Transcript Khai Yen - junlem.com

Developing the
potential of
home palliative care
Chew Khai Yen
Lim Xin Hui
Zeph Yap
Zhang Rui
Palliative
Care
Curative Care
Chemotherapy
Suffering
Prolonged
life
Costly
Surgeries
Palliative Care
“
an approach that improves the quality of life
of patients and their families facing the problem
associated with life-threatening illness,
through the prevention and relief of suffering
by means of early identification and impeccable
assessment and treatment of pain and other
problems
”
Aims
Relief
from
pain
Enhanc
e
quality
of life
Affirm
life
Help
families
cope
Help
patients
live
actively
Importance
Aging
population
More
terminal
illnesses
2030
18.7%
2005
8.4%
Aged 65 and above
Unnecessary
pain
Take up
resources
Eligibility
12 months
Hospices
Hospices
Day
Hospice
In-patient
Hospice
Home
Care
Stakeholders
Nutritionists
Patients
Family
caregivers
Social
workers
Physiotherapists
Home care
teams
Hospital
specialists
Counsellors
Benefits
Increase
Closer
with
Reduce
comfort
family
cost
and
members
satisfaction
2
Weaknesses
of current
system
Ms Chin
Palliative
specialists
Home Care
Teams
GPs
Palliative
specialists
Home Care Teams
GPs
Ms Chin
Limited
manpower
Shortage of
resources Cap on
Stretched
to limits
number of
patients
Ms Chin
Reluctance
to opt for
Underpalliative
utilisation
Hastens
care
Taboo of
death
death
Ms Chin
Lacking in
drug
knowledge
!
Ms Chin
Morphine
Unfamiliar
+
with drugs
Laxatives
Ms Chin
Hospital
Patient
consultation transfer
Difficult to No complete
get in touch medical
record
Difficult to Spend time
arrange
gathering
appointment information
Weaknesses
CARE
Insufficient
drug
knowledge
Lack of
coordination
Reluctance
to accept
palliative
care
Lack of
resources
COORDINATE
Continuity
of good
quality care
ASSISTANCE
Assist
family
caregivers
RESOURCES
Round-theclock
accessibility
EXECUTION
Meeting of
patient’s
preferences
Action
plan
Solution
Integrated
online
platform
COORDINATE
Online
health
records
Referral
system
COORDINATE
Sharing of
patients'
records
COORDINATE
COORDINATE
COORDINATE
COORDINATE
Hospitals
Hospices
COORDINATE
Sharing of
Hospital
patients'
referral
records
COORDINATE
COORDINATE
COORDINATE
BENEFITS
COORDINATE
Facilitate
flow of care
Save
time
Continuity
Prevent
of
care
miscommunication
ASSISTANCE
Reliable
source
Drug
of drug
database
information
ASSISTANCE
ASSISTANCE
ASSISTANCE
Improved
drug
knowledge
Prevent
unnecessary
problems
RESOURCES
Online
education
RESOURCES
Not
trained
Busy
Online
video-based
learning
Teach
GPs
Learn at
own pace
RESOURCES
RESOURCES
Practical
Theory
More
efficient
Online
videos
Workshops
RESOURCES
Queries
RESOURCES
EXECUTION
Public
education
Raising
awareness
EXECUTION
Public
sharing
Counselling
services
Art
exhibits
Summary
Online records
Referral system
Drug database
GP education
Exhibits
Public sharing
Thank you.