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.