Over the years, Singapore’s ageing population has been rapidly increasing, caused by declining birth rates and increased life expectancy. When put together, this poses multiple major problems in our economy, healthcare system, and society at large.
With that, we have seen an increase in elderly care service providers and assisted-living facilities in the country to cater to the growing number of seniors in Singapore. One of these includes hospice care centres.
What is hospice care and how does it work?
Hospice care is a specific type of care that focuses on patients who are in the final stages of their terminal illness. Unlike general care or eldercare services, hospice care is only available to individuals who have a life expectancy of maybe six months or less, according to a certified physician. These individuals are either diagnosed with diseases that are incurable or wish to stop curative treatment to let the illness run its usual course.
While most patients in these care facilities are made up of seniors, children and young adults are also eligible for hospice care in Singapore.
Beyond being a viable treatment plan for those with terminal conditions, hospice care is more centred around its philosophy of care than the actual treatment itself. This philosophy acknowledges that death is the final stage of life, and they don’t try to postpone death in any way, shape or form. Instead, hospice care treatment focuses on treating one’s symptoms and not the illness and chooses to focus on improving the patient’s quality of life.
At the same time, hospice care is also family-centred and includes both the patients and their families in all of the decision making involved.
What is the difference between hospice and palliative care?
More often than not, most people use hospice care and palliative care interchangeably, thinking that both terms mean the exact same thing. While they do share certain similar traits, they’re actually rather different in nature. The most distinct differences between the two are the time they are available as well as the type of care provided.
As mentioned earlier, hospice care is usually only recommended to patients when they are at the final stages of their illness, where they will put a stop to all curative treatments and focus solely on treating the symptoms rather than the illness.
On the other hand, palliative care can be provided at any stage of chronic illness, even as soon as one is diagnosed. Patients who choose to opt for palliative care are not required to wait until their disease worsens to the advanced stage, In fact, doctors recommend that those diagnosed with serious conditions be treated as soon as possible.
Common types of services provided in hospice care centres
Nursing care
One of the most common services that are consistently provided across hospice care centres all over Singapore and around the world is nursing care. Hospice patients will be assigned to one case manager nurse who will take charge of all their nursing care needs.
This refers to a range of medical duties from care coordination to complex nursing procedures like wound care and injections.
Personal Care
Compared to nursing care, personal care refers to the basic activities of daily living that an elderly person would have to go through in a day. This includes toileting, washing, dressing, feeding, transferring, and mobility activities.
Considering that they are in the last stages of their illness along with their old age, many patients will require a great deal of assistance and care in these areas due to their limited mobility.
Medical social services
Apart from their physical health, healthcare professionals in hospice care centres also provide their patients with medical social services to assist them with their emotional and social needs. People who are diagnosed with chronic illnesses, especially elderly persons, are more susceptible to stress, loneliness, and even depression.
To combat this and help them improve their quality of life despite their condition, clinical social workers use various modalities to evaluate their patient’s emotions and behaviours like cognitive behavioural therapy, supportive psychotherapy, art therapy, and mindfulness for stress reduction
Respite care
Taking care of an elderly person and a caregiver’s general nature of work can be both physically and mentally taxing. In order for them to recuperate from their various responsibilities, most hospice care centres and elderly care services in Singapore provide respite care. It is important that these essential workers also receive sufficient time to rest and recharge to avoid burnout.
Usually, there is no proper duration for how long respite care lasts but they can be as short as a few hours up to a few weeks. In Singapore, caregivers can receive respite care at a senior care centre, nursing home, or at night for sundowning patients. Depending on the location, caregivers can enjoy certain programs such as group meals, music, dance or at classes, and entertainment.
Why should one opt for hospice care?
There are people who refuse treatment despite the severity of their condition in order to avoid various tests and frequent visits to the hospital. With hospice care, you can choose to spend your time in a more comfortable environment, close to your family and caring staff.
Hospice care medical staff don’t just take care of patients—they take care of families. If you are looking for an elder care alternative where your loved one can age in place with dignity, hospice care may be the right option for you.
Hospice Care Service |
Dover Park Hospice |
Speciality |
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Website | https://www.doverpark.org.sg/ |
Address | 10 Jalan Tan Tock Seng |
Telephone | 6500 7272 |
Operating Hours | 11:00am – 7:00pm daily |
Hospice Care Service |
Assisi Hospice |
Speciality |
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Website | https://www.assisihospice.org.sg/ |
Address | 832 Thomson Road |
Telephone | 6832 2650 |
Operating Hours | 24 hours daily |
Hospice Care Service |
Metta Hospice Care |
Speciality |
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Website | https://www.metta.org.sg/hq/ |
Address | 32 Simei Street 1 (HQ) |
Telephone | 6580 4695 |
Operating Hours | Monday – Friday: 8:30am – 10:30pm |
Hospice Care Service |
HCA Hospice Care |
Speciality |
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Website | https://www.hca.org.sg/ |
Address |
705 Serangoon Road, Block A #03-01 @Kwong Wai Shiu Hospital (Main office)
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Telephone | 6251 2561 |
Operating Hours | Monday – Friday: 8:30am – 5:30pm |
Hospice Care Service |
Hospice Care – Singapore Cancer Society |
Speciality |
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Website | https://www.singaporecancersociety.org.sg/get-help/hospice-home-care/about-hospice-home-care.html |
Address | 15 Enggor Street, #04-01, Realty Centre (Main office) |
Telephone | 1800 727 3333 |
Operating Hours | Monday – Friday: 10:30am – 4:00pm |
Hospice Care Service |
MWS Home Care and Home Hospice |
Speciality |
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Website | https://mws.sg/product/mws-home-care-and-home-hospice/ |
Address | 70 Barker Road #05-01 (Corporate Services) |
Telephone |
6478 4700 |
Operating Hours | Monday – Friday: 8:30am – 5:30pm |
Hospice Care Service |
Homage |
Speciality |
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Website | https://www.homage.sg/ |
Address | 12 Kallang Avenue, #03-19/20 (HQ) |
Telephone | 6100 0055 |
Operating Hours | 24 hours daily |
Hospice Care Service |
AIC Home Hospice Care |
Speciality |
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Website | https://www.aic.sg/ |
Address | No.5 Maxwell Road, #10-00 Tower Block, MND Complex (HQ) |
Telephone | 1800-650-6060 |
Hospice Care Service |
Tzu Chi Singapore Hospice Care |
Speciality |
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Website | https://www.tzuchi.org.sg/en/our-missions/medicine/home-care-services/ |
Address | 9 Elias Road |
Telephone | 6582 9958 |
Operating Hours | Monday – Friday: 10:00am – 6:00pm |
Hospice Care Service |
Lien Centre for Palliative Care |
Speciality |
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Website | https://www.duke-nus.edu.sg/lcpc |
Address | 8 College Road |
Telephone | 6516 7666 |
Operating Hours | Monday – Friday: 9:00am – 5:00pm |
Hospice Care Service |
Tsao Foundation Mobile Clinic |
Speciality |
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Website | https://tsaofoundation.org/ |
Address | 298 Tiong Bahru Road, #15-01/06 Central Plaza (Main office) |
Telephone |
6593 9500
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Operating Hours | Monday – Thursday: 8:30am – 6:00pm Friday: 8:30am – 5:30pm |
Hospice Care Service |
Bright Vision Hospital |
Speciality |
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Website | https://www.singhealth.com.sg/SCH/our-hospitals/bright-vision-hospital/about-bvh |
Address | 5 Lor Napiri |
Telephone | 6248 5755 |
Operating Hours | 10:00am – 9:00pm daily |
Hospice Care Service |
St. Joseph’s Home |
Speciality |
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Website | https://www.stjh.org.sg/ |
Address | 36 Jurong West Street 24 |
Telephone | 6268 0482 |
Operating Hours | 10:00am – 12:00pm, 2:30pm – 9:00pm daily |
Hospice Care Service |
St. Luke’s Hospital |
Speciality |
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Website | https://www.slh.org.sg/service/palliative-care/ |
Address | 2 Bukit Batok Street 11 |
Telephone | 6563 2281 |
Operating Hours | 24 hour daily |
Benefits of Hospice Care Services for Elderly in Singapore
As our loved ones age, it becomes increasingly important to ensure they receive the care and support they deserve, especially when they are facing life-limiting illnesses.
Hospice care services are designed to provide comprehensive care for individuals in the final stages of their lives, offering comfort, dignity, and assistance to both the elderly and their families.
In this blog post, we will delve into the benefits of hospice care services for the elderly in Singapore, highlighting the value they bring to the lives of seniors during this delicate period.
Personalized Medical Attention
One of the primary benefits of hospice care services is the provision of personalized medical attention. Hospice care professionals, including doctors, nurses, and other healthcare practitioners, are specifically trained to address the unique needs and challenges faced by the elderly in their final stages of life. They possess a deep understanding of pain management techniques, symptom control, and palliative care, ensuring that seniors receive the appropriate treatments and medications to enhance their comfort and alleviate any distressing symptoms.
Moreover, hospice care services focus on tailoring medical interventions to suit the individual needs and preferences of the elderly patients. This personalized approach enables seniors to maintain a certain level of autonomy and dignity while receiving the necessary medical care.
Psychological and Emotional Support
In addition to medical attention, hospice care services also provide invaluable psychological and emotional support to both the elderly and their families. Facing the end of life can be an overwhelming and emotionally challenging experience, and hospice care professionals are trained to offer compassionate assistance during this time.
Hospice care teams consist of not only medical professionals but also psychologists, social workers, and counselors who specialize in end-of-life care. They work closely with the elderly patients and their families to address their emotional needs, provide grief counseling, and offer guidance on coping with the impending loss. This comprehensive support system helps seniors and their loved ones navigate the emotional journey, promoting a sense of peace and acceptance.
Pain and Symptom Management
Hospice care services excel in pain and symptom management, aiming to enhance the quality of life for elderly patients during their final days. By employing various techniques and medications, hospice care professionals ensure that seniors are as comfortable as possible, minimizing physical discomfort and distress.
Specialized Team and Multidisciplinary Approach
Hospice care services in Singapore boast a specialized team of professionals who work together using a multidisciplinary approach to provide comprehensive care. This team typically includes doctors, nurses, caregivers, social workers, counselors, and volunteers. Each member plays a unique role in addressing different aspects of the patient’s well-being.
The collaborative efforts of the multidisciplinary team ensure that all the physical, emotional, and social needs of the elderly patients are met. They coordinate care, communicate effectively, and share their expertise to create a supportive environment for the seniors and their families. This integrated approach contributes to a holistic and well-rounded care experience.
Comfortable and Familiar Environment
Hospice care services often provide the option of receiving care in the comfort of the patient’s own home or in a dedicated hospice facility. This flexibility allows seniors to remain in a familiar environment, surrounded by their loved ones and cherished belongings, which can significantly contribute to their overall well-being.
Being in a comfortable and familiar setting helps reduce anxiety and stress, enhancing the emotional and psychological state of the elderly patients. It also promotes a sense of stability and security, enabling them to maintain a semblance of normalcy and independence during their final days.
Support for Family Caregivers
Hospice care services recognize the crucial role of family caregivers in the well-being of the elderly patients. Caring for a loved one at the end of life can be physically and emotionally demanding, and caregivers often experience significant stress and burnout.
To alleviate the burden on family caregivers, hospice care services offer respite care, which allows caregivers to take breaks while ensuring their loved ones continue to receive the necessary care and support. Additionally, hospice care teams provide guidance, education, and emotional support to family caregivers, equipping them with the knowledge and tools needed to navigate this challenging journey.
Bereavement Support
The support provided by hospice care services extends beyond the passing of a loved one. Hospice care teams are committed to offering bereavement support to families, recognizing that the grieving process continues even after the loss.
Through counseling, support groups, and other resources, hospice care services assist families in coping with their grief and adjusting to life without their loved one. This ongoing support plays a vital role in facilitating healing and helping families navigate the emotional challenges associated with loss.
The Cost of Hospice Care Services for the Elderly in Singapore
When it comes to providing the best possible care for elderly individuals nearing the end of life, hospice care services play a crucial role.
While the focus is primarily on ensuring comfort, dignity, and emotional support, it is also important to consider the financial implications and cost factors associated with such care.
In this blog post, we will delve into the cost of hospice care services for the elderly in Singapore, shedding light on the various components that contribute to the overall expenses.
Medical Care Expenses
One of the primary components of the cost of hospice care services is medical care. This includes the fees associated with doctors, nurses, and other healthcare professionals who provide specialized care to the elderly patients. Medical care expenses cover a wide range of services, including pain management, symptom control, medication administration, and monitoring of the patient’s condition.
The cost of medical care in hospice services varies depending on the level of care required, the complexity of the patient’s condition, and the duration of the care provided.
It is essential to discuss the specific medical care expenses with the hospice care provider to understand the breakdown of costs and any potential additional charges.
Facility Fees
For elderly individuals who require round-the-clock care or prefer a residential hospice facility, facility fees come into play. Hospice care facilities provide a supportive and comfortable environment for patients, equipped with necessary medical equipment and staffed by trained professionals.
These facilities offer a range of services, including private or shared rooms, communal areas, and spaces for family visits.
Facility fees cover the costs associated with accommodation, meals, housekeeping, and 24/7 access to medical care and support. The fees can vary depending on the type of facility, its location, and the amenities and services provided. It is essential to inquire about the specific facility fees and any additional costs related to accommodation or specialized services.
Additional Services
Hospice care services also offer additional services that contribute to the overall cost. These services are designed to enhance the quality of life and provide comprehensive support to both the elderly patients and their families. Examples of additional services include counseling, therapy sessions, spiritual support, and complementary therapies such as art or music therapy.
The cost of additional services can vary depending on the specific offerings of the hospice care provider and the frequency or duration of these services.
It is advisable to discuss these services in detail with the hospice care provider and inquire about any associated costs to have a clear understanding of the financial implications.
Insurance Coverage and Government Subsidies
In Singapore, several insurance policies, including private health insurance and Medisave, can help cover the cost of hospice care services for the elderly. However, the extent of coverage may vary depending on the insurance plan and policy terms. It is crucial to review the insurance coverage and understand the scope of hospice care services covered under the policy.
Additionally, the Singaporean government provides subsidies and financial assistance schemes to support the provision of hospice care services.
Organizations such as the Agency for Integrated Care (AIC) offer schemes such as the Home Caregiving Grant and the Interim Disability Assistance Program for the Elderly (IDAPE), which can help offset some of the costs associated with hospice care.
Financial Planning and Assistance
Considering the potential expenses involved in hospice care services, it is important for families to engage in financial planning to ensure adequate resources are available. This may involve reviewing personal finances, exploring insurance coverage options, and seeking financial assistance through government schemes or charitable organizations.
Furthermore, hospice care providers often have financial counselors or social workers who can offer guidance and support in navigating the financial aspects of care. They can assist in identifying available resources, exploring funding options, and providing information on potential financial assistance programs.
Tips to Choose the Best Hospice Care Services for the Elderly in Singapore
When it comes to providing hospice care services for elderly individuals in Singapore, finding the best possible care is of utmost importance.
The decision to choose a hospice care provider involves careful consideration of various factors. This article aims to offer useful tips to help you choose the best hospice care services that meet the unique needs and preferences of your elderly loved ones.
By following these tips, you can ensure that your family members receive compassionate and high-quality care during their end-of-life journey.
- Research Accreditation and Licensing: Begin your search for hospice care services by checking for proper accreditation and licensing. Look for providers that are accredited by recognized bodies such as the Ministry of Health or the Agency for Integrated Care in Singapore. Accreditation ensures that the hospice care provider adheres to established standards of care and undergoes regular evaluations to maintain quality.
- Consider Reputation and Experience: Assess the reputation and experience of the hospice care provider. Look for testimonials, reviews, or seek recommendations from healthcare professionals, friends, or family members who have experience with hospice care services. A provider with a good reputation and a long-standing history of delivering quality care is likely to provide reliable and compassionate services.
- Evaluate Personalized Care and Support: When choosing a hospice care provider, it is crucial to ensure that they offer personalized care and support tailored to the specific needs of your elderly loved ones. Inquire about the individualized care plans they create for patients, including pain management, symptom control, and emotional support. Understanding how the provider approaches personalization and the level of involvement of the patient and their family in decision-making processes is essential.
- Assess the Multidisciplinary Team: A strong and diverse multidisciplinary team is crucial for comprehensive hospice care. Inquire about the composition of the team, including doctors, nurses, social workers, counselors, and therapists. Assess their qualifications, experience, and expertise in end-of-life care. A well-rounded team ensures that the various physical, emotional, and spiritual needs of your elderly loved ones are addressed effectively.
- Visit the Facilities: If your loved one will be receiving care in a hospice facility, schedule visits to assess the environment and the overall ambiance. Look for a clean, comfortable, and homely atmosphere that promotes a sense of peace and well-being. Consider the accessibility of the facilities for the elderly, including accommodations for family visits and any specialized amenities or services provided.
- Inquire About Additional Services: Beyond basic medical care, inquire about the additional services offered by the hospice care provider. These services may include psychological counseling, spiritual support, bereavement assistance, and complementary therapies. A holistic approach to care ensures that the emotional, social, and spiritual well-being of your elderly family members is prioritized.
- Discuss Financial Considerations: Engage in open and transparent discussions about the cost of hospice care services. Understand the fee structure, potential additional charges, and any insurance coverage or government subsidies available. Discuss payment options and financial assistance programs that can help alleviate the financial burden associated with hospice care.
- Trust Your Instincts: Lastly, trust your instincts and intuition when making a decision. Pay attention to how the hospice care provider communicates with you, their responsiveness to your inquiries, and their willingness to address your concerns. Trust and open communication are essential for a successful and trusting relationship with the hospice care team.
Choosing the best hospice care services for elderly loved ones in Singapore requires careful consideration of various factors.
By researching accreditation, evaluating reputation and experience, assessing personalized care and support, and considering the multidisciplinary team, you can make an informed decision.
Additionally, visiting the facilities, inquiring about additional services, discussing financial considerations, and trusting your instincts will help ensure that your elderly family members receive the compassionate and high-quality care they deserve during their end-of-life journey.
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