Family Doctor Your Health Partner

1. Family DoctorYour 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. What is a Family Doctor and why I need a family doctor? • Physical check up vs. Health assessment • Mental well being

3. 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.

6. HEALTH ASSESSMENT

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

11. 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

13. 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. Other common cancers in Hong Kong ?

15. Other common cancers in Hong Kong ?

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

17. Formulation of personalized preventive care plan

18. MENTAL WELL BEING

19. Mental well being • Life cycle change • Cognitive impairment (Dementia)

20. Family Life Cycle

24. Mood Disorder • Geriatric Depression Scales (GDS 15) • Geriatric Depression Scale 4-item Cantonese Version (GDS–4) • Patient health Questionnaire (PHQ-9)

25. GDS–4

26. PHQ-9

27. Integrated Mental Health Program (IMHP)

28. Memory Problem

29. Some screening tests • Abbreviated Mental Test (AMT) • Mini-Cog Test • Mini–Mental State Examination (MMSE)

30. AMT

31. MMSE

32. 18/20/22

33. 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

35. Q & A