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Home care is the next area of care in Singapore that needs to
be developed. To be effective, it has to be multi-disciplinary.
SMA FOCUSES ON HOME HEALTH CARE
A Home Care Committee has been formed in the Singapore Medical Association
and chaired by its President, Dr Cheong Pak Yean and co-chaired by Dr Mary
Ann Tsao, President of the Tsao Foundation. Members of the Committee represent
the breadth of organisations that are involved in the delivery of home
care, namely, Home Nursing Foundation, the Tsao Foundation,
the Touch Community Services and the Singapore Nurses Association, Society
for Geriatric Medicine, Singapore and network of voluntary nursing homes.
The Division of Elderly Services in the Ministry of Health is also represented
in this Committee.
The Committee held its first meeting on 30 July 1997 and identified
3 immediate tasks.
Three tasks ahead
1. Development of training module and support of Home Care Technical
Committee for ITE
2. Development of home care system
Skills and standard
Tasks for supervised field training
Identification of curriculum development group
Identification of trainers
Identification of field placements
Development of course structure
Define mechanism for supervising trained home care assistants (ie patient
care assignments; quality monitoring; reporting structure etc.)
Define structure for employing and assigning trained homecare assistants
Liaise with various groups and bodies to plan and implement home care system
Define approaches to home-based medical care system in Singapore context.
There are a variety of approaches which can include:
- physician who provides out-patient medical care and liaises
with nurse/home care assistant
- home-based multi-disciplinary team (doctor, nurse, social worker
etc.) who provide and coordinate on-going care in patientís home)
3. Homecare Association
Training of the Home Health Care Assistants
Consider need for Home care Association for future development and monitoring
of the home care sector.
The Committee has identified several goals for the ITE Home Care Assistant
Module, which will be developed as an additional module to the existing
ITE Healthcare Training programme.
Goals & objectives
1. Provide supportive care at home, eg. personal care, home maintenance,
escort services to increasing numbers of community-based
elderly. Such care provided
will help shorten length of hospital stay and delay
premature nursing home placement
2. Support and maintain functional abilities of elderly and support
quality of life
3. Support and decrease stress on family caregivers and support value
of care of elderly
within family setting
Major roles of home care assistants:
1. Provision of personal care services
2. Provision of home maintenance (including errands)
3. Provision of escort services
4. Support and supplement family carers
Target clients to be considered for home services:
1. Frail and physically disabled elderly
2. Other physically disabled adults (eg. paraplegic adults)
3. Elderly with mental disabilities (eg. dementia; psychiatric illnessess)
4. Adults with psychiatric illnessess (eg. schizophrenia)
5. Proposed home care programme to exclude maternal and child health
Settings to be considered for home care assistants:
2. Nursing homes
3. Sheltered homes
4. Day care or multi-service centres
Home care is the next area of care in Singapore that needs to be developed.
To be effective, it has to be multi-disciplinary. The home care assistant
is an important member of the team.