到矛盾和內疚的機會,亦體現對病者生命和意願的尊重。
Thanks to the advancement of medical technology, most diseases can be cured or subsided. However, there are times that medical technology could only prolong one’s life but could not cure the terminal illness. Facing such situation, patients, family members, and medical staff can discuss whether to withhold or withdraw from life-sustaining treatments that may not help improve patients’ quality of life so that they can die peacefully. Professor Helen Chan, Associate Professor from The Nethersole School of Nursing and Professor Roger Chung, Assistant Professor of the School of Public Health and Primary Care of the Chinese University of Hong Kong, will share with us the concepts and values behind Advance Directive and Advance Care Planning in the third public seminar of the four-lecture series on life and death education organized by the School of Public Health and Primary Care, CUHK. These two health care options aim not only to reduce the pressure faced by patients’ family when making end-of-life healthcare decision, but also show respect to patients’ will.
講者介紹:
Professor Helen Chan’s research interests focus on end-of-life care, gerontology as well as care ethics. She has conducted a number of research projects on promoting palliative and end-of-life care, especially advance care planning, among older adults and people with advanced progressive diseases.
陳裕麗教授的主要研究範疇集中在臨終護理、老年病學和護理倫理學上。她的研究項目包括推廣有關老人和晚期疾病患者的紓緩照顧和臨終護理服務,尤其是預設照顧計劃。
Professor Roger Chung’s research aims to empirically inquire into the social determinants of health inequalities, as well as aging‐related issues on multimorbidity and long‐term/end‐of‐life care, and to utilize such evidence to inform health services and policy, domestically and beyond.
鍾一諾教授的主要研究範疇為健康不平等的社會決定因素,與老年有關的多重疾病,和晚期與臨終護理政策,並運用研究成果為本地及國際公共衛生服務和政策提供意見。
生死教育 X 伍桂麟
同時也有7部Youtube影片,追蹤數超過7,280的網紅BonTime Bonnie,也在其Youtube影片中提到,早起挑戰 第二十三天 今天溫哥華的天氣:天陰陰的 不知道是不是太多咖啡因 還是昨晚太晚睡了 有點受不住 頭好疼 Skillshare 這裡申請 首兩個月免費~ https://skl.sh/2K6XzJm 這三個我都已經上完了!都很有用很有幫助~! Personal Branding http...
「social health中文」的推薦目錄:
social health中文 在 Roger Chung 鍾一諾 Facebook 的最讚貼文
今早為Asian Medical Students Association Hong Kong (AMSAHK)的新一屆執行委員會就職典禮作致詞分享嘉賓,題目為「疫情中的健康不公平」。
感謝他們的熱情款待以及為整段致詞拍了影片。以下我附上致詞的英文原稿:
It's been my honor to be invited to give the closing remarks for the Inauguration Ceremony for the incoming executive committee of the Asian Medical Students' Association Hong Kong (AMSAHK) this morning. A video has been taken for the remarks I made regarding health inequalities during the COVID-19 pandemic (big thanks to the student who withstood the soreness of her arm for holding the camera up for 15 minutes straight), and here's the transcript of the main body of the speech that goes with this video:
//The coronavirus disease 2019 (COVID-19) pandemic, caused by the SARS-CoV-2 virus, continues to be rampant around the world since early 2020, resulting in more than 55 million cases and 1.3 million deaths worldwide as of today. (So no! It’s not a hoax for those conspiracy theorists out there!) A higher rate of incidence and deaths, as well as worse health-related quality of life have been widely observed in the socially disadvantaged groups, including people of lower socioeconomic position, older persons, migrants, ethnic minority and communities of color, etc. While epidemiologists and scientists around the world are dedicated in gathering scientific evidence on the specific causes and determinants of the health inequalities observed in different countries and regions, we can apply the Social Determinants of Health Conceptual Framework developed by the World Health Organization team led by the eminent Prof Sir Michael Marmot, world’s leading social epidemiologist, to understand and delineate these social determinants of health inequalities related to the COVID-19 pandemic.
According to this framework, social determinants of health can be largely categorized into two types – 1) the lower stream, intermediary determinants, and 2) the upper stream, structural and macro-environmental determinants. For the COVID-19 pandemic, we realized that the lower stream factors may include material circumstances, such as people’s living and working conditions. For instance, the nature of the occupations of these people of lower socioeconomic position tends to require them to travel outside to work, i.e., they cannot work from home, which is a luxury for people who can afford to do it. This lack of choice in the location of occupation may expose them to greater risk of infection through more transportation and interactions with strangers. We have also seen infection clusters among crowded places like elderly homes, public housing estates, and boarding houses for foreign domestic helpers. Moreover, these socially disadvantaged people tend to have lower financial and social capital – it can be observed that they were more likely to be deprived of personal protective equipment like face masks and hand sanitizers, especially during the earlier days of the pandemic. On the other hand, the upper stream, structural determinants of health may include policies related to public health, education, macroeconomics, social protection and welfare, as well as our governance… and last, but not least, our culture and values. If the socioeconomic and political contexts are not favorable to the socially disadvantaged, their health and well-being will be disproportionately affected by the pandemic. Therefore, if we, as a society, espouse to address and reduce the problem of health inequalities, social determinants of health cannot be overlooked in devising and designing any public health-related strategies, measures and policies.
Although a higher rate of incidence and deaths have been widely observed in the socially disadvantaged groups, especially in countries with severe COVID-19 outbreaks, this phenomenon seems to be less discussed and less covered by media in Hong Kong, where the disease incidence is relatively low when compared with other countries around the world. Before the resurgence of local cases in early July, local spread of COVID-19 was sporadic and most cases were imported. In the earlier days of the pandemic, most cases were primarily imported by travelers and return-students studying overseas, leading to a minor surge between mid-March and mid-April of 874 new cases. Most of these cases during Spring were people who could afford to travel and study abroad, and thus tended to be more well-off. Therefore, some would say the expected social gradient in health impact did not seem to exist in Hong Kong, but may I remind you that, it is only the case when we focus on COVID-19-specific incidence and mortality alone. But can we really deduce from this that COVID-19-related health inequality does not exist in Hong Kong? According to the Social Determinants of Health Framework mentioned earlier, the obvious answer is “No, of course not.” And here’s why…
In addition to the direct disease burden, the COVID-19 outbreak and its associated containment measures (such as economic lockdown, mandatory social distancing, and change of work arrangements) could have unequal wider socioeconomic impacts on the general population, especially in regions with pervasive existing social inequalities. Given the limited resources and capacity of the socioeconomically disadvantaged to respond to emergency and adverse events, their general health and well-being are likely to be unduly and inordinately affected by the abrupt changes in their daily economic and social conditions, like job loss and insecurity, brought about by the COVID-19 outbreak and the corresponding containment and mitigation measures of which the main purpose was supposedly disease prevention and health protection at the first place. As such, focusing only on COVID-19 incidence or mortality as the outcomes of concern to address health inequalities may leave out important aspects of life that contributes significantly to people’s health. Recently, my research team and I collaborated with Sir Michael Marmot in a Hong Kong study, and found that the poor people in Hong Kong fared worse in every aspects of life than their richer counterparts in terms of economic activity, personal protective equipment, personal hygiene practice, as well as well-being and health after the COVID-19 outbreak. We also found that part of the observed health inequality can be attributed to the pandemic and its related containment measures via people’s concerns over their own and their families’ livelihood and economic activity. In other words, health inequalities were contributed by the pandemic even in a city where incidence is relatively low through other social determinants of health that directly concerned the livelihood and economic activity of the people. So in this study, we confirmed that focusing only on the incident and death cases as the outcomes of concern to address health inequalities is like a story half-told, and would severely truncate and distort the reality.
Truth be told, health inequality does not only appear after the pandemic outbreak of COVID-19, it is a pre-existing condition in countries and regions around the world, including Hong Kong. My research over the years have consistently shown that people in lower socioeconomic position tend to have worse physical and mental health status. Nevertheless, precisely because health inequality is nothing new, there are always voices in our society trying to dismiss the problem, arguing that it is only natural to have wealth inequality in any capitalistic society. However, in reckoning with health inequalities, we need to go beyond just figuring out the disparities or differences in health status between the poor and the rich, and we need to raise an ethically relevant question: are these inequalities, disparities and differences remediable? Can they be fixed? Can we do something about them? If they are remediable, and we can do something about them but we haven’t, then we’d say these inequalities are ultimately unjust and unfair. In other words, a society that prides itself in pursuing justice must, and I say must, strive to address and reduce these unfair health inequalities. Borrowing the words from famed sociologist Judith Butler, “the virus alone does not discriminate,” but “social and economic inequality will make sure that it does.” With COVID-19, we learn that it is not only the individuals who are sick, but our society. And it’s time we do something about it.
Thank you very much!//
Please join me in congratulating the incoming executive committee of AMSAHK and giving them the best wishes for their future endeavor!
Roger Chung, PhD
Assistant Professor, CUHK JC School of Public Health and Primary Care, @CUHK Medicine, The Chinese University of Hong Kong 香港中文大學 - CUHK
Associate Director, CUHK Institute of Health Equity
social health中文 在 Dr 文科生 Facebook 的精選貼文
《物理治療師係香港其實係做啲咩既?》
上次同大家分享完藥劑師的工作不只是派藥,今日請來物理治療師朋友分享佢地嘅工作。以下由OH MY MYO提供
【首先,乜野係物理治療?】
物理治療直譯自英文 physical therapy ,就係 「物理」 同「 治療」。物理治療呢個字最多人以為係指用係一啲物理形式(而非化學形式: 藥物或侵入) 去作治療效用:一般諗到既電療,熱敷/冰敷, 手法治療等。
但其實physical 唔係淨係解作物理, 亦可解作「 身體的」。而另一個官方字詞 Physiotherapy,Physio- 字頭源自古希臘文, 中文意指「 自然 」。所以嚴格黎謂物理治療先至係真.自然療法。
根據組織 World Physiotherapy,物理治療既定義係提供服務予個人和民眾,以在其一生中發展、維持和恢復最大的活動和功能。
"Physiotherapists provide services that develop, maintain and restore people’s maximum movement and functional ability.......maximise their quality of life, looking at physical, psychological, emotional and social wellbeing.“
所以係醫療系統入面,物理治療師係一個不可或缺既存在。
物理治療可以從我地既身體結構分三大類
【1. 肌肉及骨骼科/ 骨科 Musculoskeletal】
大家對物理治療認識最多既一面,因為不論你踢波拗柴定訓"黎"頸或者跌斷骨,你都可能會接觸到既範疇。透過動作檢查及觸診,診斷病人既痛症問題。然後透過各種方法治療,例如:
- 電療 : 超聲波、干擾波 等
- 針灸 (其實已經係當侵入性)
- 運動治療
- 手法治療 (肌膜治療、關節活動手法等)
- 動態矯正
【2. 心肺科 Cardiorespiratory】
透過運動治療、呼吸訓練、呼吸回復姿勢(recovery position)、及呼吸機等協助病人改善心肺功能,從而改善日常生活活動(ADLs)。
長期病患如心臟衰竭、慢阻肺病 (chronic obstructive pulmonary disease, COPD) 呢類患者可能連最簡單既活動: 刷牙洗面都會氣喘。
另外就係病人係大手術後/昏迷長時間後甦醒,佢地既身體長時間訓平加上冇肌肉活動/ 因為手術後影響,由訓平到坐起身呢個動作,心臟都未必可以加大功率(增加血壓)去支持,所以有D人做完手術後起身會暈,因為心臟根本負荷唔到。
(所以個啲劇情: 昏迷兩年後….(手指郁)醫生!醫生!佢醒啦!然後下一幕就係女主角用輪椅推男主出花園透氣,男主角可能要一兩星期先可以唔暈咁坐輪椅出去)
【3. 神經科(Neurology)】
透過運動治療、機器輔助治療(robotic training)、肌肉電流刺激、鏡像治療等協助神經系統疾病病人改善活動及自理能力。
中風、柏金遜、甚至係因為早幾前因為ice bucket challenge 大熱既漸凍症 ALS 都係例子。
另外物理治療亦會從服務受眾黎分類
【兒科 Pediatrics】
為大腦麻痺、唐氏綜合症 、發展遲緩、自閉症或其他各類先天疾病等病童提供復康計劃黎協助佢地發展。
【運動科 (sports)】
球隊軍醫: 駐場應急STANDBY(你睇英超有球員受傷後第一時間拎住個袋衝出去既職員)
場外運動訓練黎減少受傷機會及提升運動能力,以及受傷後既復康計劃。
【老人科 (geriatic )】
主要服務對象係比較衰弱既老人家,運動及防跌訓練以強化身體能力及減少跌倒而引起既嚴重後遺症。
【婦科 (woman's health)】
提供產前、產後既痛症治療、保養運動等。
物理治療師在醫療體系中是不可或缺的一部分,近年極力提倡holistic care,醫生護士配合Allied Health為病人提供最全面的醫療服務。
social health中文 在 BonTime Bonnie Youtube 的最讚貼文
早起挑戰 第二十三天
今天溫哥華的天氣:天陰陰的
不知道是不是太多咖啡因
還是昨晚太晚睡了
有點受不住 頭好疼
Skillshare 這裡申請 首兩個月免費~
https://skl.sh/2K6XzJm
這三個我都已經上完了!都很有用很有幫助~!
Personal Branding
https://www.skillshare.com/classes/Personal-Branding-Crafting-Your-Social-Media-Presence/637661219/projects?via=watch-history
Personal Productivity
https://www.skillshare.com/classes/Personal-Productivity-Five-Exercises-to-Make-Your-Big-Goal-a-Reality/1049918456/projects?via=watch-history
Drawing as self discovery
https://www.skillshare.com/classes/Drawing-as-Self-Discovery-5-Ways-to-Start/831070146/projects?via=watch-history
綠茶咖啡減肥茶飲 餐前一杯越喝越瘦!日本瘦身專家靠它甩掉25KG
https://www.sundaymore.com/721851/health-fitness/diet/%e7%b6%a0%e8%8c%b6%e5%92%96%e5%95%a1-%e6%b8%9b%e8%82%a5-%e7%98%a6%e8%ba%ab-%e8%a1%80%e7%b3%96-%e7%87%83%e8%84%82/
.............................................................
⭐️ 每天更新影片 ⭐️
?SUBSCRIBE & BE FRIENDS
https://www.youtube.com/bontime
.............................................................
⚡️ FOLLOW ME ⚡️
?INSTAGRAM ▸▸ https://www.instagram.com/hot.bonn.time/
?FACEBOOK ▸▸ https://www.facebook.com/hot.bonn.time/
?「合作邀約信箱」 ▸▸ [email protected]
.............................................................
⚡️ 優惠分享 ⚡️
GastonLuga背包
https://gastonluga.com/hk/ (全球免運,免費退換)
折扣代碼(全館商品85折):BONTIME
YesStyle
https://www.yesstyle.com/en/home.html?rco=BONTIME123
Extra 5% off on first purchase, Extra 2%off future order
.............................................................
⚡️ MUSICS ⚡️
?More Than Just A Fling (Instrumental Version) - spring gang
?Why Do Love like This Hurt (Instrumental Version) - spring gang
?Twinkle, Twinkle, Little Star (ES Edition) - Dexter Green
?Musics are from
https://www.epidemicsound.com/referral/n49ktz/
⚡️ GIF ⚡️
Graphics from giphy.com
.............................................................
⚡️
每個人的生活習慣 感受 都不一樣 歡迎大家留下自己的意見
但是請互相尊重 不要強加意見感受到其他人身上
因為我們都是獨一無二 有著不同喜好的人
⚡️
.............................................................
⚡️ KEYWORDS ⚡️
#溫哥華/加拿大/溫哥華必吃/溫哥華必去/溫哥華必玩/溫哥華必知/溫哥華留學/溫哥華移民/溫哥華美食/溫哥華旅遊/加拿大旅遊/#加拿大生活/溫哥華生活/Canada/#Vancouver/香港/美妝/開箱/#香港女生在溫哥華
.............................................................
⚡️This video is not sponsored. Some of the links are affiliated. 這不是合作影片, 說明欄裡包含分潤連結
social health中文 在 The DoDo Men - 嘟嘟人 Youtube 的最佳貼文
這次的新型冠狀病毒(COVID-19)完全改變了全世界的生活。很多家庭都受到很大的影響。
美國的疫情也越來越嚴重,住在加州的我們也受到很大的影響。
大家一定要團結起來,一起度過這個難關。
The Coronavirus (COVID-19) has changed many lives in this world. Many families are heavily impacted.
The spread of the virus has dramatically escalated in the US. We are also impacted heavily in California.
We must work together to overcome this hardship.
每個人都有責任,也能夠透過很多不同的方法來幫助全世界抗疫。
如果你有能力幫助更多,可以到下面的連結去捐款:
Everyone has the responsibility to help stop the spread of the Coronavirus, and there are many ways to help.
If you are financially capable of helping more, please see below links and consider donating:
This includes many charities by category: https://www.charitynavigator.org/index.cfm?bay=content.view&cpid=7779
We personally donated to GlobalGiving: https://www.globalgiving.org/ (Coronavirus Relief Fund)
如果大家知道一些中文的慈善機構網站請幫忙分享!
如果想要了解更多跟新型冠狀病毒有關的資訊以及防護措施,可以點擊以下連結:
世界衛生組織WHO: https://www.who.int/health-topics/coronavirus#tab=tab_1
美國CDC: https://www.cdc.gov/coronavirus/2019-nCoV/index.html
加州居民FAQs (中文): http://www.publichealth.lacounty.gov/media/Coronavirus/FAQ-TradChinese.pdf
台灣衛生局: https://health.gov.taipei/Content_List.aspx?n=73944FE6C44396EC
謝謝以下朋友們提供一些在美國灣區當地跟疫情有關的影片跟照片:
Credits to our friends who provided some videos/pictures to us:
Leslie Jin, Jonathan Tan, Sara Tong, Michelle Hwang, Tiffany Chen, Stephanie Ho, Nandar Yukyi, Qianqian Bao, Shan He, Christopher Chu, Doris Jung, Rona Chen, Judy Kao, Samuel Wang, Tina Lo, Catherine Gao.
如果大家喜歡我們影片,請多幫忙分享,讓更多人可以收到這個訊息,一起對抗病毒。
歡迎追蹤我們Instagram和Facebook跟我們互動:
Instagram: https://www.instagram.com/thedodomen/
Facebook: https://www.facebook.com/TheDoDoMen/
#新型冠狀病毒 #美國疫情 #COVID19
=====================================================================
Footage sources
Kare11
https://www.youtube.com/watch?v=slJkGLezXSM&t=6s
KGW News
https://www.youtube.com/watch?v=SoeGLzJHcF4
WCVB Channel 5 Boston
https://www.youtube.com/watch?v=4imAZQ_uL8g&t=2s
Global Stats
https://www.youtube.com/watch?v=z6pBq3oXe5M
Scientific Animations
https://www.youtube.com/watch?v=I-Yd-_XIWJg&t=189s
CBS News
https://www.youtube.com/watch?v=-JFC81JEoIw&t=234s
Washington Post
https://www.youtube.com/watch?v=yoUCDJ6PxUE&t=627s
CBC News
https://www.youtube.com/watch?v=BHPJG6jCurA&t=42s
中国娃娃-单眼皮女生
https://www.youtube.com/watch?v=qKhuy7pDa3Y
social health中文 在 The Regina. Youtube 的最讚貼文
今天來分享小瞇便當跟Kumi鮮食餐的中央廚房實錄😂
除了小瞇生酮便當、Kumi超簡單的電鍋鮮食餐之外
加碼超好吃的大白菜雞湯跟第一次煮糖醋排骨就成功✌️
Click For More info.|點這邊看更多👇
🔎Social Media|來社群網站找我 🔍
Instagram https://instagram.com/thereginatw
Facebook https://www.facebook.com/thereginatw/
Official Blog http://theregina.com/
微博Weibo http://www.weibo.com/thereginatw
B站 http://space.bilibili.com/67431652/#!/index
小紅書 The Regina🌹
🔹Business Inquiries|合作接洽🔹
thereginatw@gmail.com
📌items in Video|影片資訊📌
生酮便當菜: 煎鯛魚下巴、蒸白花椰菜、醬油豬五花、電鍋水煮蛋、醬油大白菜、蒜炒A菜、煎牛肉片
大白菜雞湯
糖醋排骨 食譜分享
醃排骨至少30分
醃料:醬油、米酒、糖、胡椒粉、蒜末
醃排骨均勻沾取蛋黃後裹太白粉後靜置10分鐘後開始下鍋炸排骨
炸排骨出現金黃色後改中火加入糖醋醬跟彩椒
糖醋醬:水、糖、醋、番茄醬
等待醬料收有點黏稠樣子就可以起鍋了
Kumi寵物電鍋鮮食餐
🔛Subtitles Wanted|徵求中/英字幕小幫手🔛
如有意願幫忙製作中文/英文字幕的朋友
歡迎直接製作字幕,製作完成後請來信thereginatw@gmail.com
確認製作人與字幕完成後,我會於一個月左右寄出卡片與禮物表達我的謝意,煩請耐心等待唷🙇
附上上傳字幕教學:https://goo.gl/uBqJPm
已認領字幕的影片就不需要再重複認領囉!
📽Equipment|影音設備 📽
Camera 使用相機:Panasonic GF7+12-32mm
Editing App 剪輯軟體:Final Cut Pro X
🔱About My Look|今日妝容與搭配🔱
Top|圍裙: IKEA
Foundation|粉底: 植村秀 鑽石光極緻保濕粉底液 #764
Eyeshadow|眼影: NARS x Erdem 珍稀花語聯名 致命花朵六色眼彩盤
Lipstick|唇彩: Huda Beauty Liquid Matte #Trophy Wife
Eyelash Extensions|睫毛: LashLab 忠孝店
Eyebrow|霧眉: VJ Beauty Atelier眉眼專業設計
Nail Art|光療指甲: Lady's(nail/make up)
Hair|髮色: Happy Hair市府店 設計師Winnie
Thanks for your watching!
xoxo💋
🎵LAKEY INSPIRED - Me 2. (Feat. Julian Avila)
*This video is not sponsored.
social health中文 在 social health - 英中– Linguee词典 的相關結果
大量翻译例句关于"social health" – 英中词典以及8百万条中文译文例句搜索。 ... <看更多>
social health中文 在 社会健康_百度百科 的相關結果
... 聆听他人意见、表达自己的思想,能以负责任的态度行事并在社会中找到自己合适的位置。 中文名: 社会健康; 外文名: healthy;social health care;social health;. ... <看更多>
social health中文 在 Social health - 國民健康 - 國家教育研究院雙語詞彙 的相關結果
出處/學術領域, 中文詞彙, 英文詞彙. 學術名詞 法律學名詞-性別與家事法, 國民健康, Social health. 學術名詞 機械工程名詞, 國民健康, national health ... ... <看更多>