Palliative Care in Residential Homes for the Elderly Programme

Transcription

1 Page 1 Palliative Care in Residential Homes for the Elderly Programme Mimi Kam General Manager and Head of Human Resources & Corporate Communications Division The Bank of East Asia 2 nd May, 2012

2 Page 2 Disclaimer: This presentation has been prepared by The Bank of East Asia, Limited ( BEA ) for the CSR Asia briefing entitled The Business Perspective: Serving Our Elderly on 2 nd May, This presentation may be shared with participants of the said briefing upon their request and should not be shared with any other parties, or reproduced or quoted in any way without the express consent of BEA. While every effort has been taken to ensure the accuracy of the content of this presentation, BEA will not be held responsible for any matters arising from this content or its accuracy, which is subject to change at any time. Requests for consent or for more information should be directed to David Kim, Corporate Communications Manager, Corporate Communications Department, The Bank of East Asia on tel. (852) or by at kimdg@hkbea.com.

3 Page 3 The Bank of East Asia ( BEA ) Established in Hong Kong in 1918 Largest independent local bank Extensive network in Hong Kong & Mainland China Worldwide: 220+ outlets and 12,000+ employees

4 Page 4 The Bank of East Asia Charitable Foundation ( BEA Foundation ) Established in Jan 2009 Dedicated to: the advancement of higher education helping the disadvantaged

5 Page 5 What Is Palliative Care? Treatment focusing on relieving symptoms, pain, and stress associated with serious illness Often extended to patients family members Can be provided to patients undergoing treatment for curable diseases

6 Page 6 Benefits of Palliative Care Adopts a more holistic approach Embraces a positive and open attitude towards death Shifts from saving life / curing disease to care Focus on a good death and dying in comfort, privacy, and with dignity Gives patients an alternative path Emergency resuscitation is a disorienting and violent process

7 Page 7 Why Is Palliative Care Important? Changing demographics greying population Culturally taboo and overlooked Shift in attitudes towards death and dying

8 Page 8 Why Is Palliative Care Important? Current arrangement of sending dying residents to hospitals for care: - Disruptive to continuous care Current residential care homes: Lack of - - Professional staff / care staff to support dying residents - Properly equipped space & facilities for elderly and relatives - Regular medical support to attend dying residents - Proper arrangement for transfer of dead body, etc. create major obstacles in implementing end-of-life care Increasing demand for palliative care services from the elderly

9 Page 9 Our Programme Palliative Care in Residential Care Homes for the Elderly programme established in Feb ½-year pilot period Total pilot budget of HK$12.14 million Multi-disciplinary team of 600 professionals serving up to 900 people Programme jointly implemented by The Salvation Army and Hong Kong Association of Gerontology

10 Page 10 Programme Objectives To try out a model of palliative care in residential care homes, to demonstrate how a change can be made To provide one-stop palliative care education and support to staff of residential care homes, residents and their family members, and to facilitate the change

11 Page 11 Programme Objectives To promote palliative care through public education, to pave the way for change in the community at large in future To conduct a study on palliative care in residential care homes to evaluate the practicability and effectiveness of palliative care in residential care homes, to identify hurdles for making change

12 Page 12 Programme Components Project Core Team develops model and delivery of care: Clinical psychologist Nurse Social worker Team works under the supervision of the Monitoring Committee and Advisory Committee To establish a room for end-of-life care in each of the residential care homes joining the programme with medical equipment for palliative care and support

13 Page 13 Programme Components To form a special end-of-life care team to provide additional care and support, comprising: Doctor Nurse Personal care worker Clinical psychologist Salvation Army officer (pastor) Social worker Daily routine support service to be provided by home staff

14 Page 14 Basic Palliative Care Room Facilities Medical equipment Furniture and others Electric Hospital bed LCD TV Suction machine Sofa bed Syringe Pump Bedside Table and Cabinet Oxygen Concentrator Medical Cabinet Blood pressure meter Air-conditioners Oximeter Refrigerator

15 Page 15 Programme Progress Pilot calls for the establishment of 6 palliative care rooms 1. The Salvation Army Kam Tin Residence for Senior Citizens (Sept 2010)

16 Page 16 Programme Progress 2. The Salvation Army Bradbury Home of Loving Kindness (Oct 2010)

17 Page 17 Programme Progress 3. The Salvation Army Hoi Tai Residence for Senior Citizens (May 2011)

18 Page 18 Programme Progress 4. Kiangsu Chekiang and Shanghai Residents (H.K.) Association Tuen Mun Hostel (Dec 2011) 5. The Hong Kong Chinese Christian Churches Union Kwong Yum Home for the Aged (Mar 2012) 6. St. James Settlement Scenic Resort Nursing Home (Jun/Jul 2012)

19 Page 19 Programme s Benefits Elderly People Improved quality of life More prepared for death Family Members Help cope with death and relieve stress Manage grief Residential Care Homes Upgraded service

20 Page 20 Programme s Benefits Hospitals Relieve pressure of caring for dying elderly Community Provide greater options through education

21 Page 21 Challenges to Palliative Care Government lacks a clear policy on palliative / endof-life care Changing legislation is a slow process Lack of awareness Public education required

22 Page 22 Observations Patients and families are very receptive to palliative care and grateful for support Very meaningful experience overall Other opportunities to work with the elderly in other areas

23 Page 23 Questions?

24 Page 24 Thank you!