Authors (including presenting author) :
Yu LF(1), Wong KK (1), Wong WC(1)
Affiliation :
(1)Orthopaedics & Traumatology, Kwong Wah Hospital
Introduction :
In response to the HA’s pursuit of developing the ICWM treatment option for inpatients in the acute hospital setting , the department of Orthopaedics & Traumatology in Kwong Wah Hospital has established and commenced the ICWM pilot programme for the selected low back pain clients under the screening criteria in December, 2015. These selected patients were handled primarily by the Western medical practitioners with the adjunct management complemented by the Chinese medical counterparts. . The major caring therapies comprised the Chinese medicine, acupuncture, vacuum cupping and special health education in conjunction with the conventional Western intervention.
Objectives :
Our ultimate objective is to strive hard in the provision of treatment option on ICWM care programme for Orthopaedic clients.
Methodology :
Process:
After gaining support from the HAHO and the endorsement from the COC/O&T, our department planned to pilot a new service model of ICWM 3 years ago. Apart from the authentic communication and consensus among all parties of healthcare providers together with the readiness of the required logistics, conducting the in-house orientation, equipping the providers’ knowledge on Chinese medicine by affording training opportunities, formulating the procedure workflow, setting up the nursing standard, defining the selection criteria and devising the evaluation measurement. All these challenges have had demanded our tremendous efforts, mutual trust and joint collaboration so as to overcome the hurdles.
Result & Outcome :
Result:
From 21 December 2015 till 31 October 2018, there were totally 1,593 screened in-patients suffering from low back pain with the amount of 14.2% whom could be picked up as eligible clients after selection. Then 52.4% consented to join in this ICWM care programme. The outcome of the ‘Pain Log’ , ‘Oswestry Disability Index’ and “Roland-Morris Disability questionnaire” data charted upon hospital discharge showed 16.9%, 19.5% and 14.5% improvement respectively in addition to the attainment of 8.9 score points out of 10 in the overall rating of patient satisfaction survey. Besides, the average of inpatients received 2.6 episodes of ICWM interventions and 8.8 occasions of out-patient dealings. Conclusion:
Since the ICWM service model displayed encouraging benefits for the low back pain sufferers, it falls in line with our impetus to pursue the best possible care to our clients by expanding and enhancing the ICWM development. Recently the growing popularity of Chinese medicine has boosted the patients’ health behaviors in seeking the ICWM therapy, the department is striving hard to incorporate more suitable casemix in our future plans.
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