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

2. PalliativeCare 1

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

4. 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 “ ”

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

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

7. Eligibility 12 months

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

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

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

11. Weaknesses of current system 2

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

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

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

15. Lacking in drug knowledge Ms Chin !

16. Unfamiliar with drugs Ms Chin Morphine + Laxatives

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

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

19. Continuity of good quality care COORDINATE

20. Assist family caregivers ASSISTANCE

21. RESOURCES Round-the- clock accessibility

22. EXECUTION Meeting of patient’s preferences

23. Actionplan 3

24. Integrated online platform Solution

25. COORDINATE Online health records Referral system

26. Sharing of patients' records COORDINATE

27. COORDINATE

28. COORDINATE

29. COORDINATE

30. COORDINATE Hospitals Hospices

31. Sharing of patients' records Hospital referral COORDINATE

32. COORDINATE

33. COORDINATE

34. COORDINATE BENEFITS Hospitals Hospices Patients

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

36. Reliable source of drug information Drug database ASSISTANCE

37. ASSISTANCE

38. ASSISTANCE

39. Improved drug knowledge ASSISTANCE Prevent unnecessary problems

40. Online education RESOURCES

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

42. RESOURCES

43. RESOURCES Workshops Practical More efficient Online videos Theory

44. Queries RESOURCES

45. RESOURCES

46. EXECUTION Public education Raising awareness

47. Counselling services Art exhibits Public sharing EXECUTION

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

49. Thank you.