A5019236972- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Ethics and Legal Issues in Pediatric Healthcare
- Ethics in medical practice
- Medical Malpractice and Liability Issues
- Healthcare Decision-Making and Restraints
- Grief, Bereavement, and Mental Health
- Acute Ischemic Stroke Management
- Clinical practice guidelines implementation
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Intergenerational Family Dynamics and Caregiving
- Ethics in Clinical Research
- Healthcare cost, quality, practices
- Family Support in Illness
- Legal and cultural studies analysis
- Telemedicine and Telehealth Implementation
- Health, Medicine and Society
- Healthcare Systems and Technology
- Psychiatric care and mental health services
- Legal Education and Practice Innovations
- Legal Issues in South Africa
- Healthcare Systems and Practices
- Electronic Health Records Systems
- Traumatic Brain Injury and Neurovascular Disturbances
National University of Singapore
2013-2025
Duke-NUS Medical School
2012-2017
The practice of patient autonomy within the prevailing bioethical framework in West appears increasingly at odds with prominent influence family medical decision making Asian culture. actual extent involvement versus process for cancer management clinical is largely unknown Asia.(1) To describe and healthcare practice, to determine whether those practices are consistent Singapore law; (2) act as a pilot larger prospective study examining preferences patients on process, reasons excluding...
In Confucian-influenced Asian societies, explicit end-of-life conversations are uncommon and family involvement in decision-making is crucial, which complicates the adoption of culturally sensitive advance care planning.
Abstract Introduction There are abundant anecdotal reports of healthcare professionals undergoing strain, specifically moral distress, in advance care planning (ACP) related work. This study measured perceptions morally challenging scenarios (MCS) faced by ACP facilitators and frontline clinicians. Method An online survey, which is currently ongoing, was sent to the community also clinicians Singapore. Purposive snowballing sampling approaches were employed. Result Participants rated their...
Maintaining ethical and professional boundaries between clinicians patients is paramount. Boundary breaches in healthcare are a known entity. With the introduction rampant use of teleconsultation as mode delivery, there certain challenges boundary settings that unique to it. This has potential implications for both patient care conduct. article explores complex landscape violations context telemedicine proposes strategies providers maintain safety uphold standards. By examining dynamics...
Advanced care plans (ACPs) are designed to convey the wishes of patients with regards their in event incapacity. There a number prerequisites for creation an effective ACP. First, patient must be aware condition, prognosis, likely trajectory illness, and potential treatment options available them. Second, input into ACP free any coercive factors. Third, able remain involved adapting as condition evolves. Continued use familial determination collusion within local healthcare system, however,...
Abstract Family involvement in healthcare decision-making for competent patients occurs to varying degrees many communities around the world. There are different attitudes about who should make treatment decisions, how and why. Legal professional ethics codes most jurisdictions reflect support idea that be enabled their own even if others, including professionals, disagree with them. This way of thinking contrasts some cultural norms put more emphasis on family as a entity, circumstances...
The practice of collusion is commonplace within Asian healthcare settings.Here we study a typical case the Singapore setting to highlight rationale and predisposing factors behind this practice.Through such understanding, it believed that better means possible-ostensibly through use multidisciplinary team approach ensure best interests goals patient are protected.
Therapeutic privilege (TP) is a defence that may be available to doctors who fail disclose the patient relevant information when seeking informed consent for treatment if they have reasonable belief providing would likely cause concerned serious physical or mental harm. In landmark judgement, Singapore Court of Appeal introduced novel interpretation TP, identifying circumstances in which it might used with patients did not strictly lack capacity but inclined refuse recommended treatments....
The Mental Capacity Act (MCA) came into effect in March 2010 but the impact of this ground-breaking legislation on doctor-patient relationship has not yet been studied Singapore. It is evident that communication between healthcare professionals, patients and their loved ones never so critical. Translating practice, professionals must identify decision-maker to obtain consent from correct person. Consent for treatment be obtained patient with capacity or patient’s legally appointed proxy...
Abstract Background Several jurisdictions, including Singapore, Australia, New Zealand and most recently Ireland, have a public interest or good criterion for granting waivers of consent in biomedical research using secondary health data tissue. However, the concept is not well defined this context, which creates difficulties institutions, institutional review boards (IRBs) regulators trying to implement criterion. Main text This paper clarifies how can be defensibly deployed. We first...
Death is a taboo subject for many Asians. Singapore's healthcare decision-making laws have been significantly shaped by this consideration given its diverse cultural and ethnic population. Apart from the common law, Singapore enacted Advance Medical Directive Act (AMDA) in 1996 Mental Capacity (MCA) 2008. The “let's not talk about death” attitude that existed has seemingly transformed into plan future” mantra evident MCA. These should complement each other but several provisions are aligned...
In family-centric societies, maintenance of hope amongst ill family members is a pivotal duty the family. Meeting this often takes form continuing treatment even when such options may be futile. This makes efforts to maximize quality-of-life challenging. We explore Singaporean perceptions surrounding advocates who advice measures over potentially life-prolonging in terminal illness using novel video vignette based semi-structured interviews. Findings suggest that quality-oflife are viewed as...
Early initiation of stroke thrombolysis is associated with improved outcomes. Procurement consent a key factor in prolonging the door-to-needle duration. This study aimed to determine attitudes and preferences patients their next kin (NOK) towards decision-making for Singapore.We surveyed acute ischaemic (n = 171) who presented beyond 4.5-hour therapeutic window NOK 140) using questionnaire scenarios on obtaining intravenous thrombolysis.In patient survey, 83% were agreeable decide behalf if...
Introduction: Earlier treatment with intravenous stroke thrombolysis improves outcomes and lowers risk of bleeding complications. The decision-making consent process is one the rate-limiting steps in duration between hospital arrival initiation. We aim to describe attitudes practices neurologists Singapore on processes for thrombolysis. Materials Methods: A survey neurologists-in-training 2 large tertiary public hospitals was conducted. Results: Among 46 respondents, 94% them considered an...