CENTRES Clinical Ethics Conference 2023 is on the theme “Ethical Challenges in Home & Community Care Settings” and will be held on 6th & 7th February at the Kent Ridge Guild House.
Continuing to live in their community is fundamental for the old to thrive despite frailty and illness. Care at home – the most common care setting for most people throughout life – is crucial to care systems in ageing societies. Home care systems rely on health and social care services and informal caregiving in the home where goals and standards of care are hard to pin down. This conference will focus on national policies, highlighting ethical issues and exploring ethical frameworks to enable participants to analyse and reflect upon ethical dilemmas that arise in practice on the ground.
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Session 1: Understanding the ethical landscape of home care
As national policies around ageing-in-place are being implemented, health and social care practitioners are confronting issues at the intersection of home care and community care. At this intersection lies choices and conflicts about daily care, long-term care relationships, and places of care for older adults in better or poorer health. This session gives voice to the wishes, needs and concerns of older adults, caregivers and care providers.
Learning objectives
Participants will learn about:
Session 2: Values in care – contexts, transitions and intersections
The ageing person’s changing relationships and care arrangements signals a need for personal, familial and state planning. This session elaborates on an ethical framework for good care at home, with a focus on supporting personal agency and choices about care arrangements, supporting long-term care relationships in the family and community, and clarifying quality of care and responsibilities for care.
Learning objectives
Participants will learn about:
Session 3: Ethical issues in decision-making
From planning for care arrangements in old age, we turn to the implications of frailty, dementia and cognitive impairment on the ethics of decision-making in home and community care. This session also considers new issues prompted by the Covid-19 pandemic on lockdown policies and the fate of older adults at home.
Learning objectives
Participants will learn about:
Session 4: Moral distress, social and emotional issues
This session explores the social realities of loneliness in life transitions including old age, and considers the social supports needed for preserving old age independence and dignity in family and community living.
Learning objectives
Participants will learn about what:
Doctors, nurses, medical social workers, allied health professionals, academics, care workers, policy makers, older persons, individuals caring for someone at home or in a community care setting (befrienders, caregivers).
Continuing professional education points: Will be awarded for doctors, pharmacists and nurses.
Session 1: 6th February 2023: Understanding the ethical landscape of home care
Session Chairperson: Dr Jacqueline Chin
Time | Mode | Speakers/Panelists | Title/Topic |
9.00 to 9.10 | Welcome | Adj. A/P Raymond Chua | Opening remarks |
9.10 to 9.50 | Talk | Dr Jacqueline Chin | Ageing-in-place and the ethics of home care |
9.50 to 10.30 | Talk | Dr Ng Wai Chong | The goals of home care – challenges and opportunities from the care provider perspective |
10.30 to 11.00 | Break | ||
11.00 to 12.30 | Panel | Mr Martin Chew Dr Chong Poh Heng Dr Julian Lim Dr Ng Wai Chong Mrs Elizabeth Seah |
Vulnerabilities, interests, motivations and ways of flourishing in old age |
12.30 to 1.30 | Lunch |
Session 2: 6th February 2023: Values in care – contexts, transitions and intersections
Session Chairperson: A/P Michael Dunn
Time | Mode | Speakers/Panelists | Title/Topic |
1.30 to 2.10 | Talk | A/Prof Michael Dunn | Distinctive duties in home and community care |
2.10 to 3.00 | Panel | Mr Stephen Chan Mr Dwayne Loo Ms Loo Wei Leng Ms Tabitha Ong |
Who is a vulnerable person at home? (Part 1) |
3.00 to 3.30 | Break | ||
3.30 to 4.20 | Panel | Mr Stephen Chan Mr Dwayne Loo Ms Loo Wei Leng Ms Tabitha Ong |
Who is a vulnerable person at home? (Part 2) |
4.20 to 4.40 | Summary |
Session 3: 7th February 2023: Ethical issues in decision-making
Session Chairperson: Dr Sumytra Menon
Time | Mode | Speakers/Panelists | Title/Topic |
9.00 to 9.10 | Opening | Welcome back | |
9.10 to 9.50 | Talk | Ms Emily Ong | Living to the best you can with dementia |
9.50 to 10.30 | Talk | Prof Chin Jing Jih | Ethical issues in care planning for persons with dementia, cognitive impairment and frailty |
10.30 to 11.00 | Break | ||
11.00 to 12.40 | Panel | Prof Chin Jing Jih Mr Jason Foo Mr Dwayne Loo Ms Loo Wei Leng A/P Philip Yap |
Everyday decisions and planning for dementia – What can older adults and caregivers at home expect of good care planning for dementia |
12.40 to 1.40 | Lunch |
Session 4: 7th February 2023: Moral distress, social and emotional issues
Session Chairperson: Prof Julian Savulescu
Time | Mode | Speakers/Panelists | Title/Topic |
1.40 to 2.20 | Talk | Dr Jacqueline Chin | What should be done about loneliness? |
2.20 to 3.00 | Talk | A/P Angelique Chan | Old-age loneliness in Singapore |
3.00 to 3.30 | Break | ||
3.30 to 5.10 | Panel | A/P Angelique Chan Dr Noreen Chan Prof Kalyani Mehta Dr Kenny Tan Ms Yong Leong Ying |
What is to be done about unwanted old age loneliness? |
5.10 to 5.30 | Summary | Closing of Conference |
Talks
Ageing-In-Place and the Ethics of Home Care – A talk by Dr Jacqueline Chin
The Goals of Home Care — Challenges and Opportunities from the Care Provider Perspective – A talk by Dr Ng Wai Chong
Distinctive Duties in Home and Community Care – A talk by A/P Michael Dunn
Living to the best you can with Dementia – A talk by Ms Emily Ong
Ethical Issues in Care Planning for Persons with Dementia, Cognitive Impairment and Frailty – A talk by Prof Chin Jing Jih
Old-Age Loneliness in Singapore – A talk by A/P Angelique Chan
Panel Discussions
Vulnerabilities, Interests, Motivations and ways of Flourishing in Old Age – A Panel Discussion
Who is a Vulnerable Person at Home? (Part 1) – A Panel Discussion
Who is a Vulnerable Person at Home? (Part 2) – A Panel Discussion
What can Older Adults and Caregivers at Home Expect of Good Care Planning for Dementia – A Panel Discussion
What is to be done about Unwanted Old Age Loneliness? – A Panel Discussion