Community-based end-of-life care in Singapore and nursing care implications for older adults in the post-COVID-19 world

Author:

Poon Edward1ORCID,Ang Seng Hock Martin1,Ramazanu Sheena2

Affiliation:

1. St Luke’s Eldercare Private Limited

2. Leadership Institute for Global Health Transformation, Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore

Abstract

Purpose of review To render holistic overview on community-based end-of-life care in the context of Singapore, with analysis of nursing care implications for older adults requiring end-of-life care services. Recent findings Healthcare professionals caring for older adults with life-limiting conditions had to play an active role in the constantly evolving healthcare landscape during the coronavirus disease 2019 (COVID-19) pandemic. Usual meetings and community-based end-of-life care interventions were converted to online mode, utilizing digital technology. In order to provide value-based and culturally relevant care, further studies are warranted to evaluate healthcare professionals, patients and family caregivers’ preferences whilst utilizing digital technology. As a result of COVID-19 pandemic restrictions to minimize infection transmissions, animal-assisted volunteering activities were conducted virtually. Regular healthcare professionals’ engagement in wellness interventions is necessary to boost morale and prevent potential psychological distress. Summary To strengthen the delivery of end-of-life community care services, the following recommendations are proposed: active youth engagement via inter-collaborations and connectedness of community organizations; improving support for vulnerable older adults in need of end-of-life care services; and enhancing healthcare professionals well-being through the implementation of timely support interventions.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Critical Care and Intensive Care Medicine,Oncology (nursing),Oncology,General Medicine

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