Taking time to reflect how our CoP has come thus far, we would like to thank you all again for spending time to think about our discussion topics and contributing value to this blog. Whether it's a mere 2-cents' worth of personal opinions, references to what others have said or honest insights into the industry, it's nothing short of creating value for our project. Your input reflect the breadth of knowledge and depth of thought.
Many times in our posts, we have centered our conversations around the issue of caregiving and put focus on what the voices of the communities are saying. Saying to policy makers, opinion leaders of the industry, researchers, health service providers. In a handful of comments, we sense passion in your beliefs, we see revelation of the health sector.
I was watching tonight's documentary on the phenomenon of depression in the Singapore society, Channel 8's 无忧无郁 and for moments of the enactment of a depressed caregiver tending to her elderly mother and her emotional breakdown, I can almost identify with the trials she goes through, save for, maybe, the suicidal tendencies. And it dawned even more heavily on me (aside from the fact that this series on depression is shown) that as a people, each of us is experiencing some extent, some form of depression. In each of our very own right, we are.
The issue of health care is not merely a national concern taxonomized into the areas of medical research, caregiving, hospitals, medical ethics, epidemics and so forth, it complicatedly involves the society we're in. We are, but a stressed nation and each of us is a participant of the health sector. There's no avoiding this.
It is an unsettled community, perpetually never at rest for fear of contracting H1N1, for fear of being quarantined for long and losing our jobs, for worrying over our babies and geriatric members of the family, for rising medical costs, for deficiencies of national health insurance system our cases fall into, for seeing an unethical GP.
For a population that has increased exponentially in the past one year, for an alarmingly overburdened economically active population of this society, for limited and affordable medical facilities catered to the average Singaporean... each sub-issue under the arc of 'health care' never stands alone, and when we try to contemplate or when the government strives to tackle its problems, we ought to take into account our very social fabric, the availability and accessibility of medical technologies, the affordability of hospital facilities, the psychological experience of our loved ones as patients, the planning of a household for the future, the mental fortitude of a caregiver in tough times, the social network of friends and relatives leveraged for support and help.
The health sector is more than dynamic, it's more than what an academic journal can critique; it's intertwined with so many issues at hand. It should be viewed in the larger context of population control and management, the politics that defy change and curb grassroots voices, national funds, the social and private environments we live in. Each issue should never be siphoned off and taken separately from the larger webs of context the issue is embedded in.
When you embrace one, you embrace all the baggage that comes with it.
Wednesday, October 21, 2009
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5 comments:
I am sure most of us benefited from this forum of sharing and discussion and I sure did learn more about the Singapore Healthcare sector!
Thanks
A good article on the summary of the issues spoken. Well said.
Talking about Abuse of Senior Citizens again, ST wrote a report on "Abuse of Seniors: Blame it on caregivers' stress".
Seems like this issue will always be present no matter how much thought and efforts to stem it is concerned.
I have reproduced the report as below:
Abuse of seniors: Blame it on caregivers’ stress
Children may act out of sheer frustration but have no intention to hurt the elderly
By Theresa Tan
ALMOST every evening, an elderly man would complain to the police that his family had locked him out of his house.
A case of abuse or a family at its wits’ end?
It transpired that the man’s family did so as he had the habit of roaming the streets aimlessly and, while in the house, switching the stove on and off. Afraid that he would set the house on fire, his family members locked him out when they went to work and let him back in when they returned home.
The police referred the man to a centre that helps victims of family violence, and a social worker there advised his family to get him medical help.
As the social worker predicted, the reason for the habits that stumped the man’s family was that he had moderate dementia. Knowing this, the family supervised the man more closely, but as his condition deteriorated and they could not cope, they sent him to a nursing home.
Minister for Community Development, Youth and Sports (MCYS), Dr Vivian Balakrishnan, highlighted this real example yesterday in a symposium on family violence, as he dwelt on the principles that should guide agencies tackling the ’scourge’ of elderly abuse.
The first was to ask whether the family unit is equipped with the knowledge and skills to cope with the needs of the elderly. This is critical as seven in 10 of the elderly live with their families and many are dependent on them for their care. Of the 178 or so cases of abuse of the elderly reported every year, about two-thirds – or some 120 – of them were old people who suffered at the hands of their own children.
‘Abuse by caregivers, in some instances, may reflect their inability to deal with the stress and difficulties of care-giving, rather than malice,’ Dr Balakrishnan said.
The example he gave illustrated the despair faced by one such family. The action taken later to help them – involving police, social workers and health-care staff – demonstrated the other principles he defined for dealing with elderly abuse: A comprehensive approach, with multi-agencies collaborating to find a solution for the victim and family.
While the number of abused seniors have remained ’small’, Dr Balakrishnan expects the number to grow given the rapidly ageing population. An MCYS spokesman said last year’s statistics showed that seniors aged 80 and older were the most vulnerable to abuse. ‘The older ones are more vulnerable as they are more dependent on their children for their daily needs and less likely to speak out,’ she added.
Social workers interviewed say other reasons for the abused elderly’s reluctance to report the hurt they have suffered include sparing their children shame or prison time. Often, the abuse is reported by health-care workers, neighbours and relatives.
Ms Chow Choy Yin – executive director of Trans Centre, which helps victims of family violence – agreed that many children take out their frustrations on their parents when they are stressed, and not because they want to hurt them.
She cited the case of a bachelor who gave up his job to look after his bedridden mother, who suffers from dementia. The man, in his 40s, had hit his mother at least once because he was so worn out by having to see to her every need.
Besides physical violence, abuse can take the form of neglect – by not taking them to the doctor when they are ill or not giving them food. Then, there are those who cheat their parents of their money.
Yesterday, a revised manual to manage family violence cases was released with new chapters on what staff at polyclinics, schools and the Community Court should do when they come across a victim.
If you need help, call the ComCare Helpline on 1800-222-0000, the Centre for Promoting Alternatives to Violence on 6555-0390 or Safe@Trans on 6449-9088.
theresat@sph.com.sg
http://www.transitioning.org/2009/10/21/abuse-of-seniors-blame-it-on-caregivers-stress-st-22-oct/
Josh (and all), thank u for sharing. This is serious juncture for S'pore because policies and public support can either help families and caregivers coping with such in a long way, or leave them as stranded as ever. The point we are trying to drive is that to ignore politics, medical knowledge, health insurance systems when looking at a case of, say, caregiving is useless. We need to study health issues in their wider contexts.
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