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Developing the potential of home palliative care

Developing the potential of home palliative care . Chew Khai Yen Lim Xin Hui Zeph Yap Zhang Rui. 1. Palliative Care. Chemo- therapy. Prolonged life. Costly. Suffering. Surgeries. Curative Care. “.

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Developing the potential of home palliative care

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  1. Developing the potential of home palliative care Chew Khai Yen Lim XinHui Zeph Yap Zhang Rui

  2. 1 Palliative Care

  3. Chemo- therapy Prolonged life Costly Suffering Surgeries Curative Care

  4. “ an approach that improves the quality of life of patients and their families facing the problem associated withlife-threatening illness, through theprevention and relief of sufferingby means of early identification and impeccable assessment andtreatment of painand other problems ” Palliative Care

  5. Affirm life Relief from pain Help patients live actively Enhance quality of life Help families cope Aims

  6. More terminal illnesses Aging population Take up resources Unnecessary pain 2030 18.7% 2005 8.4% Importance Aged 65 and above

  7. 12 months Eligibility

  8. Day Hospice Home Care In-patient Hospice Hospices Hospices

  9. Family caregivers Home care teams Patients Hospital specialists Physio- therapists Social workers Counsellors Nutritionists Stakeholders

  10. Increase comfort and satisfaction Closer with family members Reduce cost Benefits

  11. 2 Weaknesses of current system

  12. Home Care Teams • Palliative specialists • GPs Ms Chin

  13. Cap on number of patients Limited manpower Stretched to limits Shortage of resources Ms Chin

  14. Reluctance to opt for palliative care Hastens death Tabooof death Under- utilisation Ms Chin

  15. Lacking in drug knowledge ! Ms Chin

  16. Morphine + Laxatives Unfamiliar with drugs Ms Chin

  17. Difficult to arrange appointment Spend time gathering information Difficult to get in touch Hospital consultation No complete medical record Patient transfer Ms Chin

  18. Reluctance to accept palliative care Insufficient drug knowledge Lack of resources Lack of coordination Weaknesses CARE

  19. Continuity of good quality care COORDINATE

  20. Assist family caregivers ASSISTANCE

  21. Round-the-clock accessibility RESOURCES

  22. Meeting of patient’s preferences EXECUTION

  23. 3 Action plan

  24. Integrated online platform Solution

  25. Online health records Referral system COORDINATE

  26. Sharing of patients' records COORDINATE

  27. COORDINATE

  28. COORDINATE

  29. COORDINATE

  30. Hospices Hospitals COORDINATE

  31. Sharing of patients' records Hospital referral COORDINATE

  32. COORDINATE

  33. COORDINATE

  34. Hospitals Hospices BENEFITS Patients COORDINATE

  35. Prevent miscommu-nication Facilitate flow of care Save time Continuity of care COORDINATE

  36. Drug database Reliable source of drug information ASSISTANCE

  37. ASSISTANCE

  38. ASSISTANCE

  39. Prevent unnecessary problems Improved drug knowledge ASSISTANCE

  40. Online education RESOURCES

  41. Online video-based learning Learn at own pace Not trained Teach GPs Busy RESOURCES

  42. RESOURCES

  43. Online videos More efficient Workshops Practical Theory RESOURCES

  44. Queries RESOURCES

  45. RESOURCES

  46. Raising awareness Public education EXECUTION

  47. Art exhibits Public sharing Counselling services EXECUTION

  48. Online records Referral system Exhibits Public sharing GP education Drug database Summary

  49. Thank you.

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