Difference between revisions of "Seniors"
Line 1: | Line 1: | ||
− | == Definitions and | + | ==Overview== |
+ | This overview provides a synopsis of the current knowledge base. Having considered all the information, we make sense of it by taking a stab at the following: 1) What are the priority issues that deserve attention, 2) What are opportunity areas that community or voluntary organisations can already take action on, and 3) What knowledge gaps deserve further investigation? | ||
+ | ===Priority Issues=== | ||
+ | *[to insert] | ||
+ | *to insert] | ||
+ | ===Actionable Opportunity Areas=== | ||
+ | *[to insert] | ||
+ | *[to insert] | ||
+ | ===Knowledge Gaps=== | ||
+ | *[to insert] | ||
+ | *[to insert] | ||
+ | ==Definitions== | ||
+ | ===Definition of [insert your target group / issue]=== | ||
+ | *Identify and define your target group or social issue, and state who is included or excluded to provide a sense of the scope of the issue. (For example, will the page on Animal Welfare include livestock? Or just focused on pets, community animals and wildlife?) | ||
+ | *It is usually easier to start with national guidelines, laws or reports from apex organisations. | ||
+ | *Include a comparison with how other countries define the issue if possible (e.g. Local definition of Disability does not include mental health conditions) | ||
+ | ==Key Statistics & Figures== | ||
+ | *Size of target population / prevalence rate: Ideally, it would be the total number of people in your target group, identified by national censuses, surveys or research. When data isn't available, try using the best available proxy, e.g., number of people receiving key services. | ||
+ | *If the issue you are interested has many sub-segments and sub-pages, then only include the key figures that affect all or most stakeholders in the sector here and leave the other relevant figures at the specific segment or page. This reduces cognitive load for the reader & contributor. | ||
+ | ==Map of Key Needs & Issues== | ||
+ | [This table and arrows acts as a kind of visual map that allows a sense of sequencing; of the broad preconditions necessary for longer term outcomes to be achieved. Hyperlink the categories below to the specific page or sub-header in the page for easy navigation, so that you can click on 'Employment' below for example, and get straight to that page / segment] | ||
+ | <big>Click the links below to go directly to specific areas of interest:</big> | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |<big>Community Integration</big> | ||
+ | |'''<big>↘</big>''' | ||
+ | | | ||
+ | |- | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |<big>Social Inclusion</big> | ||
+ | |- | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |<big>Family & Caregiving</big> | ||
+ | |<big>↗</big> | ||
+ | | | ||
+ | |- | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |<big>Financial Independence</big> | ||
+ | |- | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |<big>Employment</big> | ||
+ | |<big>↗</big> | ||
+ | | | ||
+ | |- | ||
+ | | | ||
+ | |<big>Education</big> | ||
+ | |<big>↗</big> | ||
+ | | | ||
+ | | | ||
+ | | | ||
+ | |} | ||
+ | ==Sub-pages== | ||
+ | *If there are population segments that have substantial enough information or interest, then create sub-pages for them. e.g. 'Autism' can be a stand alone pages linked to the Disability pages if the autism community is keen to populate more autism specific information. Or, artists with disability can populate a 'Arts & Disability' page. | ||
+ | *Insert links to these sub-pages. | ||
− | + | * [[Financially Vulnerable Seniors|Financially Vulnerable Seniors]] | |
− | + | * [[End of Life|End of Life]] | |
+ | * Childless seniors: https://www.ricemedia.co/culture-people-elderly-orphans/ | ||
+ | * Dementia (cross-linked with Mental health) | ||
− | === | + | ==Areas of Needs / Desired Outcomes== |
− | + | ===[Insert Description of an Area of Need]=== | |
+ | First, describe the area of need (e.g. employer willingness to hire, work readiness etc) in your sub-heading. It is tempting to define needs in terms a specific solution—eg youths needing mentoring, dying seniors needing hospice care. But these are not needs, they are actually specific solutions to address those needs. Needs should be defined in more perennial terms because the solutions can change while the needs generally remain largely stable. E.g. I don’t need a CD player or MP3 player, which are specific solutions to address my more perennial need, which is the need for portable music. Current solutions include streaming services like Spotify. | ||
+ | *'''Desired outcomes''': A ''need'' area necessarily implies that there is a ''desired outcome'' that has yet to be met. It is important to articulate what the ideal or desired outcomes for this particular need area should be, otherwise it would be unclear what the gaps will be. The trick is to use adjectives to articulate a statement about what is the desired state of affairs. People with disabilities need 'viable jobs' (that pays a living wage), or 'desirable careers' (with progression and career development)? In terms of the example above: If the desire outcome is no longer portable music (because most solutions now are portable), then a different quality like 'searchable' or 'discoverable' music would set a new criteria for what is desired. | ||
− | + | *'''Synopsis:''' Provide an analytic summary of the table below, of how existing resources (if any) have been meeting the need, and gaps that still exist. The goal is to make sense of a lot of information, so at every segment, the tables and information collated seeks to be comprehensive; here at the start of each segment, we aspire to a good synoptic statement that captures the essential and highlights the pertinent. An example: If the area of need is 'Accessibility & Affordability of childcare', then the synopsis might be: "Even though there are 1,510 childcare centres across Singapore, 80% of low-income single mothers cannot afford them as they earn less than $1,500 a month. | |
+ | **Where a single sentence or paragraph is not enough, you can insert sub bullet points like this. | ||
+ | **Use sub bullet points if necessary | ||
− | [[ | + | *'''Statistics''': Insert the specific figures and trends relevant to only this area of need. |
+ | **Use sub bullet points if necessary | ||
+ | **Use sub bullet points if necessary | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | style="width: 33.3%;" |'''<big>Existing Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps & Their Causes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Possible Solutions</big>''' | ||
+ | |- | ||
+ | |List existing services or programmes (private or public; formal or informal); relevant policies and legislation as long as they are a resource or asset that helps meet the needs stated in this segment. | ||
+ | Group these resources into categories and put them into a specific cell of the table. | ||
+ | |Some gaps could be due to 1) capacity of solution to meet size & projected demand, 2) quality of solution (effectiveness, efficiency, sustainability, scalability etc.), 3) accessibility (geographical, cost to client) | ||
+ | Also insert reasons why those gaps exist if possible. This will be crucial information. E.g. seniors do not want to make end of life plans because they think it is inauspicious to talk about death | ||
+ | |Based on the reasons for those gaps, what might be solutions that can help? | ||
+ | Put links to ideas that have been tried elsewhere that show potential. | ||
+ | |- | ||
+ | |Category A: Streaming services | ||
+ | *[If there are too many specific services to fit properly here, then come up with a category and list all of them in a sub-heading below] | ||
+ | |Insert general gaps for this category, and leave the specific issue with each specific service for the segment below] | ||
+ | *Annoying ads on free streaming services | ||
+ | *Incomplete collection | ||
+ | *Badly curated playlists | ||
+ | | | ||
+ | |- | ||
+ | |Category B: Physical devices | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category C: ? | ||
+ | | | ||
+ | | | ||
+ | |}Category A: Streaming services | ||
+ | *Spotify | ||
+ | *Pandora Radio | ||
+ | *Apple Music | ||
+ | Category B: Physical devices | ||
+ | *CD player | ||
+ | *MP3 | ||
+ | *Turntables | ||
+ | Category C: ? | ||
+ | *insert | ||
+ | *insert | ||
+ | *insert | ||
+ | ---- | ||
+ | ===[Insert Need Area / Desired Outcome]=== | ||
+ | *'''Desired Outcome:''' [To insert] | ||
+ | *'''Synopsis:''' [To insert] | ||
+ | *'''Statistics''': [To insert] | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | style="width: 33.3%;" |'''<big>Existing Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps & Their Causes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Possible Solutions</big>''' | ||
+ | |- | ||
+ | |Category A | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category B | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category C | ||
+ | | | ||
+ | | | ||
+ | |} | ||
+ | =====Category A Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category B Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category C Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | ===[Insert Need Area / Desired Outcome]=== | ||
+ | *'''Desired Outcome:''' [To insert] | ||
+ | *'''Synopsis:''' [To insert] | ||
+ | *'''Statistics''': [To insert] | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | style="width: 33.3%;" |'''<big>Existing Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps & Their Causes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Possible Solutions</big>''' | ||
+ | |- | ||
+ | |Category A | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category B | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category C | ||
+ | | | ||
+ | | | ||
+ | |} | ||
+ | =====Category A Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category B Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category C Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | ===[Insert Need Area / Desired Outcome]=== | ||
+ | *'''Desired Outcome:''' [To insert] | ||
+ | *'''Synopsis:''' [To insert] | ||
+ | *'''Statistics''': [To insert] | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | style="width: 33.3%;" |'''<big>Existing Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps & Their Causes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Possible Solutions</big>''' | ||
+ | |- | ||
+ | |Category A | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category B | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category C | ||
+ | | | ||
+ | | | ||
+ | |} | ||
+ | =====Category A Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category B Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category C Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | ===[Insert Need Area / Desired Outcome]=== | ||
+ | *'''Desired Outcome:''' [To insert] | ||
+ | *'''Synopsis:''' [To insert] | ||
+ | *'''Statistics''': [To insert] | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | style="width: 33.3%;" |'''<big>Existing Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps & Their Causes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Possible Solutions</big>''' | ||
+ | |- | ||
+ | |Category A | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category B | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category C | ||
+ | | | ||
+ | | | ||
+ | |} | ||
+ | =====Category A Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category B Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category C Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | ===[Insert Need Area / Desired Outcome]=== | ||
+ | *'''Desired Outcome:''' [To insert] | ||
+ | *'''Synopsis:''' [To insert] | ||
+ | *'''Statistics''': [To insert] | ||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | style="width: 33.3%;" |'''<big>Existing Programmes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Gaps & Their Causes</big>''' | ||
+ | | style="width: 33.3%;" |'''<big>Possible Solutions</big>''' | ||
+ | |- | ||
+ | |Category A | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category B | ||
+ | | | ||
+ | | | ||
+ | |- | ||
+ | |Category C | ||
+ | | | ||
+ | | | ||
+ | |} | ||
+ | =====Category A Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category B Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | =====Category C Programmes===== | ||
+ | *insert | ||
+ | *insert | ||
+ | ==Resource Directory== | ||
+ | ==References== | ||
+ | <references /> | ||
− | |||
− | |||
− | + | ===Client Segments=== | |
[Use this table to structure newspaper articles?] | [Use this table to structure newspaper articles?] |
Revision as of 06:10, 23 April 2020
Contents
- 1 Overview
- 2 Definitions
- 3 Key Statistics & Figures
- 4 Map of Key Needs & Issues
- 5 Sub-pages
- 6 Areas of Needs / Desired Outcomes
- 7 Resource Directory
- 8 References
- 9 Desired impact for target group
- 10 Needs of [insert client type]
- 11 Resource Directory
- 11.1 Geriatric Education and Research Institute - GERI
- 11.2 Tan Tock Seng Hospital's Institute of Geriatrics and Active Ageing - IGA
- 11.3 Temasek Polytechnic’s Centre for Applied Gerontology - CAG
- 11.4 Silver Horizon Travel
- 11.5 Lien Foundation's Eldercare Portfolio
- 11.6 Tsao Foundation
- 11.7 International Longevity Centre (Tsao Foundation)
- 11.8 Society for Continence (Singapore)
Overview
This overview provides a synopsis of the current knowledge base. Having considered all the information, we make sense of it by taking a stab at the following: 1) What are the priority issues that deserve attention, 2) What are opportunity areas that community or voluntary organisations can already take action on, and 3) What knowledge gaps deserve further investigation?
Priority Issues
- [to insert]
- to insert]
Actionable Opportunity Areas
- [to insert]
- [to insert]
Knowledge Gaps
- [to insert]
- [to insert]
Definitions
Definition of [insert your target group / issue]
- Identify and define your target group or social issue, and state who is included or excluded to provide a sense of the scope of the issue. (For example, will the page on Animal Welfare include livestock? Or just focused on pets, community animals and wildlife?)
- It is usually easier to start with national guidelines, laws or reports from apex organisations.
- Include a comparison with how other countries define the issue if possible (e.g. Local definition of Disability does not include mental health conditions)
Key Statistics & Figures
- Size of target population / prevalence rate: Ideally, it would be the total number of people in your target group, identified by national censuses, surveys or research. When data isn't available, try using the best available proxy, e.g., number of people receiving key services.
- If the issue you are interested has many sub-segments and sub-pages, then only include the key figures that affect all or most stakeholders in the sector here and leave the other relevant figures at the specific segment or page. This reduces cognitive load for the reader & contributor.
Map of Key Needs & Issues
[This table and arrows acts as a kind of visual map that allows a sense of sequencing; of the broad preconditions necessary for longer term outcomes to be achieved. Hyperlink the categories below to the specific page or sub-header in the page for easy navigation, so that you can click on 'Employment' below for example, and get straight to that page / segment]
Click the links below to go directly to specific areas of interest:
Community Integration | ↘ | ||||
Social Inclusion | |||||
Family & Caregiving | ↗ | ||||
Financial Independence | |||||
Employment | ↗ | ||||
Education | ↗ |
Sub-pages
- If there are population segments that have substantial enough information or interest, then create sub-pages for them. e.g. 'Autism' can be a stand alone pages linked to the Disability pages if the autism community is keen to populate more autism specific information. Or, artists with disability can populate a 'Arts & Disability' page.
- Insert links to these sub-pages.
- Financially Vulnerable Seniors
- End of Life
- Childless seniors: https://www.ricemedia.co/culture-people-elderly-orphans/
- Dementia (cross-linked with Mental health)
Areas of Needs / Desired Outcomes
[Insert Description of an Area of Need]
First, describe the area of need (e.g. employer willingness to hire, work readiness etc) in your sub-heading. It is tempting to define needs in terms a specific solution—eg youths needing mentoring, dying seniors needing hospice care. But these are not needs, they are actually specific solutions to address those needs. Needs should be defined in more perennial terms because the solutions can change while the needs generally remain largely stable. E.g. I don’t need a CD player or MP3 player, which are specific solutions to address my more perennial need, which is the need for portable music. Current solutions include streaming services like Spotify.
- Desired outcomes: A need area necessarily implies that there is a desired outcome that has yet to be met. It is important to articulate what the ideal or desired outcomes for this particular need area should be, otherwise it would be unclear what the gaps will be. The trick is to use adjectives to articulate a statement about what is the desired state of affairs. People with disabilities need 'viable jobs' (that pays a living wage), or 'desirable careers' (with progression and career development)? In terms of the example above: If the desire outcome is no longer portable music (because most solutions now are portable), then a different quality like 'searchable' or 'discoverable' music would set a new criteria for what is desired.
- Synopsis: Provide an analytic summary of the table below, of how existing resources (if any) have been meeting the need, and gaps that still exist. The goal is to make sense of a lot of information, so at every segment, the tables and information collated seeks to be comprehensive; here at the start of each segment, we aspire to a good synoptic statement that captures the essential and highlights the pertinent. An example: If the area of need is 'Accessibility & Affordability of childcare', then the synopsis might be: "Even though there are 1,510 childcare centres across Singapore, 80% of low-income single mothers cannot afford them as they earn less than $1,500 a month.
- Where a single sentence or paragraph is not enough, you can insert sub bullet points like this.
- Use sub bullet points if necessary
- Statistics: Insert the specific figures and trends relevant to only this area of need.
- Use sub bullet points if necessary
- Use sub bullet points if necessary
Existing Programmes | Gaps & Their Causes | Possible Solutions |
List existing services or programmes (private or public; formal or informal); relevant policies and legislation as long as they are a resource or asset that helps meet the needs stated in this segment.
Group these resources into categories and put them into a specific cell of the table. |
Some gaps could be due to 1) capacity of solution to meet size & projected demand, 2) quality of solution (effectiveness, efficiency, sustainability, scalability etc.), 3) accessibility (geographical, cost to client)
Also insert reasons why those gaps exist if possible. This will be crucial information. E.g. seniors do not want to make end of life plans because they think it is inauspicious to talk about death |
Based on the reasons for those gaps, what might be solutions that can help?
Put links to ideas that have been tried elsewhere that show potential. |
Category A: Streaming services
|
Insert general gaps for this category, and leave the specific issue with each specific service for the segment below]
|
|
Category B: Physical devices | ||
Category C: ? |
Category A: Streaming services
- Spotify
- Pandora Radio
- Apple Music
Category B: Physical devices
- CD player
- MP3
- Turntables
Category C: ?
- insert
- insert
- insert
[Insert Need Area / Desired Outcome]
- Desired Outcome: [To insert]
- Synopsis: [To insert]
- Statistics: [To insert]
Existing Programmes | Gaps & Their Causes | Possible Solutions |
Category A | ||
Category B | ||
Category C |
Category A Programmes
- insert
- insert
Category B Programmes
- insert
- insert
Category C Programmes
- insert
- insert
[Insert Need Area / Desired Outcome]
- Desired Outcome: [To insert]
- Synopsis: [To insert]
- Statistics: [To insert]
Existing Programmes | Gaps & Their Causes | Possible Solutions |
Category A | ||
Category B | ||
Category C |
Category A Programmes
- insert
- insert
Category B Programmes
- insert
- insert
Category C Programmes
- insert
- insert
[Insert Need Area / Desired Outcome]
- Desired Outcome: [To insert]
- Synopsis: [To insert]
- Statistics: [To insert]
Existing Programmes | Gaps & Their Causes | Possible Solutions |
Category A | ||
Category B | ||
Category C |
Category A Programmes
- insert
- insert
Category B Programmes
- insert
- insert
Category C Programmes
- insert
- insert
[Insert Need Area / Desired Outcome]
- Desired Outcome: [To insert]
- Synopsis: [To insert]
- Statistics: [To insert]
Existing Programmes | Gaps & Their Causes | Possible Solutions |
Category A | ||
Category B | ||
Category C |
Category A Programmes
- insert
- insert
Category B Programmes
- insert
- insert
Category C Programmes
- insert
- insert
[Insert Need Area / Desired Outcome]
- Desired Outcome: [To insert]
- Synopsis: [To insert]
- Statistics: [To insert]
Existing Programmes | Gaps & Their Causes | Possible Solutions |
Category A | ||
Category B | ||
Category C |
Category A Programmes
- insert
- insert
Category B Programmes
- insert
- insert
Category C Programmes
- insert
- insert
Resource Directory
References
Client Segments
[Use this table to structure newspaper articles?]
Date | Description |
27 March 2012 | Straits Times special feature on OCD, featuring the disorder and stories of persons in recovery |
07 February 2017 | Straits Times Op-ed by IMH psychiatrist Chong Siow Ann on OCD |
- https://www.todayonline.com/commentary/creating-dementia-inclusive-society-singapore
- https://www.asiaone.com/lifestyle/what-happens-if-my-parents-get-dementia-step-step-guide
- Infrastructural Support
- Thirty therapeutic gardens designed for seniors and those with conditions such as attention deficit hyperactivity disorder and dementia will also be built by 2030 (https://www.straitstimes.com/politics/parliament-more-nature-parks-park-connectors-as-singapore-transforms-into-city-in-nature-in)
- https://www.straitstimes.com/singapore/home-nursing-foundation-launches-elder-daycare-and-dementia-care-centre-in-hougang
- https://www.straitstimes.com/singapore/health/dementia-care-village-will-benefit-residents-in-many-ways
- https://www.straitstimes.com/singapore/new-st-john-dementia-day-care-centre-in-beach-road-opens-officially
- https://www.straitstimes.com/singapore/health/nee-soon-estate-to-get-features-to-aid-those-with-dementia
- https://www.straitstimes.com/singapore/proposed-dementia-village-at-gibraltar-crescent-draws-only-one-bid
- Financial Support
- From January 2021, patients with complex chronic conditions such as diabetes, stroke and dementia, can withdraw up to $700 from their Medisave account each year for their treatment, up from $500 (https://www.straitstimes.com/politics/singapolitics/parliament-higher-medisave-withdrawal-limit-for-patients-with-complex-chronic
- Caring for Dementia Patients
- https://www.straitstimes.com/singapore/an-app-to-help-unlock-dementia-patients-memories
- https://www.straitstimes.com/singapore/dbs-posb-staff-being-trained-to-aid-clients-with-dementia
- https://www.straitstimes.com/singapore/engaging-youth-in-dementia-outreach-activities
-
Size of the Problem
[Size of the universe (size of total potential need/demand for services)] [Size of expressed need (those receiving services and on waitlist)]
Desired impact for target group
[If we have no conception of what counts as a ‘good death’, ‘social inclusion’, ‘engaged youth’ , then it would not be possible to determine whether our policies and services are performing well]
Needs of [insert client type]
Need for [ insert description ]
[Needs should not be identified in term of its specific solutions—eg youths need mentoring, seniors need hospice care, people with disabilities need day care (these are specific solutions we can be in the next column)—Instead, they should be defined in more ‘perennial terms’ because the solutions can change but the needs remain; I don’t need a CD player, or even an mp3 player, I need ‘portable music’ and currently the best solution seems to be Spotify]
[Also indicate the size of this specific need & projected demand were data is available]
Existing Resources
[e.g. existing services or programmes both private or public; relevant policies and legislation]
Gaps and Their Causes
[Some gaps could be due to 1) capacity of solution to meet size & projected demand, 2) quality of solution (effectiveness, efficiency, sustainability, scalability etc.), 3) accessibility (geographical, cost to client)]
Possible Solutions
[Based on the specific gaps and reasons for those gaps, what might be solutions that can help? Insert existing but untapped resources, or new ideas that have not been considered yet]
Need for counter social and cultural myths about aging
Existing Resources
d
Gaps and Their Causes
Possible Solutions
AARP's Disrupt Aging initiative
Need for End-of-Life Planning
Existing Resources
- Lasting Power of Attorney (LPA) allows a person of minimum 21 years old to voluntarily appoint one or more persons to make decisions and act on his behalf in the event of loss of mental capacity. The appointed person(s) can make decisions within broad categories of either 'Personal Welfare' or 'Property & Affairs' or both.[1]
- Advanced Medical Directive (AMD) is a legal document signed in advance to inform the doctor that one does not desire any extraordinary life-sustaining treatment to extend one's life in the event of terminal illness and unconsciousness. Anyone who is aged 21 years and above and without a mental disorder can make an AMD. [2]
Gaps and Their Causes
Resources above are available for individuals to plan and record their end-of-life wishes. However, there are several barriers that impede end-of-life discussions which are required for using these resources.
- Cultural and social barriers to discuss death and dying. [3] For example, the Chinese tend to regard death as evil and inauspicious and hence do not discuss it out of fear of inducing bad luck. [4]
- Family's difficulty accepting the patient’s dismal prognosis and impending death. Hence, they avoid conversations on death and dying as a coping mechanism to maintain hope and optimism regarding the patient’s disease recovery; protect themselves from emotional vulnerability associated with losing a loved one; and prevent intensifying negative emotions within the family.[5]
- Physicians avoid initiating end-of-life conversations for fear of reducing patients’ hope in the success of curative treatment. [6][7][8] However, what is important for maintaining patient’s hope is not the statistical effectiveness of medical treatment to prolong their life [9]. Patients conceive of hope in terms of the preservation of one’s self-identity - sustaining everyday routines and roles, preserving personal relationships, and maintaining control over their life (ibid). They are concerned with how medical interventions would affect their concept of self; how they could still find meaning in social relationships; and how they could minimise distress (ibid)
- Physicians often wait until all available curative treatments have been exhausted or symptoms of impending death surfaces before discussing end-of-life options with terminally ill patients. [5] Physicians may perceive death as an enemy they need to help patients avoid and defeat, not prepare for its arrival (ibid). Hence, they find it hard to initiate end-of-life discussions with patients as it equates to an admission of failure in their duty. [6]
- No formal/routine procedure within healthcare system for physicians to engage in end-of-life discussions with patients.[7] Hence, clinicians often lack proper structure and dedicated time to discuss end-of-life issues with patients (ibid).
Possible Solutions
- "Live Well. Leave Well." 3-year public education campaign by MOH and Singapore Hospice Council.[10] The campaign seeks to change how people perceive death and dying; encourage open discussions on what matters to them, and make plans in advance. In turn, it seeks to reduce situations where people make emotionally-charged decisions during a crisis, or loved ones are stressed out by surrogate decision-making as they are unsure of the individual's wishes.[11]
Need for [ insert description ]
Existing Resources
Gaps and Their Causes
Possible Solutions
Need for [ insert description ]
Existing Resources
Gaps and Their Causes
Possible Solutions
Resource Directory
Geriatric Education and Research Institute - GERI
A geriatric Institute based in Singapore to conduct research and education on age-related health issues to promote healthy ageing.
Tan Tock Seng Hospital's Institute of Geriatrics and Active Ageing - IGA
Temasek Polytechnic’s Centre for Applied Gerontology - CAG
http://www.tp.edu.sg/centres/centre-for-applied-gerontology
Silver Horizon Travel
http://silverhorizontravel.com/
cooperative formed by seniors for travel
Lien Foundation's Eldercare Portfolio
http://www.lienfoundation.org/eldercare
Tsao Foundation
International Longevity Centre (Tsao Foundation)
https://tsaofoundation.org/what-we-do/research-and-collaboration/about-ilc-singapore
Research unit under Tsao Foundation
Society for Continence (Singapore)
http://www.sfcs.org.sg/medi_page/site_web_sfcs/common_page.asp