Posted by: happyangelclub | 一月 13, 2013

Article (3) : Reply to KTPH 回复邱德拔医院

Dear Boon Leng,

Greetings from Jane Lim.
Thank you for your reply.
After posting my first article, it received attention from the mass media (Shin Min Daily, Today Paper and Capital 95.8 FM) and was reported separately. Some Shin Min Daily readers called SPH to find out where to buy the bedsore mattress mentioned in the article. Those readers may be caregivers and if we can openly discuss this matter, it will benefit many others in need and caregivers. This will be what I glad to see.
Over the past few years, I had the opportunities to take part in the Senior Citizens classes and seminars organized by MCYS and NCSS. From 24 to 27 May 2005, I was in Perth, Western Australia to participate in the Regional Training Programme on Community Care in an Ageing Population [Sustaining and Supporting Family Carers and Family Care]. The centre of discussion was about the physical and mental health of caregivers. Researches showed that half of the caregivers would have depression. MCYS is also very concern about caregivers’ health. Singapore established a Caregivers’ Centre after that event.
I have often reminded myself to benefit others in need with what I have learnt, and also not to forget the teachings of instructors: The priority is the well-beings of the cases.
Mr F, a caregiver mentioned in my article, not only had to take care of his Father who was warded in the hospital, but also had an elderly Mother at home who was sick and young children to take care of. Choosing Class-C ward would lighten his expenses but the rental fees of $10 a day was an additional burden.
Ward C $35 day was already a burden for many. An additional $10 per day would add load, especially to those who need to stay in for a long period of time.
The hospital should provide medical services that are truly affordable and transparent, without such optional “side dishes”. For example, someone who is poor but need to be bed-ridden — 3 weeks of stay with mattress rental would cost him / her $210 more.
KTPH should look into how to make it affordable rather than charging additional optional charges for such equipment, as hospital should and must have such equipment for their patients’ need and not extra charges.
Shin Min Daily published the matter on 02/01/2013. I noticed you hospital replied that the retail shop in the hospital was also selling similar mattresses for $200-$400. I checked with the sister of Mr F. She confirmed that she did approach the retail shops in the hospital about it but was told they did not sell such products. That was why she had to resort to external sources. If these products are available for $200-$400 in your hospital, why didn’t your hospital staff recommend them to the patient’s family members? In stead, your staff told them the products used in your hospital would cost more than $1000, and there was only one supplier?
From the reply I got from your hospital, I understood that the quality of the mattresses used in your hospital was different from cheaper ones. BUT the fact was Mr F’s Father did not suffer from Bedsore ulcers. May I know if all patients lying in bed MUST USE such expensive mattresses from the beginning? I have checked with other hospitals and confirmed that some have allowed own bedsore mattresses, and even encourage family members to bring their own ones to use in the hospital.
The following is the subject Mr F’s account on your reply to the newspapers:
[We were unaware of any such “commissioning fees” as stated in reply to newspapers reports otherwise we would NEVER had agreed.
A further check on the bills (2 interim & 1 final) also did NOT reveal such charges.
During the discussion with the PR & the Nurse Manager, they DID NOT MENTION any such charges. I was also NOT SATISFIED with their explanation about the shock circuiting. I only stopped probing when they agreed to let us use our mattress.]
I would like to ask your hospital, HOW MUCH WOULD such COMMISSIONING FEES be for “commissioning” those own mattresses? I also learnt from the patient’s family members that the rental fees of $10 for the bedsore mattresses could only be paid in Cash and not with CPF. Is it correct?
I have compiled some articles about bedsore ulcers and posted on my blog https://happyangelclub.wordpress.com/ under the comments session of my first article, for your reference.
Next, I have enclosed herewith my second article for your reference. The focus of the article, also my hope was not to have another Mr F who had to take so much trouble before he was able to let his Father use his own bedsore mattress in the hospital.
(Note: Having “The priority is the well-beings of the cases” in mind, I humbly hope to bring this issue to the various departments, hoping to lighten the medical costs of patients and their family members. I therefore sent carbon-copy of this article to the following for in-depth study and research: REACH, The Prime Minister of Singapore, Ministry Of Health, Shin Min Daily, Capital 95.8 FM, Today Paper)
Thank you!
Jane Lim
13-1-2013
Volunteer of Elderly Services
https://happyangelclub.wordpress.com/

回复邱德拔医院 :
Dear Boon Leng,

感谢您的回复.
在我的第一篇文章发表之后,引起媒体(新明日 报,TODAY, Radio 95.8)的关注和报导,也有新明日报的读者致电报馆想知道何处可以买到我文中所提到褥疮床垫? 那些读者,也许是看护者.如果我们的公开无私的讨论,能够惠及其他有需要者和看护者,那是我所乐见的.
过去几年,我有机会参与由MCYS和 NCSS主办的乐龄课程和研讨会, 24-27 May 2005, 我到 Perth, Western Australia 参与 Regional Training Pogramme on Community Care in an Ageing Population [ Sustaining and Supporting Family Carers and Family Care]. 讨论的重点,非常关注看护者的身心灵健康。因为有研究显示,有一半的看护者,会患上忧郁症。 MCYS也非常关注看护者的健康,那次研讨会之后,新加坡也成立了看护者中心。
我常常提醒自己,务必将所学,惠及有需要者,更不忘导师的教导:以个案的福祉为重。这也是为什么我在第一篇文章中,点出了这个重点。期盼身为各方的医疗前线工作者,给于所有病患和看护者适当的建议,指引和支持,让大家更有力量对抗病魔。
我的文章中所提到的看护者Mr.F, 除了需要照顾在贵院留医的父亲,家里还有一个患病的老妈妈,还有年幼的孩童需要照顾。选择C级病房,有助减轻他的经济负担,然而,每天10元的褥疮租费,却是他的经济负担。

新 明日报于2-1-2013报导此事,我注意到了贵院答复说医院的零售店也有售卖200-400元的褥疮床垫。我向Mr.F的妹妹查证过,她之前到了该院的 零售店想购买,被告知没有售卖。所以,她才到外面去购买。既然贵院有售卖200-400元的床垫,那么,为何院方没有早点介绍给家属?反而告诉家属,贵院 所使用的床垫是一千多元,而且只有贵院的这家商家有售卖。

从贵院给我的答复中,我了解到也许贵院提及的床垫的确是和其他便宜的有所不同。但是,Mr.F 的爸爸并没有罹患褥疮,请问是否所有卧病在床的病患,一开始都需要用这么昂贵的防褥疮床垫才行?其他一些医院是被允许使用的,也有医院鼓励家属带自己的防褥疮床垫到医院使用。

以下是当事人Mr.F 针对贵院答复报章的回复:
[We were unaware of any such “commissioning fees” as stated in reply to newspapers reports otherwise we would NEVER had agreed.
A further check on the bills (2 interim & 1 final) also did NOT reveal such charges.
During the discussion with the PR & the Nurse Manager, they DID NOT MENTION any such charges. I was also NOT SATISFIED with their explanation about the shock circuiting. I only stopped probing when they agreed to let us use our mattress.]

我想请问贵院,HOW MUCH WOULD such COMMISSIONING FEES be for “commissioning” those own mattresses? 我也从病患家属那里得知,这个每天10元的褥疮床垫租费,只能用现金来支付,是不能够用CPF来扣除的,对吗?

我在我的网站https://happyangelclub.wordpress.com/ 的第一篇文章内的Comment 栏目,转贴了一些和褥疮相关的资料,供大家参考和讨论。

另,以下是我之前写的第二篇文章,也附上让你参考,文章的重点,也是我的期盼,希望不会再有下一个Mr.F,需要几经波折才能够让爸爸在医院使用自己购买的褥疮床垫。

(注:本着以个案福祉为重的目标,期盼各个相关部门,为所有病患和家属减轻医药负担。是故,本文同时传给以下各方供深入探讨和研究:民情组,李总理,卫生部,新明日报,电台95.8,今日报。)

谢谢!
林宝珠Jane Lim
13-1-2013
Volunteer of Elderly Services
https://happyangelclub.wordpress.com/

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