United Christian Nethersole Community Health Service


Family Medicine Dental Service Chinese Medicine Medical Health Check Plans Medical Outreach Service & Vaccination Program Community Nutrition Service Clinical Psychology Social Service Health Promotion Activities
 
Health Care VoucherDonation to us
Geriatric Health Maintenance Service
Service > Medical Health Check Plans > Geriatric Health Maintenance Service

Geriatric Health Maintenance Service

Besides keeping healthy lifestyle, regular health check-up is also important for elderly for early detection of risk factors for various diseases and common conditions of aging.

Funded by the Hong Kong Jockey Club Community Project Grant: Community Geriatric Health Maintenance Program, our Pine package offers medical health check to Hong Kong residents aged 60 or above (with HKID card).

  • Medical Health Check Plans*
  • Reports of all health check plans are written by registered doctors while report explanation and individual health counseling are provided by registered nurses or health maintenance officers.

    Health Check Items Pine3
    (Age
    ≥60)
    Personal Habits & Medical History Analysis
    Health Risks Assessment Questionnaire
    Elderly Assessments (Memory, Depression & Fall Risks)
    Physical Examination by Doctor
    Blood Pressure, BMI and Fat %
    Complete Blood Count
    Blood Glucose (Fasting)
    Total Cholesterol
    Blood Lipid Analysis
    - Triglycerides
    - HDL
    - LDL
    Renal function (Creatinine)
    Liver function (ALT / SGPT)
    Uric Acid
    Stool for Occult Blood (2 Samples)
    Electrocardiogram (Resting)
    Chest X-Ray1
    Cervical Smear (For Females Only)
    Written Health Report by Doctor
    Report by Health Care Professional
    Price for Females $1,580
    (HMPF7A)
    (Special fee $890 (HMPF5A))
    Price for Females (Excluding Cervical Smear) $1,340
    (HMPF7B)
    (Special fee $760 (HMPF5B))
    Price for Males $1,340
    (HMPM7)
    (Special fee $760 (HMPM5))
    1. Deduct HK$50 if you choose not to take chest X-ray.
    2. Non-HKID holders can join the Pine package at its regular price.
    3. Funded by The Hong Kong Jockey Club Community Project Grant: Community Geriatric Health Maintenance Programme, the Pine Health Check Plan is only for elderly aged 60 or above holding Hong Kong permanent Identity Card. Offer lasts till 31/3/2018 and is on a first-come- first-served basis. Elderly aged 60 or above may also choose to participate in the plan at regular price if the quota is full.
  • Optional Tests
  • Test Items Price
    Ultrasound Bone Density Test $100
    Benign Prostate Hypertrophy (BPH) and Lower Urinary Tract Syndrome Assessment ( LUTS) $320
    Comprehensive Diabetes Mellitus Screening $250-$950
    Tonometry (Glaucoma) $100 (Elderly aged 60 or above)

    There are also a wide range of optional screening tests available for selection, please ask our staff for more details.

  • Individual Diet Counselling (by registered dietitians)
  • *The package is only available for Hong Kong residents aged 60 or above with limited quota.

    We provide follow-up services below according to the health check results:

    • Family Medicine Service
    • Chronic Disease Clinic Service
    • Dental Service
    • Individual Diet Counselling Service
    • Physiotherapy
    • Chinese Medicine Service
    • Vaccination Service

    Common Elderly Health Problems

  • Hypertension
  • Blood pressure means the pressure exerted on the blood vessels when the heart is pumping. Systolic pressure is the blood pressure exerted when the heart contracts. Diastolic pressure is the pressure exerted when the heart relaxes. Blood pressure varies with time and place; the pressure will be lower when asleep and will be higher when you become excited or emotional. Blood pressure will also rise when you are exercising. When your blood pressure is always on the high side i.e. systolic pressure more than 140mm Hg and diastolic pressure more than 90 mm Hg, you are suffering from hypertension.

    90% of patient is suffering from hypertension with unknown cause. Many of them do not have any obvious symptoms while few of them show symptoms of headache, dizziness, or tiredness.

    Hypertensive patients without appropriate treatment might have complications such as stroke, heart disease, heart failure and kidney failure. Treatment of hypertension requires regular medications and follow-up. They must keep a low-salt diet, do not smoke and restrict alcohol intake, maintain appropriate body weight and have adequate exercise.

  • Diabetes Mellitus
  • Diabetes Mellitus (DM) is an endocrine disorder. Type II DM is commonly a hereditary condition and most DM in older age groups belongs to type II DM. It is a condition due to insufficient insulin excreted by pancreas or insulin excreted not effectively utilized by the body, and leads to raised blood sugar and the excess sugar excreted through urine.

    Typical symptoms of DM are excessive thirst, frequent urination, extreme hunger, increased fatigue and unusual weight loss. Treatment of DM requires dietary regulation, adequate exercise, body weight control and medications. Also, proper control of blood sugar level can reduce or delay the occurrence of complications.

    Complications of DM can be acute or chronic. Acute complications are closely related to blood sugar level – low sugar level will leads to hypoglycemic shock and high blood sugar will induce diabetic coma.

    Chronic complications are a result of prolonged high sugar level in blood vessels. Macrovascular diseases include hypertension, coronary heart disease and chronic renal failure. Microvascular diseases include cataract or other retinal disease, skin ulcer and skin necrosis, which may result in severe vision loss or limb amputation. Therefore, diabetic patients should check for complications periodically to minimize the risk of complications.

  • Coronary Heart Disease
  • Coronary arteries supply blood to the heart, if there are pathological changes in the arteries, such as the arteries become narrow or blocked, blood and oxygen supply to the muscles of the heart will be decreased. These pathological changes are named as coronary heart disease.

    As we grow older, a fatty substance called plaque will adhere onto the wall of the blood vessels and accumulate with age along with other risk factors. It will eventually lead to arteriosclerosis, myocardial infarction, heart failure and death.

    Coronary heart disease is the second killer disease (second only to cancer) in Hong Kong and has a growing trend among younger population. Risk factors of coronary heart disease include hypertension, diabetes mellitus, high blood cholesterol, smoking, obesity and lack of exercise. Active management of hypertension and diabetes mellitus, abstinence from alcohol and cigarettes, low cholesterol diet, regular exercise and appropriate body weight control are very important in the prevention and treatment of coronary heart disease.

  • Osteoarthritis
  • Cartilage is a protein substance that serves as a "cushion" between the bones of the joints. Osteoarthritis can be acute or chronic:

    Chronic osteoarthritis:

    With aging, synovial fluid that lubricates the joints decreases and cartilage begins to degenerate by flaking and becoming thin. Therefore, there will be crepitus when the joint moves. In addition, the weakening of muscle/ligament and over-weight among old age cause narrowing of joint spaces and osteophytes (outgrowth of new bone causes aggravate pain when joints move). In view of this, arthritis in old age is defined as chronic osteoarthritis which causes degenerative joint condition and knee joint is the most commonly affected area.

    Acute osteoarthritis:

    When there is acute inflammation of joint, the skin surface will become red, swollen and tender. If inflammation repeats, the joint will be deformed and stiffen. When experiencing acute joint pain, you should seek for medical advice, refrain from joint movement and apply cold or warm pad over the joint to relief pain. Physiotherapy and acupuncture can also provide temporary relief of symptoms. For deformed joint, surgical interventions may require to restore mobility.

    Though degenerated joints cannot be reversed, appropriate self-care and preventive measures can reduce pain and recurrence of join inflammation. To protect the joint, you should avoid lifting heavy load and prolonged standing. For obese, weight reduction is also recommended to reduce the burden of the joint.

  • Osteoporosis
  • Osteoporosis is commonly found among middle aged or older people, especially among postmenopausal women. When your body weight decreases with age, you have a greater chance of acquiring osteoporosis and also have a greater risk of bone fracture.

    Human bones undergo metabolism throughout life during which old bone materials are replaced by new ones. Due to hormonal changes, calcium content of the bones of postmenopausal women is more easily drained away. When the loss of calcium in bone is faster than its replacement, the bone will become more porous and fragile. Spine and thighbone are the most common sites of fracture for a patient with osteoporosis.

    Clinically speaking, patients with a bone density test score less than -2.5 are diagnosed as having osteoporosis. People at high risk of developing osteoporosis are those who have sustained bone fractures, aged over 65, with Body Mass Index below 19, with daily calcium intake less than 400 mg, seldom stay out of home, bed-ridden and walk with aids.

    For osteoporosis, prevention is far better than treatment. Preventive measures like adequate daily exercise such as brisk outdoor walks (sun-bathing can facilitate vitamin D absorption), refrains from smoking, reduces alcohol and coffee intake and has diet with high calcium and Vitamin D can reduce the risk of developing osteoporosis significantly.

  • Cataract
  • Cataract is one of the most common eye diseases among old age, where the crystalline lens of eyeball becomes turbid or translucent. There are many causes of cataract, but most are related to aging opaque lens. Elderly with diabetes mellitus are also more prone to develop cataract.

    If you have cataract, your vision will become cloudy or blurred, colours seem faded and a halo may appear around lights. Elderly should have their eyesight checked regularly and seek medical advice as soon as possible when problem arises. A balanced diet with lots of fresh vegetables and fruits that are rich in Vitamin A and antioxidants does help to prevent cataract. Apart from the above, active management of chronic diseases such as hypertension and diabetes mellitus can help prevent cataract formation. Severe cataract requires surgical replacement of lens and recovery rate is generally very high.

  • Senile Dementia
  • Senile Dementia is a degenerative disease affecting the intellectual functioning of the brain caused by cerebral atrophy or other pathology such as blood vessel problem. Early stage of dementia is characterized by memory loss, unstable emotions and sudden changes in personalities. Some of the patients become demented without cause, while some of them get dementia through hereditary or repeat strokes, hypoxia, other brain pathologies, endocrine disorders or poisoning. Patient with dementia have recent memory loss, unstable mood, becomes suspicious, paranoid and fail to recognize day or night time and unable to perform daily living activity. In later stage, patient loses his/her abilities of self-management, becomes incontinence and needs to be bed-ridden. One should seek medical attention immediately when symptoms of dementia arise. Apart from drug therapy, healthy life style and family support can help controlling the symptoms.

  • Depression
  • Depression is one of the psychological disorders found among old age. It happens when one is over anxious, apathetic or is in persistent low mood.

    Some cases are hereditary related, while some are due to failure in adapting to changes in social role and physical conditions in old age. To overcome such negative feelings, some may resort to alcohol or drug abuse, and develop depression eventually. Those who lack of support from family or friends are also more prone to depression.

    Symptoms of depression include feeling down and indifferent, anxious, apathic, have a sense of hopelessness and helplessness, loss of appetite or over-eating, insomniac, complains of non-specific pains, have marked decrease or increase in body weight, memory loss and difficulties in concentration, excessive self-blame, low self-esteem, suicidal tendency and self-isolation.

    Depression can be treated by drug and psychological therapy. Having a positive attitude towards life changes, family and social support, a willingness to face the reality and a healthy life style certainly can help to prevent this emotional disorder in old age.

  • Gout
  • Gout is commonly found in old age, especially among males. Patient with gout has acute painful swelling in one of his/her joints, which is tender, red and partially hot. The most commonly affected joints are those over the toes, especially the big toe.

    Gout arises from accumulation of excessive uric acid in the body, which becomes crystal form of monosodium urate or uric acid deposited on the articular cartilage of joints, tendons and surrounding tissues. These crystals will cause severe inflammation and pain. The body produces uric acid when it breaks down purine, a substance that can be found in foods that are rich in protein. Some of the patients develop gout due to hereditary factor. Patients with leukaemia and renal failure are more prone to have gout, while some patients may acquire gout due to the drug treatment that they receive.

    Repeat gout attacks will cause urate or uric acid crystal to deposit in ear, muscles and joints known as gouty tophi. Chronic gouty arthritis will make the affected joint stiff and deformed. The crystal can also deposit in kidney and form renal stones.

    To prevent and treat gout, one should:
    1. Avoid high purine food and beer-drinking
    2. Drink copious amount of water to flush away the excessive uric acid
    3. Control body weight but do not reduce weight drastically, which may trigger recurrence of gout attack
    4. Seek medical attention whenever you have gout, no matter acute or chronic

     

    Have a Happy Old Age

    Being old is one of the major changes in life – from being occupied every day to having nothing in hurry and finding your health not as good as before; from being a bread earner of the family to relying on the financial support of offspring or even public assistance. All these changes require psychological adjustment.

    To enjoy your life at old age, you have to:
    • Admit and accept these changes, and manage them with a positive attitude
    • Keep yourself socially active. Have more gatherings and chats with your partner, friends, colleagues and neighbors, go out for hiking or travelling with them if possible
    • Be financially prepared for retirement so that you can free yourself from the worries of financial arrangement
    • Enjoy your remaining life. Do whatever you like and learn whatever you enjoy

    For inquiries or appointment of Medical Health Check Plans, please click here to contact our Community Health Centres.