Private nursing home recommendations

[Adrianli]

That's true but I certainly hope the person having the tube in them understands the pain to do it again.

 

Problem is, I wonder how often a medical staff that is doing the procedure takes the time and empathy to explain it.

 

Have to take time to do one when they inserting the feeding tube. Not easy too. Once my helper tried to do it herself, I immediately told her off. Told her to inform me and not re-insert the feeding tube herself. We will get the nurse to do it.

[serenade]

Very confused abt the options avail for terminal patients (not old folks/ community care but end stage patients)

There are Home care services, and there are Nursing home (are they different from hospice; like Dover, Assisi, Bright Vision.. )?

 

Hospice care, whether home care or at a stay-in facility if for patients who are terminally ill. Meaning no hope for recovery, and will live at most 1 year more. A doctor must certify patient is dying, then can apply for stay-in or services. 

 

The motto of hospice care is "bring life to days" instead of "days to life". Which in practical terms means make the patient's last days as comfortable and happy as possible, knowing that the end is near. The focus is joy, not treatment.

 

My late sister was at a hospice in her last days. She chose to be there and did not regret her choice as the staff did take care of her better than we could at home. But we did make it a point that she was never alone at the hospice. Visitors had a comfortable stay too as hers was a private unsubsidised room.

 

I could never forget the sight of another hospice resident wheeling himself outside, complete with drip and oxygen tank attached. So that he could enjoy a smoke. The staff never admonished him, and he had a look of contentment as he smoked. Letting him enjoy the few things left open to him in his last days says a lot about what hospice care is all about.  

[Carbon82]

List of Non Profit Nursing Home

 

All Saints Home (Hougang)

5 Poh Huat Road Singapore 546703

 

All Saints Home (Jurong East)

20 Jurong East Ave 1 Singapore 609792

 

All Saints Home (Tampines)

11 Tampines St 44 Singapore 529123

 

All Saints Home (Yishun)

551 Yishun Ring Road Singapore 768681

 

Apex Harmony Lodge

10 Pasir Ris Walk Singapore 518240

 

Bethany Methodist Nursing Home

9 Choa Chu Kang Ave 4 Singapore 689815

 

Bright Hill Evergreen Home

100 Punggol Field Singapore 828811

 

Grace Lodge

19 Compassvale Walk Singapore 546644

 

Jamiyah Nursing Home

130 West Coast Dr Singapore 127444

 

Ju Eng Home for Senior Citizens

205 Jalan Kayu Singapore 799436

 

Kwong Wai Shiu Hospital

705 Serangoon Road Singapore 328127

 

Ling Kwang Home for Senior Citizens

156 Serangoon Garden Way Singapore 556055

 

Lions Home for the Elders (Bedok)

487 Bedok South Ave 2 Singapore 469316

 

Lions Home for the Elders (Bishan)

9 Bishan St 13 Singapore 579804

 

Man Fut Tong Nursing Home

20 Woodlands St 82 Singapore 738507

 

Moral Home for The Aged Sick

1 Jalan Bilai Singapore 468854

 

NTUC Health Nursing Home (Jurong West)

50 Jurong West St 93 Singapore 648967

 

NTUC Health Nursing Home (Chai Chee)

35 Chai Chee St Singapore468984

 

NTUC Health Nursing Home (Geylang East)

25 Geylang East Central Singapore 389708

 

Renci Nursing Home (Bukit Batok)

31 Bukit Batok St 52 Singapore 659251

 

Renci Nursing Home (Moulmein)

50 Jalan Tan Tock Seng Singapore 308438

 

Singapore Christian Home

20 Sembawang Crescent Singapore757092

 

Society for The Aged Sick

130 Hougang Ave 1 Singapore 538900

 

Sree Narayana Mission Home for the Aged

12 Yishun Ave 5 Singapore 768992

 

St Andrew's Nursing Home (Buangkok)

60 Buangkok View Singapore 534012

 

St Andrew's Nursing Home (Henderson)

303 Henderson Road Singapore 108925

 

St Joseph's Home

9 Mandai Estate Singapore 729906

 

St Theresa's Home

49 Upper Thomson Road Singapore 574325

 

Sunshine Welfare Action Mission

5 Sembawang Walk Singapore 757717

 

Tai Pei Old People's Home

10 Jalan Ampas Singapore 329510

 

The Salvation Army, Peacehaven Nursing Home

7 Upper Changi Road North Singapore507706

 

Thian Leng Old Folk's Home

115 Lorong G Telok Kurau Singapore 426317

 

Thong Teck Home for Senior Citizens

91 Geylang East Ave 2 Singapore 389759

 

Thye Hua Kwan Nursing Home (Hougang)

48 Hougang Ave 8 Singapore 538793

 

Villa Francis Home for the Aged

91 Yishun Central Singapore 768829

[kdash]

read an article recently on how Finland takes care of their elderly... not sure if can apply in SG... 

 

The Big Read: In Finland, seniors are ‘VIP clients’ who get to take nurses out for coffee

 

http://www.todayonline.com/singapore/finland-seniors-are-vip-clients-who-get-take-nurses-out-coffee

 

FINLAND — Mr Seppo Käppi, 72, steers himself nimbly in a wheelchair around the Kauklahti Life and Living Centre for Senior Citizens in Espoo, the second-largest city in Finland.

 

The long-term care facility for senior citizens who require round-the-clock care has been his home for the last five years.

At Kauklahti, the 74 residents are mostly above the age of 75 and have conditions like stroke, severe diabetes or severe rheumatism. They each have a private one-room flat that they can do up with their own furniture, and are allowed to keep a small pet.

 

They are cared for by staff members who do not don uniforms.

 

The 10 taxi passes he receives per month allow him to take his wife, who lives nearby, to the market or head with friends to the capital city of Helsinki, about half an hour away by car, with a staff member tagging along.The cheerful Mr Käppi looks forward to neighbourhood strolls, where he can request for a detour to the nearby bakery to “take the nurses out for coffee and cakes”.

As Singapore wrestles with the complex task of relooking care models and providing more diverse and conducive living options for its greying population, models in Finland may offer some ideas to the authorities and industry players here.

 

In recent years, there have been calls to move away from the typical six- to eight-bedded wards at nursing homes in Singapore, which cater to seniors who are no longer able to live independently or whose families are unable to take care of them.

 

In the Economics of Singapore Nursing Home Care study, released last year and commissioned by the Lien Foundation and Khoo Chwee Neo Foundation, the norm of single or twin-bedded wards in a home-like environment is recommended. The study found that nursing homes incur an average cost of S$106 per resident per day, excluding government subsidies and grants. Single- or twin-bedded rooms would cost S$8 to S$13 more per resident per day, the study by global consultancy Oliver Wyman found.

 

The Ministry of Health has said models and arrangements of care need to be sustainable and affordable. It also said it would study the report and hoped to discuss the findings with the Lien Foundation.

 

On a recent study trip to Finland sponsored by consultancy Ageing Asia and Finland’s trade promotion body Finpro, TODAY caught a glimpse of the Nordic country’s initiatives that enable its seniors to age within the community, its hospital-to-home concept, as well as technologies that improve the lives of individuals, including those with dementia.

 

Underpinning the provision of care across all settings was the ethos of autonomy and freedom of choice of the elderly individual.

The Kauklahti centre has a gym, sauna, restaurant, round-the-clock nurses, a physiotherapist, chiropodist and even a hair dresser. Activities offered include an art circle, singing, cooking and exercise groups. Weekly meetings, with families invited to sit in, allow the residents to air their concerns and talk about meal preferences.

 

An electronic alarm system detects falls, while nurses supervise the residents’ medication and support their daily living activities.

“There’s good quality (here)...It’s a good place to live,” said Mr Käppi in Finnish via a translator.

 

HOME, OR HOME-LIKE

 

Espoo — with a population of about 275,500 inhabitants in 2016 — faced a conundrum some 10 years ago not unlike Singapore’s. Back then, Finland took a medicalised approach to eldercare and many were still in four or five-bedded wards in nursing homes, while staff consisted almost exclusively of nurses, said Ms Maria Rysti, specialist in services for the elderly under the City of Espoo’s Social and Health Services.

 

The city council changed the service culture and management style with its Ageing Policy Programme. It supported the transition for elderly citizens to live at home, or home-like environments where they can “live their own way of life” and be treated as “subjects, not objects,” said Ms Rysti.

 

The goal is to have 93 per cent of people aged 75 and above in Espoo living at home and, the rest, in home-like units, in 2018.

The city council spent about 15.6 million euros to build the Kauklahti Life and Living Centre for Senior Citizens, which began operations in 2012. It is the first of four such Life and Living Centres in Espoo.

 

Residents pay about 1,500 euros monthly (about 20 to 50 per cent of the total cost), and the Espoo city council and taxpayers fork out the remainder. The municipality tax in Espoo is 18 per cent this year.

 

Plans are in store for private developers to build 14 floors of housing for the elderly in a new shopping mall in Espoonlahti, one of Espoo’s urban centres, by 2021 to 2022.

 

By 2021, the goal is to not have any beds for long-term inpatient care in hospitals and other institutions. “Twenty years ago, people went to hospitals to die, but not anymore,” said Ms Rysti.

 

KEEPING THEM OUT OF THE HOSPITAL

 

At the new Espoo Hospital, which opened its doors in March, the elderly are treated as “VIP clients”. Owned and built by the City of Espoo, it provides treatment and rehabilitation services to the elderly.

 

For instance, an elderly with hip fracture is operated on at another hospital without delay and transferred to the Espoo Hospital’s orthopaedic rehabilitation ward on the second day post-operation.

 

Patients in Espoo Hospital also have shorter stays, which was cut from six to eight weeks to about two to three weeks, said Mr Juha Metso, the city’s deputy mayor and head of social and health services.

 

The 270 single-rooms offer privacy. Numerous areas overlook the surrounding forests. Artworks are scattered around the hospital’s grounds.

 

By the end of the year, patients will be provided with tablets that they can use to conduct video calls with their relatives, listen to the radio, watch television or catch up on the news or social media.

 

Rehabilitation kiosks have instructional videos that guide patients in their exercises, easing the load of therapists.

 

And instead of taking the approach that doctors “know all the answers”, staff “learn to listen carefully and ask what matters to patients”, said Mr Metso.

 

The person-centred approach is evident elsewhere.

 

At the Alzheimer’s Association of Helsinki’s day care centre, executive director Teija Mikkilä is aiming to offer more than the usual art and craft activities for clients with dementia. Male clients, for instance, may one day get the opportunity to tinker with cars.

 

For Mr Hannu Leinonen, 72, who has dementia and drops by the centre about twice a week, the centre’s “got good food, good company… It’s just enough for me”. Outside of the centre, he plays tennis and golf.

 

LIVING SMART

 

One of the newest housing areas east of Helsinki’s bustling city centre is the smart district of Kalasatama, where a new kind of housing community for seniors living alone has sprung up.

 

Called Kotisatama, the nine-storey red brick building consists of some 63 flats between 38.5 and 77.5 sqm in size, which can be owner-occupied or rented.

 

Completed in 2015, the building houses residents aged 50 to 80. The residents share a community kitchen and dining room, a mini greenhouse and spacious roof terraces overlooking the harbour.

 

Owned by a private housing corporation — the bulk of whose shareholders are the residents — Kotisatama was the outcome of a project by the Active Seniors Association, founded by in 2000 to introduce the concept of a housing community for the elderly.

The residents helped to design their own flats and common areas. The dining room chairs were chosen from 82 designs, and the library’s book selection was just as carefully curated. “No rubbish, only good quality stuff,” says the association’s president and resident Leena Vahtera, 70, with a chuckle.

 

Under an unusual agreement, residents also take turns in groups of 12 to 13 to do the cooking and cleaning. Groups rotate every six weeks.

 

It is here that 79-year-old Maija Valtonen has chosen to live, moving out of her former home in Vantaa city, about 18km away, to buy a flat in Kotisatama for 450,000 euros in 2015. She had retired at age 64, after 13 years as an acting professor at the University of Kuopio’s department of applied zoology and veterinary medicine.

 

“Although I’m 79, I still feel I want (to live life my way). It’s nice to own your home and to get that freedom… In a house like this, you always can find friends and a social life, and it (ensures some safety),” Dr Valtonen told TODAY from her bright and cheery living room. “I can lie in my bed or get up as early as I want to, or go out to see a (movie), do some shopping, go to a show or a concert… It is absolutely enough for me.”

 

On a typical day, she might attend a pilates class, go for a swim or do gardening.

 

WHERE RESIDENTS ‘ACCIDENTALLY’ MEET

 

Perhaps the housing concept more familiar to Singaporeans is the Generations Block near the west harbour of Helsinki, which consists of about 262 apartments for students, people with disabilities and the elderly.

 

Completed in March by three developers, including the non-profit social housing company Setlementtiasunnot Oy, the complex has creatively designed communal facilities — such as a bright red walkway simulating a Metro station — for residents of different ages and backgrounds to mingle.

 

There is the “living room” on the first floor where residents can gather for a chat and a cup of coffee, as well as woodworking and music rooms. A mini amphitheatre provides just the space to organise movie screenings and performances.

 

Finnish city folk are generally “shy and reserved”, and shared spaces are a way to help create “accidental meetings” and foster a strong community spirit, said service designer Kirsten Sainio.

 

Residents have already formed a rock band with members aged 24 to 70. Communal brunches are held on weekends, while some elderly residents help to look after the children of young families, said Ms Sanio. In turn, the seniors receive help from their neighbours when they need it.

 

The intergenerational living project was awarded the best social housing production of 2017 by the Housing Finance and Development Centre of Finland. Two similar projects are being developed in the cities of Tampere and Joensuu.

 

A LEG-UP WITH TECHNOLOGY

 

Technology is also a key component of eldercare in Finland. Nordic health technology company VideoVisit partnered the City of Helsinki’s service centre in 2014 to provide virtual care services.

 

Clients receiving home-based care, many of whom have dementia, get video calls reminding them to take their medication and for group exercise sessions.

 

Nurses are able to make nearly 10 calls per hour – or close to 50 virtual “visits” per work shift – with less need to travel, said VideoVisit’s business development director Markku Sani.

 

And instead of invasive cameras, Finnish company MariCare Oy has developed sensor floor systems that can detect when a person falls, enters or exits the room, and gets off the bed. The data can be sent to a nurse’s smartphone; meanwhile, the resident can “live a normal life”, said sales manager Tommy Dolivo.

 

About 3,000 rooms, mostly in nursing homes in Finland, France and Australia, are equipped with the Elsi smart floors.

 

There is no shortage of health tech startups in the country, which often clinches one of the top spots in the Global Innovation Index.

 

Ms Mervi Lamminen, for instance, started Auntie, a preventive therapy service that uses tools like a chatbot and video sessions with professional therapists. The two-year-old company, which has operations in Finland, the United Kingdom and the Netherlands, plans to work with nurses at the upcoming wellness clinic in the Smart Kalasatama district to identify at-risk clients, such as single parents, who may need the service.

 

Pushing the envelope in the field of rehabilitation is another start-up called Peili Vision. It aims to offer virtual reality solutions for patients, such as those recovering from brain injury and trauma, said co-founder Joonas Pöllä. Using virtual reality headgear, the patients can play games as part of their therapy, for instance.

 

The “friendly” start-up culture in Finland means Mr Pöllä’s company and others in healthcare are located in a hospital. This makes it easier to set up meetings with customers.

 

Among the ideas Singapore could adapt from Finland is the “block coach” employed at the Generations Block, who helps to kickstart communal activities, said Ms Janice Chia, founder of Ageing Asia.

 

Singapore’s public housing precincts are “naturally occurring retirement communities that are intergenerational”, she said. 

 

Community kitchens and void decks with better designs for residents to gather and hang out would also increase social interactions, participation and the vibrance of communities, she said.

 

While locals such as Active Seniors Association’s Ms Vahtera generally felt the eldercare system in Finland was good, the country also faces challenges such keeping healthcare costs in check.

 

Proposed laws that Parliament could pass next year will cut healthcare costs by about three billion euros between 2019 and 2029, even as the population is ageing. Its health expenditure stood at 19.8 billion euros in 2015, about 9.4 per cent of gross domestic product.

 

And like seniors here, some Finnish elderly worry about the day they become unable to take care of themselves. While individuals should plan early for their old age and the authorities should provide the services and infrastructure needed, Dr Valtonen noted: “People are getting older and older… I’m a bit afraid of what happens to me.”

 

“A decrepit, fragile senior living alone in her or his apartment may be like a prisoner (at) home and the Finnish society (may not have) the capacity to take care of these seniors,” said Ms Vahtera.

 

 

Edited November 22, 2017 by kdash

[Kusje]

read an article recently on how Finland takes care of their elderly... not sure if can apply in SG... 

 

The Big Read: In Finland, seniors are ‘VIP clients’ who get to take nurses out for coffee

 

http://www.todayonline.com/singapore/finland-seniors-are-vip-clients-who-get-take-nurses-out-coffee

 

The title... Maciam like turning nurses into escorts 

[kdash]

The title... Maciam like turning nurses into escorts 

 

they like to use the title to lure people to read the article haha... 

[Sdf4786k]

If terminal illness, best is stay at home. Opt for home care services.

 

If you watched the mediacorp documentary, can see most ppl would like to pass away in their own home. Can watch it at toggle catch up tv here : https://video.toggle.sg/en/video/series/death-is-our-business-hd/ep1/385338

 

Yeah. Normally go to hospice where the drugs are stronger

[Adrianli]

Another new nursing home available now. Look at the price in the article. That is what i have to pay as private patient.

 

[Kusje]

3.5k? ouch.

 

That's more than the monthly salary of a lot of people leh.

[13177]

Another new nursing home available now. Look at the price in the article. That is what i have to pay as private patient.

 

Stay in open ward also needs to pay $3500 so expensive?!   

[Adrianli]

Ya. And that is just for bed space only. Havent include food and diaper.

[13177]

Ya. And that is just for bed space only. Havent include food and diaper.

Wa, really for super rich people then can afford.

[Adrianli]

And guess what, those aunties and uncles, my mum's sisters and brothers still ask us to put my mum in the higher class nursing home. 1 to 2 bedder kind that cost $8,000 per month. Say so much but never put a single cent forward.

[serenade]

If your mum is not really is need of full-time nursing care, you can opt to keep her a home and enlist the services of Home Nursing Foundation. HNF can take care of medical aspects by sending a qualified nurse over on days where specialised care is needed. However, you still need to employ a trained full-time caregiver and your family members have to chip in to relieve the caregiver on her rest days. The cost will be less than $8k a month. 

[Adrianli]

If your mum is not really is need of full-time nursing care, you can opt to keep her a home and enlist the services of Home Nursing Foundation. HNF can take care of medical aspects by sending a qualified nurse over on days where specialised care is needed. However, you still need to employ a trained full-time caregiver and your family members have to chip in to relieve the caregiver on her rest days. The cost will be less than $8k a month.

My mum's condition is at the cancer thread. You can read the various challenges we faced then.

 

She is now minus an arm and a breast. Total bedridden and dementia. 100% reliant on my helper. Lucky that my current helper is great with taking care of my mum.

 

However she will be due for her holidays so we need to send my mum to a nursing home again for respite care.

[Kusje]

Probably not right to say this right now but you should have ignored your relatives and let the cancer take her.

[Adrianli]

Probably not right to say this right now but you should have ignored your relatives and let the cancer take her.

 

I am afraid my mum is too dear to me to let her go.   I know it is the sensible way but emotions take over sensibility.

[Sdf4786k]

I am afraid my mum is too dear to me to let her go.   I know it is the sensible way but emotions take over sensibility.

 

never an easy task.

 

I feel your pain.

 

My mom in law is a little senile. Now at a nursing home at econ.

 

For a care giver that is able to take care of some of the task like cleaning and bathing as well as feed her and do a bit of cooking, how much is expected to pay per month . Anyone here can chime in would be great.

 

 

Edited January 19, 2018 by Sdf4786k