Sunday, January 11, 2009

A day with Hospis Malaysia

Main entrance of Hospis Malaysia.

Friday we went to Hospis Malaysia in Cheras. It was part of the PCM posting attachment. Hospis is actually similar to palliative care of terminally ill patients. They go to visit the patient's house to give proper care. Many of these patients are cancer patients who had poor prognosis. They suffer from pain and many family and social problems. The staffness will go and assess them, review the condition and medications, do examination, ask for complaints and make proper management.

Part of the building in Hospis centre.

The nurses report to the doctor every morning during meeting. The doctor will review every case and make adjustment as required. So the nurses will follow the advices and prescription. Sometimes, the nurses can also adjust the dosage or change medication with sufficient experience. We followed from the morning meeting, till separated into small groups of 1 or 2 persons to follow the visit. There are about 7-8 nurses in charge of this home visit. They have their own patients to follow up, and received new patients from time to time.

During visit to a patient, saw these houses with so called 'cartoon house'. Heard that it was once a very expensive house sometime long ago. It is situated beside highway, looks nice from far.

Hospis Malaysia is a NGO where it is supported by the community. They rely on donation and sponsorship from companies. Patients are therefore do not require to pay for the service. However there are many patients who volunteerily to donate due to the kind service provided.

There was a conference in UMMC not long ago regarding palliative care. The health ministry is working towards giving a better palliative care not at terminal stage, but to introduce it at the beginning of disease. They are getting support from many parties include hospital oncology department, palliative care units and Hospis Malaysia. In future, not only these terminally ill patients will be taken care of, but other types of diseases will be given proper care during the process of treatment to reduce suffering.

3 comments:

진릉 said...

we also have palliative care delivered at home, so called home palliative programme where staff nurse come to the patient's house for assessment and pain relief...

Unknown said...

used to attach to this hospis before during my year 3 if not mistaken.

patients in the center are really cheerful and do not look like end stage cancer patients. Some of them are even cheerful compare to us.

However, there are still alot more patients that are bed-bound at home, unable to move around, unable to get up from their bed.

But, I didn't join for the home visit during my attachment there. My friends share that some of them cried when visiting them. Anyway, i couldn't really imaging how the patient are in their home.

Chuan Huan said...

Most of the patients i visited were stable and on follow-up. But i can feel their depression and sadness when talking about their problem.