2020 TO EVERY - Dover Park Hospice

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2020 TO EVERY - Dover Park Hospice
COMMITTED
TO EVERY
INDIVIDUAL

       NAME:   DOVER PARK HOSPICE
       DOCUMENT TYPE:   ANNUAL REPORT
        YEAR:

        20 1 9
        2020
2020 TO EVERY - Dover Park Hospice
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.
2020 TO EVERY - Dover Park Hospice
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.
2020 TO EVERY - Dover Park Hospice
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.
2020 TO EVERY - Dover Park Hospice
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.
2020 TO EVERY - Dover Park Hospice
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
2020 TO EVERY - Dover Park Hospice
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
2020 TO EVERY - Dover Park Hospice
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
2020 TO EVERY - Dover Park Hospice
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
2020 TO EVERY - Dover Park Hospice
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.

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                                                                                                                                                      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.

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                                                                                                                                                              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

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                                                                                                                                                    2019/20                                     p   55
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