Objective: To support the home bound elderly with medical and nursing care at their homes
Home Personal Care
Interim Care Service
Objective: To support patients who are fit for discharge to their homes while they await long-term care arrangement
Referrals are initiated by the multidisciplinary team (comprises of doctors, nurses, physiotherapists, occupational therapists and social workers) from the hospitals, polyclinics or other institutions through the Integrated Referral Management System (IRMS).
If patient is currently hospitalized, family members can approach a Medical social worker from the Hospital to assist with the referral.
In the event if patient is at home or in another private nursing home, and if he/she has an outpatient appointment with a specialist in a hospital / polyclinic, family members can also approach the respective sources for assistance.
Agency for Integrated Care (AIC) will assign the bed to the patient, in accordance to the nursing home beds availability.
THK Senior Care Centre @ Kaki Bukit
All admission for our SCC will have to go through AIC’s referral process.
For any walk-ins, we will refer them to AIC for follow up. Once the centre receives the referrals from AIC, the Nursing team will go through assessment to look into medical condition, mental health, history of violence and RAF. Complicated cases will be presented in a weekly Patient-centred Care Conference where consultation is gathered from Nursing, Medical Social Worker, Therapists and the Centre Manager.
Once the decision to admit has been achieved, the MSW will arrange for a financial counselling and signing of the service agreement. The client will then be scheduled for start of programme.
THKNH Home Care Services
All referrals for our Homecare programs will have to come through AIC’s referral process. For any direct referral, we will refer them to AIC for follow up.
Once the organization receives the referral from AIC, the Nursing team will do a pre-admission assessment to look into medical condition, mental health, history of inappropriate behaviours and functioning status.
Cases with complex needs would be presented in a weekly multi-disciplinary Patient-centred Care Case Conference for deliberation.
Once the case is approved for admission, a staff nurse and a social worker will conduct a joint home visit to do the admission assessment, financial counselling and signing of the service agreement. The client will then be scheduled for program commencement.
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