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JUNE – AUGUST 2020 • MCI (P) 052/10/2019 The 3As of Palliative Care: Availability Accessibility Affordability PLUS: Technology-enabled continual therapy Launch of new Inpatient Hospice Palliative Care Service 1 THE HOSPICE LINK • JUNE – AUGUST 2020 CHIEF EXECUTIVE’S NOTE Members’ Contacts Contents ost people would agree that “You Only threatening illnesses. Many perceived that this is Live Once” (YOLO) is simply the most something that could wait and be thought about Assisi Hospice St Luke’s Hospital commonly used expression urging one only when crisis happens. 832 Thomson Road, S(574627) 2 Bukit Batok Street 11, S(659674) M T: 6832 2650 F: 6253 5312 T: 6563 2281 F: 6561 8205 to make the most out of the present On the contrary, palliative care is most www.assisihospice.org.sg www.slh.org.sg moment without worrying about the future. effective when there is sufficient time to discuss [email protected] [email protected] Indeed, life is short and at times, the most and understand your and your loved ones’ care precious things can easily become lost too. preferences, financial ability, values, beliefs Buddhist Compassion Relief Tsao Foundation Ever so often, external factors can cause that loss and care goals. The 3As that one can rely Tzu Chi Foundation (Singapore) 298 Tiong Bahru Road or perhaps we could have caused ourselves to on to prioritise in order to achieve holistic 9 Elias Road, S(519937) Central Plaza, #15-01/06, lose things or people we value because healthcare plans are — Availability, Accessibility T: 6582 9958 F: 6582 9952 S(168730) www.tzuchi.org.sg/en T: 6593 9500 F:6593 9505 we procrastinated. and Affordability. tsaofoundation.org Truly, the space of palliative care is still very This can serve as an overview as to what is Dover Park Hospice [email protected] unspoken about even though it provides comfort to currently offered to help you in improving 10 Jalan Tan Tock Seng, S(308436) people of all ages with serious, chronic, and life- your life. T: 6500 7272 F: 6258 9007 Changi General Hospital 10 www.doverpark.org.sg 2 Simei Street 3, S(529889) [email protected] T: 6788 8833 F: 6788 0933 2 Members’ Contacts www.cgh.com.sg HCA Hospice Care AVAILABILITY ACCESSIBILITY AFFORDABILITY 705 Serangoon Road, Block A #03-01 Khoo Teck Puat Hospital 3 Chief Executive’s Note @Kwong Wai Shiu Hospital, S(328127) 90 Yishun Central, S(768828) What financial situation do T: 6251 2561 F: 6291 1076 T: 6555 8000 F: 6602 3700 4 Technology-enabled What is my preferred Am I eligble to use palliative www.hca.org.sg www.ktph.com.sg care mode? care services? I need to be in to have my [email protected] continual therapy preferred palliatve care? KK Women’s and Metta Hospice Care Children’s Hospital 6 Doing more together DO YOU KNOW? DO YOU KNOW? DO YOU KNOW? 32 Simei Street 1, 100 Bukit Timah Road, S(229899) Metta Building, S(529950) T: 6225 5554 F: 6293 7933 T: 6580 4695 F: 6787 7542 www.kkh.com.sg 8 Accessing palliative care • Home Palliative Care • Patients of all ages, from • Costs can be kept affordable www.metta.org.sg • Day Palliative Care babies to the elderly, can through various subsidies and [email protected] Ng Teng Fong General Hospital • Inpatient Palliative Care benefit from palliative care financial schemes 10 What does it take to 1 Jurong East Street 21, S(609606) • Consultative services • Pallative care services are • Government subsidy is available MWS Home Care & Home Hospice T: 6716 2000 F: 6716 5500 have a ‘good death’? available to those with life- through means-testing 2 Kallang Avenue, www.ntfgh.com.sg CT Hub #08-14, S(339407) [email protected] threatening illnesses such as • Other financial schemes T: 6435 0270 F: 6435 0274 13 The essence of care is advanced cancer, chronic (e.g MediSave) are available www.mws.sg/centre-location/mws- National Cancer always affordable illnesses including end-stage home-care-home-hospice Centre Singapore kidney, heart, lung and [email protected] 11 Hospital Drive, S(169610) neurological failure T: 6436 8000 F: 6225 6283 17 SHC@Queenstown Singapore Cancer Society www.nccs.com.sg Public Library, 15 Enggor Street, #04-01, Singapore Hospice Realty Centre, S(079716) Tan Tock Seng Hospital T: 1800 727 3333 11 Jalan Tan Tock Seng, S(308433) Council Turns 25! www.singaporecancersociety.org.sg T: 6256 6011 Indeed, the quality of life is highly subjective [email protected] www.ttsh.com.sg 18 Palliative care services from one to another. Therefore, wait no more to talk, plan and act. SingHealth Community Hospitals in Singapore Woodlands Health Campus You should define your own palliative care (Bright Vision Hospital, 9 Maxwell Road, Outram Community Hospital, needs that aim to relieve your suffering, improve MND Complex Annex A, 19 New Inpatient Palliative The 3As that one can Sengkang Community Hospital) #03-01A, S(069112) your quality of life and that of your family as the 10 Hospital Boulevard, S(547530) T: 6681 5999 Care Service system offers the care for the “whole person”. T: 6970 3000 www.whc.sg Former US President Barack Obama once said: www.singhealth.com.sg/SCH rely on to prioritise in 20 Announcements “Change will not come if we wait for some Lien Centre for Palliative Care other person or some other time. St Andrew’s Community Hospital Duke-NUS We are the ones we’ve been waiting for. order to achieve holistic 8 Simei Street 3, S(529895) Medical School Singapore We are the change that we seek.” T: 6586 1000 8 College Road www.sach.org.sg Level 4, S(169857) Let’s wait no more — your decision will make healthcare plans are — [email protected] T: 6601 2034 / 6601 7424 [Education] the difference. T: 6601 5113 [Research] St Joseph’s Home www.duke-nus.edu.sg/lcpc Ms Evelyn Leong Availability, Accessibility 36 Jurong West St 24, S(648141) T: 6268 0482 F: 6268 4787 Chief Executive www.stjh.org.sg Singapore Hospice Council and Affordability. [email protected] 2 3 THE HOSPICE LINK • JUNE – AUGUST 2020 THE HOSPICE LINK • JUNE – AUGUST 2020 AVAILABILITY Physically present with patients are The hospital has used technology their assigned occupational therapists. for speech therapy since 2016, with Music therapist Isabel Tan says of these telemeeting software to help patients who colleagues, “They are our eyes, ears, hands are home-bound. “Such patients can still and legs. They are critical to ensure the receive therapy while saving time, effort effectiveness of the programme as they are and money on travelling to the hospital on-site to attend to patients.” and back home. By reducing barriers of Occupational therapist, Batrishya Binte time and space, the desired frequency Dol Rani, is glad that music and art therapy of therapy can continue and patients could continue, “It is worth the effort when may improve their ability to swallow, we see our patients enjoy the activities.” eat and speak, for example, after stroke,” St Luke’s Hospital cares for the whole said Kenneth Lam, Deputy Director of person, as patients have more than just Rehabilitation Services. physical needs. They also have social and Kenneth added, “Being evidence-based emotional needs. For example, serious in our approach, we will review the Making music — a patient with music illness may lower a patient’s spirit, which effectiveness of the medium in music and therapist Isabel Tan. in turn will affect appetite, sleep, and art therapy to see if it can be a long term Opposite page: An occupational therapist willingness to partake of medication and alternative to help more patients who and a physiotherapist therapy. Art and music therapy can help lift have ambulatory constraints, even when are physically present with patients to their mood and hence facilitate recovery or we are back to DORSCON Green and facilitate music therapy, improve quality of life. distancing is no longer a requirement.” attending to patients’ needs at their bedside afety first,” said Ms Kang Technology- who wished only to be “S known by her surname. Her mother, 81, was taking part in art and music therapy enabled using remote technology for some ‘engagement’ and ‘motivation’. As physical distancing helps reduce continual the risk of COVID-19 infection, St Luke’s Hospital staff work in different zones. The use of therapy teleconferencing technology has helped the art and music therapists to In times of necessity and for the health be with patients virtually. Patients can see and hear their therapists, and vice and safety of patients, sometimes it is best versa. The music therapist can still for caregivers to be physically distant, sing along with patients, motivating them to respond and follow, and the but this does not mean they will not be art therapist can still demonstrate and emotionally present for them. guide patients in art. St Luke’s Hospital cares for the whole person, as patients have more than just physical needs. Art and HOSPITAL ST LUKE’S music therapy can help lift their mood and hence facilitate recovery or improve quality of life. AND PHOTOS WORDS 4 5 THE HOSPICE LINK • JUNE – AUGUST 2020 THE HOSPICE LINK • JUNE – AUGUST 2020 AVAILABILITY “For patients like Mr Low who travel back Opposite page: Dr Sumayyah (second Doing more together and forth for appointments every day, from left) with her ambulance fees are a major concern,” said team at SKCH Palliative care offers various aspects of care, especially for elderly Dr Sumayyah. patients, by relieving symptoms, pain and stress of serious illnesses To ease Mr Low’s financial burden, the care team worked together to find alternatives.