A5061066141- Palliative Care and End-of-Life Issues
- Ethics and Legal Issues in Pediatric Healthcare
- Grief, Bereavement, and Mental Health
- Ethics in medical practice
- Patient Dignity and Privacy
- Healthcare Decision-Making and Restraints
- Pain Management and Opioid Use
- Pharmacological Effects and Toxicity Studies
- Criminal Law and Policy
National Cancer Centre Singapore
2014-2025
National University of Singapore
2025
SingHealth Polyclinics
2025
Abstract Patients harmed by medical mishaps are often driven to litigation because of a lack apologies and candour rather than desire for monetary compensation. Despite attempts at clinical negligence reform, patients continue receive unsatisfactory responses. Physicians have cited fears legal liability as key reason withholding apologies. Apology legislation has been proposed possible solution encourage rendering them inadmissible evidence liability, thereby reducing the risks Critics,...
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,...
Despite their proven efficacy and safety, opioid sedative use for palliation in patients afflicted with cancer Singapore have been shown to be a fraction of that other countries. This paper explores the various psychosocial system-related factors appear propagate this conservative approach care what is largely western-influenced practice. A search publications relating usage Asia was performed on PubMed, Google, Google Scholar, World Health Organization, Singapore's government agency...
Background: When a parent is dying, there can be significant disagreement in the means and motives of primary surrogate decision-makers. How does one resolve conflict between meeting one’s filial obligation, social responsibility to maintain hope not give up on care loved one, protecting familial interests? This case report highlights diverse concerns plaguing holistic palliative importance multidisciplinary team complicated settings. Methods: We discuss family which members were discordant...
Appropriate and balanced decision-making is sentinel to goal setting the provision of appropriate clinical care that are attuned preserving best interests patient. Current family-led in family-centric societies such as those Singapore other countries East Asia believed compromise these objectives favor protecting familial interests. Redressing skewed practices employing autonomy-based patient-centric approaches however have been found wanting their failure contend with wider sociocultural...
Background: This article aims to explore the idea of proportionality within context application continuous deep sedation in end-of-life care, and evaluate its importance discerning intention. Methods: Two case studies are used concept ‘Doctrine Double Effect’. The first highlights a holistic appreciation patient’s clinical, social, emotional, psychological, spiritual cultural contexts. second study evaluates appropriateness proportional response sedation. Results: show that responses made by...
Background: Recent publications have suggested that palliative care may be detracting from its primary goal of providing holistic by focusing almost entirely upon measurable clinical and scientific parameters, neglecting psychosocial research. This paper aims to evaluate whether has indeed lost way. Methods: We employ the example growing calls for adoption Relational Autonomy in Singaporean end-of-life setting, proffering Ring Theory Personhood explore effects evidence-based approaches on...