慢性疾病管理Chronic disease care

持續照護及管理Ongoing care & management

可為高血壓、糖尿病、哮喘、高膽固醇及其他需要長期跟進的健康問題提供評估。管理通常包括醫生諮詢、所需檢查、個人化計劃及定期覆診，按情況安排轉介。Enquire about assessment and ongoing care for hypertension, diabetes, asthma, high cholesterol and other long-term concerns. Consultation, appropriate investigations, an individual plan and regular reviews guide care, with referral where needed.

每次覆診討論甚麼？What is discussed at review?

• 近期症狀、活動功能與生活上的困難Recent symptoms, function and practical difficulties
• 藥物使用、可能副作用及依從情況Medicine use, possible adverse effects and adherence
• 按醫生建議記錄的血壓、血糖或其他讀數Blood pressure, glucose or other records requested by the doctor
• 化驗結果、風險因素及預防安排Results, risk factors and prevention
• 下次檢查、覆診或轉介Further investigations, review or referral

治療及生活方式建議應按個人病歷調整，不是所有人都需要相同檢查或每天監測。請勿自行改藥；如病情突然惡化，應及早求醫。Treatment and lifestyle guidance are individual. Not everyone needs the same tests or daily monitoring. Do not alter medicines without advice; seek assessment for deterioration.