2020 TO EVERY - Dover Park Hospice
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COMMITTED TO EVERY INDIVIDUAL NAME: DOVER PARK HOSPICE DOCUMENT TYPE: ANNUAL REPORT YEAR: 20 1 9 2020
BECAUSE EVERY MOMENT MATTERS, EVEN IN THE TIME OF COVID-19. DESPITE UNPRECEDENTED CHALLENGES, THE ESSENCE OF OUR CARE REMAINS THE SAME. WE CONTINUE TO PROVIDE UTMOST CARE AND SUPPORT TO OUR PATIENTS AND THEIR FAMILIES USING DIFFERENT CREATIVE WAYS.
COMING We stand united in the face of adversity, empowering and supporting one another. TOGETHER IN Providing whole patient care is our mantra and our UNPRECEDENTED multidisciplinary team works in solidarity to provide the care needed for our patients TIMES at different trajectories of their illnesses. BALANCING SAFETY WITH COMPASSION We adapt to change so as to uphold the safety and wellbeing of our patients in the midst of the evolving pandemic situation.
DELIVERING HOLISTIC We get to know each patient beyond their illness, maintaining normalcy and finding ways to make their remaining days more meaningful. CARE WHILE MAINTAINING persevering NORMALCY to the end No obstacle is insurmountable. We journey together with our patients through their ups and downs so they can live their last days in comfort and with dignity.
contents Our Mission, Vision and Core Values 8 Message from the Chairman 10 Message from the CEO 12 Adapting to Changes in the Time of 14 COVID-19 DPH Clinical Programmes and Services 20 Adopting a Whole Person Approach to Palliative Care Statistics – Inpatient, Home Care, 28 Programme Dignity, Day Care Patient Story – Mr Tan Geok Chuan 36 DPH Research and Training 38 Advancing Evidence-Based Research in Caring for Patients Patient Story – Mr Kathappan s/o Muthu 48 Community Engagement 50 Building a Community of Care and Support FY 2019-20 Donors List 54 wholeheartedly Patient Story – Mr Tan Mia Hiok Governing Council 60 62 making every Corporate Information Statement of Corporate Governance FY 2019-20 Financial Highlights 66 68 79 moment matter Everything we do comes from the heart. We care with compassion and walk alongside our patients and caregivers, helping them to navigate uncertainty and providing them with comfort.
Our Mission Our vision To provide comfort, To be the Centre of Excellence for Palliative Care Services, relief of symptoms Education and Research. and palliative care to patients with advanced Our core values disease regardless of age, race or religion, Excellence, Team Work and Compassionate Care and to support the grieving families. p 8 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 9
Message from the EXPANSION OF OUR HOME CARE SERVICE In January this year, we integrated COPING WITH THE FALLOUT FROM COVID-19 Palliative care services are under- As the move to our new home at the Integrated Care Hub, HealthCity Novena, draws closer, indomitable spirit of our patients in their battle against their illnesses, through their stories. Programme Dignity, our pilot resourced at the best of times. As we have been building up our Chairman home care programme incepted in 2014 and Singapore’s first palliative home care programme that the healthcare system becomes strained due to COVID-19, providing safe and effective infrastructure and resources to serve a bigger patient base. To this end, we have recently upgraded On this note, I would like to extend my deepest appreciation to all staff, volunteers, donors, community serves terminally-ill patients with end-of-life care will become our human resource, finance partners and council members advanced dementia, into our Dover especially vital yet more difficult. and new day hospice modules. for their collective efforts and Park Home Care service, with the Other than systems, we continue unwavering support in the past service provided at no cost. With the onslaught of COVID-19, to support our staff in upskilling year and especially during such As Singapore’s first purpose-built I am proud and appreciative of themselves through Masters and difficult times. We look forward to hospice, we have come a long way We will also embark on the dedication of both the clinical postgraduate programmes so as more meaningful collaborations as from our humble beginnings as a Programme IMPACT (Programme and non-clinical teams, who to better care for our patients and we enhance care for our patients ground-up initiative by volunteers of Integrated Management and readily stepped up to take on enhance our operations. It is an and help them make the most of to give comfort and dignity to PAlliative Care for the Terminally more responsibilities and quickly honour that we were awarded the their last days. people living with life-limiting Ill Non-Cancer Patients) with Tan adapted to the fast-evolving SkillsFuture Employer Award 2019, illnesses. Over the years, our astute Tock Seng Hospital in August this COVID-19 situation, putting in the only non-profit organisation in Executive Committee and Council year to extend our home care place precautionary measures for this year’s list. With the enhanced have played a vital role in steering service to patients with end stage the safety of our patients. systems and people in place, I am the ship; setting out principles organ failure. confident we are well poised for and best practices in cultivating I am heartened to learn how the the move. good governance and sustainable On the research front, we were team worked creatively; helping fiscal growth. I am proud to share awarded the Intermediate and patients and families connect with As I look back over the 11 years ROBERT CHEW that we were awarded the Charity Long-term Care (ILTC) research one another through technology; that I have been on the Council, Chairman Transparency Award last year as grant from the Agency for continuing rehabilitative therapy I am convinced that none of our an affirmation of our consistent Integrated Care (AIC) to study the at the patient’s bed; celebrating work would be possible without efforts in transparency and good characteristics of our home care different festivities, to name a few, the commitment, determination, governance practices. patients associated with their final with one goal in mind – making professionalism and heart of our place of care in June 2019. every moment matter for our employees – our most valued With the vast experience and patients and their family members. asset. Along with the immense expertise of the Council, we also OPENING OF OUR DAY CARE support of our many volunteers, reviewed our strategic plans at our SERVICE BEYOND COVID-19 donors and community partners, annual Governing Council and Our Day Care was officially With the outlook fraught with I am positive that we will emerge Management Retreat in May this opened by Dr Amy Khor, Senior uncertainty, we will have to be stronger and nimbler after the year to re-align ourselves to meet Minister of State for Health on more innovative moving forward. pandemic. the needs of a changing healthcare 30 October 2019. This provides With telecommuting and virtual landscape and an ageing population, an additional option for patients in meetings as the new normal, The theme of this year’s Annual and to include terminally-ill choosing their preferred place of we will need to rethink the way Report is centred on COVID-19, non-cancer patients with frailty care, supporting them to continue we engage our key partners, where we showcase the grit, or chronic conditions. staying at home and at the same strengthen relations and further fortitude and perseverance of both time, enabling caregivers to be our mission. While we need to our clinical and non-clinical teams, gainfully employed or have respite adapt to the new normal, more not forgetting our volunteers from their caregiving duties. importantly, we need to transform and donors who stood by us to how we operate to deliver more make every moment matter for efficient and effective palliative our patients and caregivers. We care beyond COVID-19. hope you will be inspired by the p 10 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 11
Message from the CEO PALLIATIVE CARE IN THE TIME In light of safe distancing, volunteer Inevitably, the outbreak has also OF COVID-19 activities were cancelled and posed many challenges to our Though the healthcare system is outdoor activities were suspended. major fundraising efforts and burdened by COVID-19, the focus Nonetheless, our Rehabilitation volunteering activities. But, we of palliative care has not changed. team continued to maintain are heartened to see how quickly It remains a ‘whole-person’ normalcy by ‘bringing the garden’ people have rallied around approach spanning medical, to the patients’ beds to lift their vulnerable groups and shown their psychosocial, emotional, social and spirits, to overcome restrictions appreciation to frontline workers spiritual care, but using different on patient movement. Volunteers in one way or another. In adapting 2019 was a busy, but fulfilling year and creative ways to engage continued to engage our patients to the new environment, we for us. The opening of our Day patients and deliver essential care by collecting materials and making are doing more online donation Care in October 2019 marked a with infection control and safety videos for therapy, and through appeals and events to raise funds. major milestone as we extended measures in place. card making, tele-befriending and our services to provide holistic virtual pet therapy sessions. We are especially grateful for and seamless palliative care to our When we implemented some the immense support from kind patients as they transition through palliative care, we can better serve of the precautionary measures Our home care team also individuals, as well as community the different trajectories of their our patients and caregivers with in February this year, we faced embarked on telemedicine, using and corporate partners who have illnesses. With our Inpatient Care, evidence-based knowledge and challenges in having to balance video consultation for non-critical cheered us on with donations of Home Care and Day Care, we practices that are instrumental the safety of our critically ill cases while ensuring continuum masks, lunch sets and care packs in ensure our patients and caregivers in enhancing care and shaping patients with compassionate of care and safety for patients the last few months. are best supported and cared for policies for them. care. Visiting hours were cut short and staff. in different care settings at the and conversations with patients While the COVID-19 situation is right time and place. Recognising RECOGNISING EXCELLENCE and bereaved families who lost ADAPTING TO THE NEW uncertain, we remain steadfast the pivotal role of caregivers, our Our dedicated clinical staff their loved ones at this extremely NORMAL in delivering quality care to Day Care emphasises respite for continued to excel in their challenging time became more This crisis is global in scale our patients, thinking ahead as caregivers, supporting them in respective roles and I would like difficult than ever. and none of us has been left we adjust to the new normal, caring for their loved ones round to congratulate them once again, untouched. While the pandemic navigating the uncertainties the clock. for garnering several awards/ In countering these challenges, has hit us unexpectedly, it has together. accolades such as the Community our clinical team innovated by given us the opportunity to review A BOOST FOR RESEARCH Care Manpower Development leveraging technology to connect and re-evaluate what we do, In bolstering our research efforts, Award, the Healthcare Humanity patients and their families through how we do it and why we do it. we are grateful to have received a Award and the Nurses’ Merit Award. video calls. Our music therapist It has allowed us to be innovative gift of $800,000 from the estate I would also like to commend our also conducted her sessions with in providing better care for our of the late Irene Tan Liang Kheng. nurses who continue to upgrade some patients using video calls. patients and supporting caregivers, With the establishment of the themselves. This year, four of On some occasions, we facilitated during this difficult time. More Irene Tan Liang Kheng Palliative our nurses have graduated from video calls between our volunteers importantly, the team came Care Research Fund that supports nursing diploma and degree and patients who missed one together, to ride the storm and has TIMOTHY LIU research for the advancement of courses. another during the circuit breaker emerged stronger and more united Chief Executive Officer period. than before. p 12 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 13
WE REMAIN STEADFAST Adapting to Since the COVID-19 outbreak in IN PROVIDING THE BEST CARE FOR OUR PATIENTS AND SUPPORTING Changes in January 2020, we have adapted to the evolving situation by implementing precautionary CAREGIVERS, MAKING measures to ensure the safety and wellbeing of our patients, visitors EVERY MOMENT MATTER, and staff amid the pandemic. IN THE NEW NORMAL. the Time of Our screening team, comprising our non-clinical colleagues, stepped up to undertake screening duties while our clinical colleagues maintain normalcy and deliver COVID-19 care to our patients using creative ways, such as bringing activities to the patient’s bed and leveraging technology to keep them connected with their loved ones while working in split teams. With all volunteer activities cancelled at our hospice grounds, our dedicated volunteers continue to spread positive vibes and bring smiles to our patients through the videos they made. While the COVID-19 situation is uncertain, we remain steadfast in providing the best care for our patients and supporting caregivers, making every moment matter, in the new normal. ANNUAL REPORT 2019/20 p 15
In early February, two volunteer representatives from DPH Jade Group distributed goodie bags and mandarin oranges to our patients, in place of the annual Chinese New Year celebrations at the hospice. Due to split team arrangements, our music therapist Our Social Work & Psychosocial Services team prepared and gave out recorded and sang “世上只有妈妈好” (Mum is the origami flowers to our patients and colleagues through the project - Best in the World) with our patient, the late Mr Yap ‘Flower Power’, initiated and coordinated by our art therapist, to enliven Hai Peng, for his mum on Mother’s Day, via an online the hospice. music therapy session, assisted by a medical social worker. A heartfelt video from Gurmit Singh, our ambassador, to encourage and thank DPH staff for their selfless work. Our nurse gave out goodie bags and mandarin oranges gifted to our patients by Novena Neighbourhood Committee. An inpatient, the late Mr Kua Thuan Hock, indulged in a spot of gardening at his bed with the help of our occupational therapists. p 16 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 17
In supporting our patients and caregivers during the COVID-19 pandemic, our Home Care team ran a pilot teleconsultation programme for 17 stable Home Care and Programme Dignity patients in May 2020, with Care packs and goodie bags including masks, mask ear guards, hand sanitizers and sponsored bento support from AIC. lunches were generously donated by our friends and partners. Our first swabbing exercise for all staff conducted in May 2020, as part of the national effort to test all healthcare workers for COVID-19. Our volunteers produced a heartwarming video with a compilation of all their wishes to bring cheer to our colleagues. Celebrated the Dragon Boat festival with patients from different wards, making dumplings through video conference. In celebration of Parents’ Day, our nurse distributed handmade cards to our patients, which were specially Screening station set up at the made by our creative volunteers. beginning of the outbreak. p 18 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 19
DPH CLINICAL Every patient is unique, with diverse needs at different phases of their illness. At DPH, we journey together As we continually expand our delivery of patient care, treating our patients with respect and preserving with advanced illnesses (with a prognosis of less than a year) to spend their remaining days PROGRAMMES with our patients at different trajectories of their illness, ensuring their dignity remain the main tenets of our service. at home, our home care team provides medical and nursing care, AND SERVICES continuum of care throughout their last days. OUR SERVICES while empowering caregivers with the knowledge and training to care for them. Palliative care is more than just the Inpatient Care care of a patient’s physical needs. As their condition deteriorates, In line with the national focus on It is about a whole person approach some patients with advanced increasing community support, - caring for the physical, psycho- illnesses may face increasing DPH Home Care leverages emotional and spiritual wellbeing symptoms such as pain and services and resources in the Adopting a of the patient. Our multidisciplinary breathlessness which do not allow community to provide physical team comprising doctors, them to be cared for at home. Many and financial support to patients. nurses, medical social workers, are admitted to hospitals with acute As subsidised care and the loan physiotherapists, occupational decline in function. With inpatient of certain equipment are largely therapists, a speech therapist, art and hospice care, patients with a based on household income, music therapists, and pharmacists prognosis of less than three months we help patients and caregivers Whole Person work together to individualise care receive round-the-clock medical to navigate and tap on suitable plans focusing on the needs of and nursing care complemented financial assistance schemes in each patient. We recognise that by our palliative rehabilitation and purchasing nursing consumables. patients, their families and loved psychosocial care team, to ensure In some instances, we help low ones are a unit and caring for our they and their caregivers are also income families to source for patients includes supporting their supported psychologically and donations of nursing equipment Approach to loved ones as well. We work with emotionally, thereby enhancing their and consumables as well. caregivers to empower them, quality of life. Some of the patients equipping them with the necessary are able to be discharged home Other than supporting their skills and knowledge. when their symptoms stabilise and financial and emotional needs, our with caregiver training. Since April psychosocial team also provides As an integrated palliative care 2020, short-term inpatient care of link-up services connecting Palliative Care provider, we remain committed up to one month has been extended socially-isolated elderly patients to building capabilities and to patients with a prognosis of less and caregivers with community capacities and continue to expand than one year. partners to strengthen their social the network of community support. This helps in providing partners such as specialists from Home Care continued social engagements and hospitals who serve as our Visiting Most patients with limited prognosis respite care to caregivers. Consultants and our dedicated wish to be cared for at home for group of volunteers, to serve more as long as they are able to. Based people with palliative care needs. on our experience, many find comfort in a familiar environment and in the company of their loved ones. To fulfil the wishes of patients ANNUAL REPORT 2019/20 p 21
PROGRAMME DIGNITY This programme, as an evidence- OUR MULTIDISCIPLINARY TEAM based model of care for advanced In recognition of the unmet needs dementia patients, has led to award Medical, Nursing and AS WE CONTINUALLY EXPAND OUR and importance of palliative care winning research, with findings Pharmacy teams for the rapidly growing population published in international journals. Our medical team is led by DELIVERY OF PATIENT CARE, of individuals with advanced specialist palliative care physicians dementia, Programme Dignity was piloted in 2014 as an integrated DAY CARE in all our services. We work closely with specialists from hospitals in TREATING OUR PATIENTS WITH home care programme specifically Due to their underlying illnesses, patient management so that our Being a training centre in catering for advanced dementia patients with advanced illnesses patients can transit and receive Singapore, our team of doctors and RESPECT AND PRESERVING THEIR patients. may be socially isolated and timely care at various settings nurses plays key roles in palliative physically deconditioned staying like hospitals, daycare, inpatient care education in Singapore. DIGNITY REMAIN THE MAIN TENETS Spearheaded and led by Dr Allyn at home. Our Day Care provides hospices and in their homes. Through internal training, we Hum, a Senior Consultant in an option for patients to engage in ensure standards in care not OF OUR SERVICE. Palliative Care at Tan Tock Seng social and therapy-based activities, Our pharmacy team comprises only in building capabilities but Hospital, together with a group in a different, but safe environment a full-time pharmacist and a advocating for best practices and of geriatricians and palliative care outside their homes, thereby pharmacy technician. Their care for patients with advanced physicians, the programme allows enhancing their psychosocial and participation in patient care illnesses. Our medical and nursing patients with advanced dementia physical wellbeing. This is achieved has ensured delivery of best leaders are also part of the national and their caregivers to be specially through individual and group medication practices. They have workgroups advising on policy and cared for at home in a familiar sessions involving art and music been involved in operational spearheading changes. environment. The team develops therapy as well as physiotherapy practice improvements to customised care plans for patients, and occupational therapy. With minimise medication errors. SOCIAL WORK AND teaching caregivers to manage the help of our regular volunteers, Such improvements have been PSYCHOSOCIAL SERVICES reminisce a part of their lives PALLIATIVE REHABILITATION symptoms such as breathlessness, we also organise leisure activities rolled out in areas such as that is much missed. In addition, pain and to observe for signs such as mahjong, board games labelling of medication, inventory Our Social Work and Psychosocial our art and music therapists use Maintaining one’s mobility and of distress, which is particularly and gardening that promote management of pharmacy stores Services team comprising medical platforms such as “Art Studio” and independence in end-of-life care is important as this vulnerable group social engagement. Our team of and ward areas. Our pharmacy social workers, an art therapist, “Musik-Inc” to encourage patients critical in boosting the self-esteem of patients is unable to articulate committed doctors and nurses team also plays a role in providing a music therapist, as well as a to express their emotions or reflect and preserving the dignity of our their needs. also monitor and manage patients’ holistic clinical care by contributing care coordinator, supports our on significant events in their lives. patients. By addressing symptoms symptoms pro-actively and pre- medication related input and patients by taking care of their Through these activities, we help such as pain, fatigue, lack of A published study of the emptively. Together, through reconciling patients’ medications bio-psycho-social and spiritual to make lasting memories for appetite and helping to strengthen programme revealed all-around regular multidisciplinary meetings, upon admission and discharge. needs through case management. both the patients and their family mobility and increase range of improvement in their quality we tailor our care plan to meet the We work closely with our palliative members. movement, our rehabilitation team of life, with lower utilisation of goals and needs of each individual Not only is nursing the backbone rehabilitation team to organise comprising physiotherapists and healthcare services, reduced and their loved ones. of healthcare, it is also a vital activities such as “Namaste Care”, Palliative care does not stop at the occupational therapists enables frequency of hospital admissions part of palliative care. Besides its which incorporates the use point when a patient passes on, patients to remain independent and emergency room visits. Caregivers play an active and primary role in monitoring patients, of loving touch and a calming but continues beyond in providing as much as possible which in turn Those who need to be admitted pivotal role in caring for their managing pain, administering environment to make a connection emotional and bereavement positively impacts their emotional typically have a shorter hospital loved ones at home. Our Day medication and providing personal with patients to relieve stress and support to family members during wellbeing. This allows them to stay after enrolment in Programme Care differentiates itself through care, our palliative care trained tension. Our popular “Lim Kopi” such difficult times. With our “Rose fulfil their last wishes such as going Dignity. Patients also experience increased caregiver engagement, nurses play an integral role in sessions, where the quintessential for Remembrance” events, we on outings or the ability to sit up less pain and lower incidence of providing respite and catering to providing comfort to patients and coffee shop experience is re- provide a platform for families to to have a meal with their family, neuropsychiatric challenges after their needs to help them better their families, alleviating the fears created at our premises, brings celebrate and honour their loved making their last days meaningful Programme Dignity intervention. cope with the daily stressors and anxiety arising from their some joy to our patients as they ones with fond memories. and memorable. of caregiving. illnesses. p 22 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 23
Key Highlights 3 COMMUNITY CARE 5 COMPLETION OF NATIONAL MANPOWER DEVELOPMENT COLLABORATIVE PRESCRIBING 4 AWARD (CCMDA) 2019 PROGRAMME BY APN SYLVIA LEE Our CEO Timothy Liu and 1 three of our staff received awards from Guest-of- OFFICIAL OPENING OF 2 Honour, Dr Amy Khor, Senior Minister of State for Health, DOVER PARK DAY CARE at the Community Care HEALTHCARE HUMANITY Manpower Development Award (CCMDA) 2019 AWARDS 2020 NURSES' MERIT presentation on 18 September AWARD 2019 2019. Staff Nurse Muhammad Resident Physician Dr Martin Ikliluddin from Home Care Lee, Senior Staff Nurse in the is pursuing a part-time Advanced Practice Nurse (APN) Home Care team Ang Boon On 17 July 2019, Staff Nurse Bachelor of Science (Nursing) Sylvia Lee successfully completed The Yang, and our volunteer Lydia Quah Mei Hwei received degree course at Curtin National Collaborative Prescribing Muhammad Agus bin Othman the Nurses’ Merit Award 2019, University (Singapore). Senior Programme, which was co-hosted won the Healthcare Humanity which recognises those who Staff Nurse Me Me Oo from by the NUS Alice Lee Centre for Nursing Award 2020. The awards give have displayed consistent and Inpatient Care completed the Studies and the Department of Pharmacy, recognition to outstanding outstanding performances Specialist Diploma in Palliative and the graduation ceremony was healthcare workers, for the past three years, Care Nursing course at Ngee held on 20 November 2019. The 14- caregivers and volunteers been involved in professional Ann Polytechnic. Senior Another major milestone week programme prepares APNs and who go the extra mile to offer development and made Physiotherapist, Roxanne was reached with the official pharmacists to prescribe medication care and comfort to the sick contributions to promote the Foo also received the award opening of our Day Care on under a Collaborative Practice Agreement and elderly. nursing profession. and is currently pursuing a 30 October 2019. Officiated with a medical practitioner. APN Sylvia Master of Science in Palliative by Dr Amy Khor, Senior Lee, together with former Singapore Care degree at King’s College Minister of State for Health, Hospice Council Chairman Dr Angel London. the guests were given a Lee, and DPH Medical Director, Dr Ong tour of the Day Care facility Wah Ying, is now also part of the Ministry and viewed a showcase of Health Community Collaborative of some of our Day Care Prescribing Subcommittee which activities. Besides social- oversees the Collaborative Prescribing based activities, the Day Care Community implementation framework provides therapy-based and for the prescription of drugs by APNs in rehabilitative sessions to the community setting. Dr Yee Choon meet patients’ physical and Meng, Consultant and Head of Dover Park psychosocial needs. Home Care is the collaborating physician. p 24 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 25
6 8 PROGRAMME DIGNITY 10 9 GRADUATION FROM Programme Dignity, PALLIATIVE NURSING COURSES Singapore’s first palliative REHABILITATION SERVICE home care programme Senior Staff Nurse Me Me Oo specially for those with To meet the increased need 7 and Staff Nurse Roi Lai advanced dementia, was "SPIRITUAL CARE 101" for Palliative Rehabilitative from our Inpatient team integrated with Dover Park services, our Palliative TALK graduated from the Specialist Home Care programme Rehabilitation team was Diploma in Palliative Care in January 2020. Piloted strengthened with the in October 2014, the On November 21, 2019, a Nursing programme while recruitment of Senior Staff Nurse Elaine Yip PROGRAMME IMPACT programme which allows group of religious leaders Principal Occupational patients with advanced attended the “Spiritual from the Home Care team Therapist, Grace Sim, who Dover Park Home Care dementia to be specially Care 101” talk where they graduated from the Advanced has extensive experience team is in discussion with cared for at home in a familiar exchanged ideas and Diploma in Palliative Care in palliative day care in Tan Tock Seng Hospital to environment, has seen discussed ways they could Nursing programme. These October 2019. continue Programme IMPACT close to 590 patients work together in supporting programmes are conducted (Programme of Integrated (as of 30 June 2020). our patients’ spiritual needs. by Ngee Ann Polytechnic Management & PAlliative Care Insights were also shared in collaboration with Dover for the Terminally ill Non- Since 2018, the learning on helping patients and Park Hospice and the Cancer Patients) in August points from Programme caregivers identify and National Cancer Centre. In 2020. Programme IMPACT Dignity have been translated respond to spiritual distress. addition, Senior Staff Nurse Mirza Abdul Halim Rafi from is an ongoing Home Care into the Geri-Pall Workshop Inpatient Care graduated service which was started in conducted in Singapore from the Bachelor of Nursing Tan Tock Seng Hospital in and Khon Kaen, Thailand degree course at Curtin 2017 to care for patients with that teaches specialist University (Singapore). end stage organ failure. trainees, consultants and healthcare providers across all healthcare sites about the care of individuals suffering from advanced dementia. p 26 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 27
inpatient By Referral By Gender Age Group By Diagnosis Admitted (63.0%) 355 Male (59.4%) 211 Below 20 (0%) 0 Cancer (84.8%) 301 Rejected (0.2%) 1 Female (40.6%) 144 20 – 45 (0.9%) 3 Non-Cancer (15.2%) 54 Withdrawn (36.8%) 207 Total 355 46 – 55 (5.6%) 20 Total 355 Total 563 56 – 65 (19.2%) 68 66 – 75 (26.2%) 93 Above 75 (48.2%) 171 Total 355 By Race Length of Stay By Referral Chinese (83.0%) 295 Less than 1 day (5.6%) 20 Hospitals 423 Malay (9.8%) 35 1 – 7 days (27.6%) 98 Community Hospitals and Nursing 19 Homes Indian (5.1%) 18 8 – 14 days (18.0%) 64 Dover Park Home Care/ Programme 99 Boyanese (0.3%) 1 15 – 21 days (9.3%) 33 Dignity Sikh (0.9%) 3 22 – 30 days (11.5%) 41 Other Home Care 20 Eurasian (0.6%) 2 31 – 60 days (15.5%) 55 Others 2 Filipino (0.3%) 1 61 – 90 days (5.9%) 21 Total 563 Total 355 More than 90 days (5.6%) 20 Not discharged during FY19 (0.9%) 3 Total 355 Average 28 p 28 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 29
home care By Referral By Gender (Admitted) Age Group (Admitted) By Diagnosis (Admitted) Admitted (76.2%) 342 Male (56.4%) 193 Below 20 (0%) 0 Cancer (87.7%) 300 Rejected (15.8%) 71 Female (43.6%) 149 20 – 45 (1.8%) 6 Non-Cancer (12.3%) 42 Withdrawn (8.0%) 36 Total 342 46 – 55 (4.1%) 14 Total 342 Total 449 56 – 65 (17.5%) 60 66 – 75 (22.8%) 78 Above 75 (53.8%) 184 Total 342 By Race (Admitted) Length of Stay (Admitted) Chinese (88.0%) 301 Less than 1 day (0%) 0 Malay (6.4%) 22 1 – 7 days (12.6%) 43 Indian (3.8%) 13 8 – 14 days (6.7%) 23 Sikh (0.3%) 1 15 – 21 days (7.6%) 26 Javanese (0.3%) 1 22 – 30 days (8.2%) 28 Eurasian (0.3%) 1 31 – 60 days (14.9%) 51 Other races (0.9%) 3 61 – 90 days (9.6%) 33 Total 342 More than 90 days (19.9%) 68 Not discharged during FY19 (20.5%) 70 Total 342 Average 84 p 30 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 31
Programme Dignity By Referral By Gender (Admitted) Age Group (Admitted) Admitted (63.9%) 76 Male (27.6%) 21 Below 20 (0%) 0 Rejected (10.1%) 12 Female (72.4%) 55 20 – 45 (0%) 0 Withdrawn (26.0%) 31 Total 76 46 – 55 (0%) 0 Total 119 56 – 65 (1.3%) 1 66 – 75 (2.6%) 2 Above 75 (96.1%) 73 Total 76 By Race (Admitted) Length of Stay (Admitted) Chinese (85.5%) 65 Less than 1 day (0%) 0 Malay (5.3%) 4 1 – 7 days (15.8%) 12 Indian (7.9%) 6 8 – 14 days (9.2%) 7 Eurasian (1.3%) 1 15 – 21 days (2.6%) 2 Total 76 22 – 30 days (3.9%) 3 31 – 60 days (6.6%) 5 61 – 90 days (3.9%) 3 More than 90 days (21.0%) 16 Not discharged during FY19 (36.8%) 28 Total 76 Average 108.4 p 32 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 33
day care By Referral By Gender Age Group By Diagnosis Admitted (38.7%) 24 Male (45.8%) 11 Below 20 (0%) 0 Cancer (87.5%) 21 Rejected (24.2%) 15 Female (54.2%) 13 20 – 45 (0%) 0 Non-Cancer (12.5%) 3 Withdrawn (37.1%) 23 Total 24 46 – 55 (4.2%) 1 Total 24 Total 62 56 – 65 (20.8%) 5 66 – 75 (12.5%) 3 Above 75 (62.5%) 15 Total 24 By Race Length of Stay Boyanese (8.3%) 2 Less than 1 day (4.2%) 1 Chinese (75.0%) 18 1 – 7 days (4.2%) 1 Eurasian (4.2%) 1 8 – 14 days (12.5%) 3 Malay (12.5%) 3 15 – 21 days (4.2%) 1 Total 24 22 – 30 days (0%) 0 31 – 60 days (12.5%) 3 61 – 90 days (20.8%) 5 More than 90 days (41.7%) 10 Not discharged during FY19 (0%) 0 Total 24 Average 93 p 34 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 35
a filial son When Mr Tan Geok Chuan was Sad and disappointed upon Even though he was in and a loving diagnosed with liver cancer in early hearing this news, Mr Tan chose considerable pain in the few weeks 2018 at the age of 59, the news did to go home. His wife, a dedicated prior to his passing, Mr Tan never not come as a complete shock caregiver always by his side complained and kept his faith. As to him. providing emotional support, a devout Taoist, he had come to remained committed to looking terms with his condition and only Mr Tan’s family had a history of father till after him. However, when she wished not to be a burden to his liver cancer and he had lost both was at work, there was no one to family. One of his last wishes was his mother and younger brother to stay home with Mr Tan. Hence, to make a trip to Thailand to visit a liver cancer several years earlier. He she had to rely on a closed-circuit revered monk, but he was already too had suffered from hepatitis and television camera to monitor him. too frail at that point to travel. liver cirrhosis for a long time. Mr the very end Tan felt that he was very unlucky Mr Tan came under the care of Mr Tan also hoped to arrange as he believed “bad luck comes our Home Care team in October for his late father’s niche to be in threes” and he had already 2019. Our nurse and medical repositioned to a ‘better location’ undergone three major operations social worker checked in on him at eye level in the columbarium in the previous five years as he was frequently to monitor his condition before he passed on. He had not afflicted by other health problems and manage his symptoms, and been able to afford this at the time Mr Tan Geok Chuan as well. gave Mrs Tan advice on how best of his father’s death and had felt to take care of him at home. deep remorse over the years. He A family man with two grown-up felt more at peace with himself children, Mr Tan had once run a Mr Tan’s condition deteriorated after this had been arranged. successful business with about further after about a month, 30 staff, offering traditional Thai and our Home Care team Mr Tan had expressed his wish to massage services. However, he was recommended that he be attend his daughter’s wedding and forced to close his business after admitted to our hospice as it our Home Care team arranged about 10 years due to spiralling was increasingly difficult for Mrs for a wheelchair for him. He was overhead costs and worked as a Tan to care for him. As a hospice very happy to be able to attend the masseur thereafter. volunteer, Mrs Tan agreed that he wedding dinner in Singapore, just should receive round-the-clock two weeks before he passed away. Upon his doctor’s advice, Mr Tan care as an inpatient. However, Mr underwent an operation to remove Tan was adamant about spending Mr Tan passed away peacefully at the tumour. He thought he was his last days at home. In respecting home on November 17, 2019, just out of the woods, however, a Mr Tan’s wish, our Home Care a few hours after his daughter had scan six months later revealed team continued to care for him held her wedding dinner in Malaysia that the cancer was back and he and were readily available to help the previous night. Although he was had to undergo chemotherapy. when Mrs Tan called for assistance. not able to attend, it was as if he A subsequent scan some months Our medical social worker also had willed himself to live on just so later revealed that the cancer had arranged for a nurse to assist in she could complete her wedding spread. This time, he was given a taking care of Mr Tan at night. celebrations. He was truly a filial son prognosis of two months. and a loving father till the very end. ANNUAL REPORT 2019/20 p 37
DPH RESEARCH WITH GROWING NEEDS IN PALLIATIVE AND TRAINING As a purpose-built hospice, we CARE FROM CANCER TO NON-CANCER pride ourselves in delivering quality evidence-based palliative and ILLNESSES SUCH AS END-STAGE ORGAN end-of-life care and have been collaborating with other institutions FAILURE AND DEMENTIA, WE DESIGN on research studies since the early 2010s. Through our research, we gain insights into the challenges AND CONDUCT HIGH-QUALITY STUDIES Advancing life-limiting diseases place not only on patients, but also on caregivers, IN THESE AREAS SO AS TO HAVE A clinicians and the healthcare system. This evidence-based GREATER IMPACT ON OUR PATIENTS knowledge helps us better care for our terminally ill patients, while AND CAREGIVERS. Evidence-Based serving to inform policy makers in the allocation of resources and formulation of guidelines that may eventually translate to better patient care and caregiver support. Research in With growing needs in palliative Training and education are In addition to building capabilities care from cancer to non-cancer imperative for healthcare in the sector, we strive to establish illnesses such as end-stage organ professionals in providing quality a culture of lifelong learning for failure and dementia, we design palliative care to patients. In line our staff by providing a myriad of and conduct high-quality studies with our goal of being the centre upgrading opportunities. E-learning in these areas so as to have a for excellence for research and courses are available for staff to Caring for greater impact on our patients education, we remain focused on enhance their skills while weekly and caregivers. our efforts to increase capabilities talks and tutorials are conducted in end-of-life care by offering to share insights and the latest training programmes to the developments in palliative care to healthcare community. We offer elevate the level of care offered to clinical attachments for medical our patients. Patients and nursing students and year- round training opportunities to doctors, nurses and allied health professionals to support their professional development. Field visits are also organised to facilitate knowledge sharing with partners in the healthcare sector. ANNUAL REPORT 2019/20 p 39
Key Highlights 2 5 RESEARCH 1 16TH WORLD CONGRESS CLINICAL OUTCOMES OF PROGRAMME DIGNITY PUBLISHED IN JOURNALS 3 INTERMEDIATE AND 4 SINGAPORE HEALTH AND BIOMEDICAL CONGRESS 2019 OF THE EUROPEAN The clinical outcomes of LONG-TERM CARE (ILTC) JOINT RESEARCH STUDIES DPH participated in the ASSOCIATION FOR Programme Dignity were RESEARCH GRANT Singapore Health and WITH TAN TOCK SENG PALLIATIVE CARE (EAPC) published in journals. Our Biomedical Congress in article “Advanced Dementia: HOSPITAL AND NTU In June 2019, DPH was October 2019 and our poster an integrated homecare awarded the Intermediate LKCMEDICINE “Impact of a specialised programme” was published in and Long-term Care (ILTC) palliative homecare the journal “BMJ Supportive research grant administered Through research grants programme for advanced and Palliative Care” in May by the Agency for Integrated administered by PalC awarded dementia: Comfort and 2019. Our research paper, Care (AIC) to study the in September 2019, Medical satisfaction with care at “Comfort and Satisfaction characteristics of our Director, Dr Ong Wah Ying the end-of-life” by Senior with Care of Home-Dwelling homecare patients associated and Resident Physician, Research Executive, Ms Tay Ri Dementia Patients at the End with their final place of care. Dr Chia T-Yunn were Yin, won the Silver Award in of Life” was published in the separately invited to the Health Services Research “Journal of Pain and collaborate with investigators category. Our poster Symptom Management” in from Tan Tock Seng Hospital “Antibiotic Use in Advanced In May 2019, 5 DPH staff December 2019. and NTU LKCMedicine in Dementia at the End of Life: participated in the 16th World two research studies Comfort or Conflict?” was Congress of the European Both research papers can be on “Evaluating Clinical also presented by Resident Association for Palliative accessed at Benefits and Healthcare Physician, Dr Erwin Francisco. Care (EAPC), a highly https://www.palc.org.sg/ Utility Impact of a Novel anticipated international research/our-publications/ Palliative Rehabilitation research congress in Berlin. journals/ Service for Patients with Resident Physician, Chronic Breathlessness – The Dr Erwin Francisco’s study on Integrated Care for Advanced “Antibiotic Use in Advanced REspiratory Disorders (ICARE) Dementia Patients Near End Programme” and “Movie of Life: Comfort or Conflict” Reflection for Junior Doctors was selected out of 1,400 Working in Pallative Care abstract submissions for Units” respectively. oral presentation, alongside eminent researchers in the field. p 40 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 41
TRAINING 7 8 10 6 VISIT BY 53 LEADERS FROM THE COMMUNITY CARE SECTOR VISIT BY PARTICIPANTS IN 15TH IGNITING LEADERS PROGRAMME On 16 January 2020, 9 FIELD VISITS FOR TRAINING COURSES FOR HEALTHCARE PROFESSIONALS, STUDENTS, STAFF AND participants in the 15th STUDENTS AND HEALTHCARE VOLUNTEERS VISIT BY HELPING HAND Igniting Leaders Programme PROFESSIONALS (HONG KONG) (ILP), a course organised Provided training for 131 by Healthcare Leadership healthcare professionals Hosted 188 students and through 5 different palliative College (HLC), were hosted as healthcare professionals care courses. part of a learning journey to both local as well as from gain a better understanding of China, Hong Kong, Japan, Conducted clinical the types of services available Korea, Taiwan and the United attachments for 303 local to support patients and the Kingdom. and overseas students and elderly in the community care setting and the challenges professionals from the service providers faced in medical, nursing and allied developing these services. health sectors. On 16 May 2019, 27 staff Launched 9 new e-learning 53 leaders from the from “Helping Hand”, a charity courses on topics such Community Care sector that provides personalized as those pertaining to were hosted for a learning residential care and leisure patient care for staff, visit on 17 October 2019 to services for seniors in Hong volunteers and participants gain insights into hospice Kong, were hosted during a on clinical postings. operations and end-of-life short visit. A mini tour was care, as part of the Agency conducted to give them a for Integrated Care’s IGNITE better understanding of our programme. In addition to daily activities while insights discussing developments into Advance Care Planning in Palliative Care and some in Singapore and real-life of the challenges faced in experiences relating to managing a hospice, a site end-of-life services were tour was also conducted. also shared. p 42 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 43
The Palliative Care Centre One of AIC’s Lead Training Providers since July 2018, PalC develops and delivers quality, evidence-based palliative care training and education A tripartite collaboration was programmes on end-of-life care for Excellence established by Dover Park Hospice, to build and empower healthcare Nanyang Technological University providers. Through these (NTU) Lee Kong Chian School of programmes which raise palliative Medicine and National Healthcare care awareness, knowledge Group (NHG) to form the Palliative and skill, healthcare providers Care Centre for Excellence in are better equipped to provide in Research Research and Education (PalC) disease-specific, needs-based in October 2017. Through this palliative care for patients and their collaboration, PalC leverages on caregivers, allowing patients to live the strengths, capabilities and their final days with dignity. capacities of its partner institutions to advance palliative care research and Education and education in order to contribute to the growing base of evidence that drives the care (pa IC) of our patients. PalC aims to advance palliative care research, particularly in non-cancer illnesses, expanding the evidence base for patient centred care to meet the needs Pa C AIMS TO ADVANCE of an ageing population. As more individuals prefer to pass away PALLIATIVE CARE RESEARCH, at home, PalC also aims to study the effectiveness of community PARTICULARLY IN NON-CANCER palliative care models, to better care for patients living at home, ILLNESSES, EXPANDING THE and to support their caregivers who provide the majority of EVIDENCE BASE FOR PATIENT the care. CENTRED CARE TO MEET THE NEEDS OF AN AGEING POPULATION. ANNUAL REPORT 2019/20 p 45
Key Highlights 5 1 2 4 ASIA PACIFIC HOSPICE NETWORK (APHN) WEBINAR THE IRENE TAN LIANG KHENG PALLIATIVE CARE RESEARCH FUND PALC COURSES 10 courses covering various 3 INTRODUCTION OF SINGAPORE HEALTH & BIOMEDICAL CONGRESS 2019 We participated in the We hosted an Asia Pacific Hospice Network (APHN) webinar on “Palliative Care in ICUs” with Dr Poi Choo Hwee, Senior Consultant, areas in palliative care such NEW COURSES Singapore Health and Department of Palliative Care, as pain management, coping Biomedical Congress 2019 Tan Tock Seng Hospital, as with bereavement, and the organised by the National the speaker on 18 November Two new courses made psychosocial, spiritual, legal Healthcare Group on 11 2019. This was part of a their debut in 2019. “Palliative and ethical aspects of end October 2019, leading the series of collaborative Care in Advanced Non- of-life care were organised Palliative Care track themed webinars hosted by APHN cancer Conditions” as well as and attended by a total of 325 “It Takes a Kampung” where that are accessed by member “Family Dignity Intervention: healthcare professionals. insights were shared on organisations across the Asia Psycho-Socio-Spiritual Care the “whole care” approach Pacific region. for Terminally-ill Patients and their Families” were adopted in palliative organised and attended by medicine. In March 2020, the Palliative Care Research 73 healthcare professionals Grant was renamed the Irene Tan Liang Kheng in total. Palliative Care Research Fund with part of a donation from her estate. Mr Tan Hsuan Heng, nephew and trustee of the estate of the late Irene Tan Liang Kheng gifted the donation of $800,000 to PalC. This generous donation will help support research for the advancement of palliative care and increase the capacity of the healthcare community in caring for terminally ill patients. A portion of the fund will also be used for self-care educational programmes for palliative care nurses. p 46 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 47
Persevering An avid golfer in his younger days, Mr Kathappan s/o Muthu recalls Despite his condition, Mr Kathappan continues to work team always lends a listening ear. This helps me feel much better,” in the Face the 40 years he spent as a golf as a security officer. He is the sole he said. coach with much fondness. breadwinner as his children are unable to work. His wife, who has “Last year, my wife, son and I To help support his family, he been his pillar of support all these went for an outing to Suntec City started working as a caddie when years, still cooks delicious meals arranged by the Home Care team. he was just 10 years old where for him, despite her own health It was truly a memorable of Adversity some of the expatriate golfers he interacted with taught him how to play the game. As he had a flair for golf, he started playing professionally when he was problems. They met when she was in her teens, and have been happily married for 55 years. Mr Kathappan has been under experience,” he added nostalgically. Despite his condition, Mr Kathappan’s only hope is to carry on working so he can provide for 20, participating in prestigious the care of our Home Care team his family for as long as possible. He Mr Kathappan s/o Muthu tournaments such as the Singapore since September 2019. They has been trying alternative therapies Open and the Malaysia Open. have been checking in on him such as traditional medicine and As he did not wish to leave his regularly to monitor his condition. food to help manage his illness. wife and children frequently to Our medical social worker has travel overseas for tournaments, helped him obtain financial A devoted and selfless family man, he decided to give up playing assistance, which has helped ease Mr Kathappan’s resilience and professionally to become a golf his financial burden. The team perseverance that were built up over coach four years later. also provides him with emotional his years as a golfer, golfing coach and psychological support, as he and in battling cancer, are definitely “The interaction with my students continues his fight with cancer. traits worth emulating by all. and the joy I got from seeing them picking up the necessary skills are “As a cancer patient, I often have what I miss most about my days bad nightmares that affect me as a golf coach. Many think golf is emotionally but the Home Care a difficult game to pick up, but my instructions were easy to follow so my students were able to pick up the skills without much difficulty,” he shared proudly. A DEVOTED AND SELFLESS FAMILY MAN, With age catching up, Mr Kathappan eventually gave MR KATHAPPAN'S RESILIENCE AND up coaching but still returned to his first love as a golf course supervisor, a role he retired PERSEVERANCE THAT WERE BUILT UP OVER from about 10 years ago. He subsequently became a security HIS YEARS AS A GOLFER, GOLFING COACH officer. AND IN BATTLING CANCER, ARE DEFINITELY About three years ago, Mr Kathappan was admitted to TRAITS WORTH EMULATING BY ALL. hospital for further tests due to a persistent fever. He was distraught to learn that he had liver cancer. He has since undergone chemotherapy, however, his prognosis is not good. ANNUAL REPORT 2019/20 p 49
WE STRIVE TO INCREASE THE AWARENESS AND UNDERSTANDING OF END-OF-LIFE CARE THROUGH COMMUNITY OUR OUTREACH EFFORTS AND TO ADVOCATE THE ENGAGEMENT IMPORTANCE OF SUCH CARE ESPECIALLY FOR PEOPLE WHO ARE TERMINALLY ILL AS WELL AS THEIR CAREGIVERS. building a At DPH, we believe in building a community of care and support where individuals, members of the community and corporate partners community where people from different walks come together to reinforce each of lives come together in caring for other’s efforts in making every our patients. moment count for our patients. Engaging the community, In addition, we strive to increase our Volunteer Management, the awareness and understanding of care Fundraising and Communications of end-of-life care through our & Outreach teams continue to outreach efforts and to advocate forge relationships with new the importance of such care partners and volunteers while especially for people who are strengthening ties with the old, terminally ill as well as their building a community of care caregivers. and support ANNUAL REPORT 2019/20 p 51
Key Highlights 5 "FUTURE-PROOFING PALLIATIVE & BEREAVEMENT CARE IN THE COMMUNITY" PUBLIC FORUM 2 4 1 EVERY MOMENT MATTERS 2019 3 SUNFLOWER GALA ANNUAL YEAR-END FUNDRAISING MAILER 6 DPH CHARITY GOLF 2019 BALL 2019 Ms Linda Hart, our active volunteer and group leader of the Sapphire Befrienders Group was invited to be a panelist at a public forum, “Future-Proofing Palliative VOLUNTEER ACTIVITIES and Bereavement Care in the Community” on 13 January About 1,200 activities were We expressed our 2020. Organised by Tan Tock conducted by our 420 appreciation to 45 community Seng Hospital, the forum devoted volunteers across 18 partners at our annual Every highlighted the important different volunteer groups for About 105 golfers teed off for our patients in Home Care, Moment Matters (EMM) event role of volunteers and the a good cause at our biennial Day Care and Inpatient Care. held at our new Day Care on community in supporting DPH Charity Golf which 3 July 2019, hosted by DPH patients and their loved took place at The Singapore Our annual Sunflower Gala Ambassador Gurmit Singh. ones in palliative and 7 Island Country Club (Bukit Ball with the theme “Jam, The event was attended bereavement care. Course) on 24 April 2019. Jive, Jazz” was held at The by long-term community The event concluded with Ritz-Carlton Millenia on 17 partners, those that have a dinner graced by Mr August 2019. Graced by More than 8,700 copies recently joined us as well as Tan Kwang Cheak, Chief Guest-of-Honour Mr Gan of our creatively designed other guests who wanted to Executive Officer of Agency find out more about Dover Kim Yong, Minister for Health, annual year-end mailer were FUNDS RAISED FOR THE YEAR for Integrated Care (AIC) as and DPH patron, Dr Tony sent out as part of our yearly Park Hospice and how they Guest-of-Honour. More than Tan Keng Yam who was our fundraising drive, thanks can collaborate with us to As a result of the generous S$258,000 was raised, thanks special guest, the event raised to the hard work of our enhance the quality of life for support of donors, a total to the generosity of our more than S$1.1 million in dedicated volunteers. More our terminally-ill patients. A of close to S$2.6 million sponsors and supporters. support of our patient care than S$300,000 was raised dialogue session entitled “Care was raised for the Financial programmes. through this campaign. Year 2019-2020 to help in the Community” was also held as part of the programme. provide our patients with quality end-of-life care. p 52 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 53
DONORS list Chua Kim Chiu Ho Liam Juan Chua Lee Ngoh, Annie Chua Pei Ling, Eileen Ho Mui Peng Ho See Cheng L Lai Kuan Hoe, Leslie Chua Yong Kwang, Kevin (Dr) Ho Siok Hwa, Eileen Lai Ling Ling Ho Vee Leung Lam Kah Hoe Ho Vui Min D Daljeet Singh Sidhu (Dr) Hon Sook Chern Huang Ching-Kuei Lam Yi Young Lars Sorensen Lau Hong Choon (Dr) Hun Sue Fong, Lydia Lau Kim Choo We would like to express our deepest appreciation to our donors - (IMO-Hun Tong Phong) Lau Mei Hwa corporations, organisations and individuals for their contributions E Edmund Lin and Trina Ling-Lin Hun Sue Hwee, Vivian (IMO-Hun Tong Phong) Hun Tock Juan, Ronnie Lee Aik Seow Lee Ang Seng ($1,000 and above) in the past year. Thank you for supporting our cause Estate of Chong Yok Moi (IMO-Hun Tong Phong) Lee Angel (Dr) Lee Beng Hooi Estate of Irene Tan Liang Kheng in providing quality palliative care and bringing comfort to our patients Estate of Tan Kay Guan Lee Chiang and their families during their difficult times. We are privileged to have Eu Oy Chu (Dr) J James Best (Dr) Lee Chin Cheng Lee Deborah Lee Ee Ling, Tina your support. F Fan Yue Soon, Charles Jay Sadhana Shiven Julia & Robert Quek Lee Kiow Seng Lee Swee Chan Lee Teng Suan INDIVIDUALS Foo Jong Wey Lee Tuck Wah, Philip Foo Marlene Foo Yee Ling K Kamsiah Bte Abdul Hamid Lee Yi Qian, Cheryl Leong Eng Keong A Chan Wai Leong Chang Yoong Hui, Joyce Chin Chi Onn, Colin Chin Khan Sang Kang Wee San, Jessie Leong Kwok Weng Leong Say Boon Ang Poh Jiok Ang Woon Kai Chan-Lien Margaret Chay Oh Moh (IMO-Tan Kok Kong) Chin Lee Ting, Verena G Gan Ser Khoon Khan Yeow Wai, Robert Kho Kwang Mui (Dr) Khoo Chwee Tin Leow Fan Siew Li Qianwen Au Oi Leng Cheah Suan Beng, Nicholette Agnes Chin Yau Seng Lian Whye Meng Aw Kian Heng Chen Dan, Diane Chionh Chye Luay Go Puay Wee Khoo Linda Lim Ai Nah Aw Sen Harng Chen Jie'An, Jared Chng Bee Leng Goh Cheong Hock Khoo Siok Puay (IMO-Goh Teck Chye) Lim Chee Hoe Cheng Hong Wing, Alfred Chng Chee Kiong Khoo Whee Leng (IMO-Lim Yock San) Chng Hwee Hong Goh Eng Kee Khoo Whee Luan Cheng Yoke Ping B Boey Wen Ching, Lydia Cheong Wei Kok, Bernard Chew Robert Choe Fook Cheong @ Alan Choe Chok Soo Hoon, Mildred Goh Eng Kuang, Danny Goh Ing Nam Koh Ah Soon Koh Choon Kiat Lim Chee Khiam Lim Chee Liang (IMO-Lim Kiat Keng) Chong Yu Moi Goh Pheck Suan, June (Dr) Koh Guan Teck Chey Chor Wai Lim Chew Meng, Vincent Choo Bee Li Goh Pi Lee, Beverly (Dr) (IMO-Koh Chek Huat) Chia Fan Tat Lim Chiaw Chang C Caers Lucas Henri R. Chia Lay Hoon Chia Mok Leng Choo Chiau Beng Choo Wan Ling (Dr) Chow Goon Chau, Patricia Goh Timothy Gwee Chwee Kee, Rupert Koh Kok Ong Koh Kok Tian Koh Tieh Koun (Dr) Lim Chin Hu Lim Choon Hong Chia Piah Yam Lim Feng, Philip Koh Tse Hsien (Dr) Chan Ah Choo Chan Bee Leng Chan Guek Cheng, Noreen Chia Soo Hien Chia Weng Kaye Chiang Khim Kee Chow Harry Chua Choon Hock (IMO-Phang Hong King) H Heng Hock Mui Kwek Kon Yew (Dr) Lim Fung Yen, Jeremy (Dr) Lim Hock Chee Lim Joo Boon Chan Kin Ming (IMO-Chiang Teng Guan) Chua Jiak Hwee (IMO-Heng Yee Koon) Lim Juay Hiong Chan Wai Fen Heng Kelvin p 54 DOVER PARK HOSPICE ANNUAL REPORT 2019/20 p 55
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