Health Library

Doctor

Provides update on the​​

• Progress of your loved one's condition
• Investigations and treatment plan (including recommendations on theraphy and community referrals)
• Disease management
• Estimated discharge date

Discusses

• Advance care planning and End of Life (EOL) plan, if applicable
• referral to inermediate and Long-term Care Services, where applicable​
  

Nurse

Coordinates plan of care with other healthcare team members and provides training to caregiver.

• Monitor vital signs to track your love one's psychological status
• Administer medication as prescribed, ensuring accuracy and monitoring for any adverse reactions​

Discusses discharge planning and provides emotional support.

Conducts Caregiver Training on care, such as,

• Tube feeding
• Urinary catheter care
• Diaper change
• Ski​n and wound care
• Medication administrations (e.g. insulin injection, suppository)

Educates caregivers on

• Warning signs to look out for
• Where to get help for non-emergency and emergency situations
• Diaper change​
  

For discharge

• May provide health education such as disease management, medication and patient care strategies
• Coordinates and arranges for any necessary home health services or equipment on discharge
• Prepares follow-up appointments with relevant healthcare providers​
  

Medical Social Worker

Assesses your loved one's psychosocial needs, financial concers, support systems, and post-hospital care arrangement.

Helps with your transition home bu

• Connecting you with community resources (e.g. day care/rehab, residential care, cse management)
• Conduction counselling and support group
• Advising on financial assistance that your loved one may be eligible for
  

Occupational Therapist

Enables your loved one to continue engaging in daily activities (including self-care, work and leisure) that your loved ones find meaning in.

Assesses your loved one's ability to perform daily tasks such as dressing, showering, and toileting.

Advises on

• How to modify the home enviroment (e.g. grab bars, wheelchair ramp) to make it safe and accessible for your loved one
• Assistive devices (e.g. wheelchair, commode), adaptive tools, and or modification as appropriate (e.g. velcro instead of buttons) to make task easier

Provides caregiver educations on

• Transfer techniques to enable your loved one's and your safety
• assisting your loved one in ADL tasks
• Home modifications and home safety​

Physiotherapist

Assesses your loved one's physical abilities, including muscle strength, range of movement, balance and mobility.

Educates caregivers on

• Exercises to encance your loved one's physical functions and movement
• Interventions to prevent complications (e.g. joint contractures)
• Techniques to assist your loved one to move safely, manage pain, and clear secretions​

Dietitian

Creates personalised meal plans based on your loved one's nutritional needs and medical conditions (e.g. low-sodium diet, high-calorie diet, diabetic and other therapeutic diet).

Recommends oral nutritional supplement if your loved one is not eating well.

Develops feeding regime if your loved one is on tube feeding, monitors their tolerance and adjust the feeds accordingly

Speech Therapist

Assesses

• If your loved one can speak clearly and understand words
• The safety of swallowing food and drinks

Provides

• Tips on how to communicate using alternative methods
• Safe options when eating and drinking through texture modification

Suggest exercises to strengthen swallowing muscles.​

Pharmacist

Explains the medications for your loved one on the day of discharge

• What the medication is for
• How to take/use the medication
• When to take the medication
• Any side effects