developing the potential of home palliative care chew khai yen lim xin hui zeph yap zhang rui
TRANSCRIPT
Developing the potential of
home palliative care Chew Khai Yen
Lim Xin HuiZeph YapZhang Rui
Palliative Care
1
Chemo-
therapy
Surgeries
Prolonged life
Suffering
Costly
Curative Care
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
“
”
Affirm life
Help patients live
activelyHelp families cope
Enhance
quality of life
Relief from pain
Aims
Importance
2005 8.4%
2030 18.7%
Aging populatio
n
More terminal illnesses
Take up resources
Unnecessary pain
Aged 65 and above
Eligibility
12 months
Hospices
DayHospice
In-patientHospice
HomeCare
Hospices
Stakeholders
Patients
Home care
teams
Familycaregiv
ersHospital
specialists
NutritionistsPhysio-
therapists
CounsellorsSocialworkers
Reduce cost
Closer with
family members
Increase comfort
and satisfacti
on
Benefits
Weaknessesof current system 2
Home Care Teams
Palliative specialists
GPsPalliative specialis
tsHome Care
Teams
GPs
Ms Chin
Limited manpow
er
Ms Chin
Stretched to
limits
Cap on number
of patients
Shortage of
resources
Ms Chin
Reluctance to opt for palliative
careHastens death
Taboo of death
Under-utilisation
Lacking indrug
knowledge
Ms Chin
!
Unfamiliar with drugs
Ms Chin
Morphine+
Laxatives
Ms Chin
Difficult to arrange
appointment
Difficult to get in touch
Hospital consultati
on
Spend time gathering informatio
n
No complete medical record
Patient transfer
CARE
Lack of coordinatio
n
Insufficient drug
knowledge
Reluctance to accept palliative
care
Lack ofresources
Weaknesses
Continuity
of good quality care
COORDINATE
Assist family
caregivers
ASSISTANCE
RESOURCES
Round-the-clock
accessibility
EXECUTION
Meeting of patient’s
preferences
Action plan3
Integrated online
platform
Solution
COORDINATE
Online health records
Referral system
Sharing of patients' records
COORDINATE
COORDINATE
COORDINATE
COORDINATE
COORDINATE
Hospitals Hospices
Sharing of patients' records
Hospital referral
COORDINATE
COORDINATE
COORDINATE
COORDINATE
BENEFITS
Hospitals
Hosp
ices
Patients
Facilitate flow of care
Save time
COORDINATE
Prevent miscommu-nication
Continuity
of care
Reliable source of drug
information
Drugdatabas
e
ASSISTANCE
ASSISTANCE
ASSISTANCE
Improved drug
knowledge
ASSISTANCE
Prevent unnecessary problems
Online education
RESOURCES
Learn at own pace
Busy
Online video-based
learningTeachGPs
Not trained
RESOURCES
RESOURCES
RESOURCES
Workshops
Practical
More efficient
Online videos
Theory
Queries
RESOURCES
RESOURCES
EXECUTION
Public educatio
n
Raising awarene
ss
Counselling services
Art exhibits
Public sharing
EXECUTION
SummaryOnline records
Referral systemDrug database
GP education ExhibitsPublic sharing
Thank you.