Friday, March 13, 2009
Sucessful Ageing Plan For Singapore
Between now and 2030, Singapore will witness an unprecedented profound age shift. The number of residents aged 65 years or older will multiply threefold from current 300,000 to 900,000 in 2030. By then, one out of every five residents will be a senior.
WHAT IS A NURSING HOME?
Nursing homes offer 7 day-a-week, 24 hour-a-day services delivered under the supervision of a licensed nurse. Good nursing homes provide help with physical, dietary, therapeutic, social, and recreational needs. Most nursing home residents are elderly and would have difficulty living on their own. Many residents suffer from a chronic (ongoing) illness or a physical or mental disability.
Nursing homes may be a place where individuals stay for a brief period of time after hospitalization if they are not yet ready to return home. For others needing ongoing higher levels of care and assistance, a nursing home is a more permanent situation. Different nursing homes and community services provide different levels of care. Making a decision about your or your loved one’s needs is important in deciding if a nursing home is needed, and if so, which facility will provide the best care.
LONG TERM CARE OPTIONS
You should compare all possible housing and care options to nursing home care to determine if a nursing home is the right choice for you or your loved one. As mentioned, nursing homes are one of many services available to older adults. The following is a brief description of housing options and community resources for people who need assistance.
Personal Care Boarding Homes:
Provide room, meals, supervision and assistance with routine activities of daily living in a residential setting. Activities of daily living (ADLs) include assisting residents with personal care, such as assistance with medication and bathing, etc.
Residents of personal care homes do not require the kind of nursing care provided in a hospital or nursing facility.
Costs vary by facility.
Continuing Care/Life Care Facilities:
Provide various levels of care from independent living to nursing care.
The resident needs to be able to care for him or herself when admitted to an independent living facility.
Assisted Living:
A relatively new housing alternative available to older adults.
Provides independent living accompanied by support with household maintenance and personal care.
Domiciliary Care (DOM Care)/Adult Foster Care:
Provide services similar to personal care boarding homes for people who have difficulty performing routine activities of daily living (bathing, meal preparation) and who need some form of constant supervision.
Rooms are located in the provider’s home and tends to be a home-like environment.
PACE (Program for All-Inclusive Care for the Elderly) otherwise known as the LIFE (Living Independently for Elders): Delivering all needed medical and supportive services, the PACE and/or LIFE programs are able to provide care and services to seniors with ongoing care needs while maintaining their independence in their homes for as long as possible.
Care and services include:
Adult day care that offers nursing (care givers); physical therapy (muscle strengthening), occupational therapy (new ways of performing activities of daily living) and recreational therapy (social activities); meals; nutritional counseling; social work; and personal care.
Medical care provided by a PACE physician who knows the history, needs and preferences of each participant
Home health care and personal care in the home
All necessary prescription drugs
Medical specialists such as audiology (hearing), dentistry, optometry (vision), podiatry (foot care), and speech therapy
Respite care (a break for a full time caregiver)
Hospital and nursing home care when necessary
In-Home Care:
Services such as assistance with bathing, toileting, meal preparation, light housekeeping, and shopping.
May be paid for privately or may be paid for by a third party.
May be accessed through the local Area Agency on Aging (AAA), home care agencies, or other service agencies.
Most subsidized in-home services are offered on a limited basis (for a few hours a day, two or three times a week).
24 hour subsidized home care is generally not offered by subsidized programs.
Medicare Certified Home Care Agencies:
Provide the services of a registered nurse or physical therapist in the client's home as directed by a physician.
Generally limited to a few visits a week and for a short period of time.
Home occupational therapy (to help perform activities of daily living), social work and home health aides can also be arranged as long as the medical need is there.
Adult Day Care:
Provides a planned, supervised therapeutic and/or recreational program for frail older adults so caregivers can work or take needed breaks.
May help arrange transportation to and from facilities providing programs.
Cost and services may be different for each program.
Hospice Care:
Provides support and services for people with fatal illnesses and their families.
Available either in the client's home, through a hospice center, or other facility.
These programs are designed to make the patient as comfortable as possible, both physically and emotionally, until death.
Home Delivered Meals:
Available for those who are having difficulty shopping and cooking meals.
A home health aide or homemaker may also provide shopping assistance.
Telephone Reassurance/Friendly Visitor Programs:
Provide regular contact for people who live alone to make certain the client is healthy and safe.
Volunteers telephone or visit on a regular basis and are trained to alert someone if there is a problem.
Durable Medical Equipment:
Equipment that may improve an individual's ability to get around and increase their level of independence.
Medicare will cover some equipment, such as wheelchairs, walkers, hospital beds and commodes (portable toilet).
Adaptable equipment for the bathroom such as seats or rails is not covered by Medicare, but is available through medical equipment companies and sometimes through community programs.
Informal Support:
Neighbors, local churches, congregants and/or family members who agree to help out when an older person close to them needs assistance.
Financial Aids:-
Medifund Silver will be rolled out to the rest of the Medifund-approved institutions in the Intermediate and Long-Term Care sector to benefit more elderly patients, said the Health Ministry in a statement.
The scheme was set up in Nov 2007 in restructured hospitals and institutions. A total of $6.1 million has been given to these institutions to help needy patients under the scheme.
Any Singaporean aged 65 years and above can apply for Medifund Silver. Like Medifund, it serves as a safety net of last resort to those who cannot afford basic healthcare despite heavy government subsidies, Medisave and Medishield.
In 2006, about a third of the 290,000 Medifund beneficiaries were over the age of 65. Demand for such financial aid by elderly Singaporeans is expected to grow as the number of Singaporeans over 65 years is estimated to grow to 336,400 by 2010.
Elderly needy patients who have problems paying their medical bills can approach the medical social workers of Medifund-approved restructured hospitals or national centres for assistance.
Local Medifund committees at the approved hospitals and institutions will decide on the appropriate level of help for the applicants.
Question:-
1) 50% elderly need nursing home. We had enough nursing home?
2) 50% elderly need day care and home care service. Who provide the services?
3) Ratio Doctor with elderly is 1:200. Who are the doctors for the Elderly Service?
4) Ratio Staff Nurse with elderly is 1:100. Who are the staff nurses for Elderly Service?
5) Ratio Enroll Nurse with elderly is 1:50. Who are the enroll nurse for Elderly Service?
6) We had enough local healthcare workers to perform Elderly Service?
7) We shall depend on Social Welfare Officers on our financial aids?
8) We shall independent elected our Community Center President to look after our financial aids and elderly care?
9) Our Listed Company shall allocate 1% net profit to help elderly care?
Posted by Dr Anthony Ng Chiew Kiat at 8:26 AM 0 comments Links to this post
1965 age 21 today year 2009 age 65 years old Mederka Singapura?
Sucessful Ageing Plan For Singapore
Between now and 2030, Singapore will witness an unprecedented profound age shift. The number of residents aged 65 years or older will multiply threefold from current 300,000 to 900,000 in 2030. By then, one out of every five residents will be a senior.
WHAT IS A NURSING HOME?
Nursing homes offer 7 day-a-week, 24 hour-a-day services delivered under the supervision of a licensed nurse. Good nursing homes provide help with physical, dietary, therapeutic, social, and recreational needs. Most nursing home residents are elderly and would have difficulty living on their own. Many residents suffer from a chronic (ongoing) illness or a physical or mental disability.
Nursing homes may be a place where individuals stay for a brief period of time after hospitalization if they are not yet ready to return home. For others needing ongoing higher levels of care and assistance, a nursing home is a more permanent situation. Different nursing homes and community services provide different levels of care. Making a decision about your or your loved one’s needs is important in deciding if a nursing home is needed, and if so, which facility will provide the best care.
LONG TERM CARE OPTIONS
You should compare all possible housing and care options to nursing home care to determine if a nursing home is the right choice for you or your loved one. As mentioned, nursing homes are one of many services available to older adults. The following is a brief description of housing options and community resources for people who need assistance.
Personal Care Boarding Homes:
Provide room, meals, supervision and assistance with routine activities of daily living in a residential setting. Activities of daily living (ADLs) include assisting residents with personal care, such as assistance with medication and bathing, etc.
Residents of personal care homes do not require the kind of nursing care provided in a hospital or nursing facility.
Costs vary by facility.
Continuing Care/Life Care Facilities:
Provide various levels of care from independent living to nursing care.
The resident needs to be able to care for him or herself when admitted to an independent living facility.
Assisted Living:
A relatively new housing alternative available to older adults.
Provides independent living accompanied by support with household maintenance and personal care.
Domiciliary Care (DOM Care)/Adult Foster Care:
Provide services similar to personal care boarding homes for people who have difficulty performing routine activities of daily living (bathing, meal preparation) and who need some form of constant supervision.
Rooms are located in the provider’s home and tends to be a home-like environment.
PACE (Program for All-Inclusive Care for the Elderly) otherwise known as the LIFE (Living Independently for Elders): Delivering all needed medical and supportive services, the PACE and/or LIFE programs are able to provide care and services to seniors with ongoing care needs while maintaining their independence in their homes for as long as possible.
Care and services include:
Adult day care that offers nursing (care givers); physical therapy (muscle strengthening), occupational therapy (new ways of performing activities of daily living) and recreational therapy (social activities); meals; nutritional counseling; social work; and personal care.
Medical care provided by a PACE physician who knows the history, needs and preferences of each participant
Home health care and personal care in the home
All necessary prescription drugs
Medical specialists such as audiology (hearing), dentistry, optometry (vision), podiatry (foot care), and speech therapy
Respite care (a break for a full time caregiver)
Hospital and nursing home care when necessary
In-Home Care:
Services such as assistance with bathing, toileting, meal preparation, light housekeeping, and shopping.
May be paid for privately or may be paid for by a third party.
May be accessed through the local Area Agency on Aging (AAA), home care agencies, or other service agencies.
Most subsidized in-home services are offered on a limited basis (for a few hours a day, two or three times a week).
24 hour subsidized home care is generally not offered by subsidized programs.
Medicare Certified Home Care Agencies:
Provide the services of a registered nurse or physical therapist in the client's home as directed by a physician.
Generally limited to a few visits a week and for a short period of time.
Home occupational therapy (to help perform activities of daily living), social work and home health aides can also be arranged as long as the medical need is there.
Adult Day Care:
Provides a planned, supervised therapeutic and/or recreational program for frail older adults so caregivers can work or take needed breaks.
May help arrange transportation to and from facilities providing programs.
Cost and services may be different for each program.
Hospice Care:
Provides support and services for people with fatal illnesses and their families.
Available either in the client's home, through a hospice center, or other facility.
These programs are designed to make the patient as comfortable as possible, both physically and emotionally, until death.
Home Delivered Meals:
Available for those who are having difficulty shopping and cooking meals.
A home health aide or homemaker may also provide shopping assistance.
Telephone Reassurance/Friendly Visitor Programs:
Provide regular contact for people who live alone to make certain the client is healthy and safe.
Volunteers telephone or visit on a regular basis and are trained to alert someone if there is a problem.
Durable Medical Equipment:
Equipment that may improve an individual's ability to get around and increase their level of independence.
Medicare will cover some equipment, such as wheelchairs, walkers, hospital beds and commodes (portable toilet).
Adaptable equipment for the bathroom such as seats or rails is not covered by Medicare, but is available through medical equipment companies and sometimes through community programs.
Informal Support:
Neighbors, local churches, congregants and/or family members who agree to help out when an older person close to them needs assistance.
Financial Aids:-
Medifund Silver will be rolled out to the rest of the Medifund-approved institutions in the Intermediate and Long-Term Care sector to benefit more elderly patients, said the Health Ministry in a statement.
The scheme was set up in Nov 2007 in restructured hospitals and institutions. A total of $6.1 million has been given to these institutions to help needy patients under the scheme.
Any Singaporean aged 65 years and above can apply for Medifund Silver. Like Medifund, it serves as a safety net of last resort to those who cannot afford basic healthcare despite heavy government subsidies, Medisave and Medishield.
In 2006, about a third of the 290,000 Medifund beneficiaries were over the age of 65. Demand for such financial aid by elderly Singaporeans is expected to grow as the number of Singaporeans over 65 years is estimated to grow to 336,400 by 2010.
Elderly needy patients who have problems paying their medical bills can approach the medical social workers of Medifund-approved restructured hospitals or national centres for assistance.
Local Medifund committees at the approved hospitals and institutions will decide on the appropriate level of help for the applicants.
Question:-
1) 50% elderly need nursing home. We had enough nursing home?
2) 50% elderly need day care and home care service. Who provide the services?
3) Ratio Doctor with elderly is 1:200. Who are the doctors for the Elderly Service?
4) Ratio Staff Nurse with elderly is 1:100. Who are the staff nurses for Elderly Service?
5) Ratio Enroll Nurse with elderly is 1:50. Who are the enroll nurse for Elderly Service?
6) We had enough local healthcare workers to perform Elderly Service?
7) We shall depend on Social Welfare Officers on our financial aids?
8) We shall independent elected our Community Center President to look after our financial aids and elderly care?
9) Our Listed Company shall allocate 1% net profit to help elderly care?
Posted by Dr Anthony Ng Chiew Kiat at 8:26 AM 0 comments Links to this post
1965 age 21 today year 2009 age 65 years old Mederka Singapura?