Going beyond call of duty, nurse makes home visits

Nurse makes home visits under hospital care scheme and tends to ex-patient on days off

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Ms Loo and a doctor leave a patient's flat in MacPherson. The nurse has about 40 patients under her care and visits an average of three every day - half the time on her own and other times with a doctor. She moves around with at least two cellphones,

Senior staff nurse Ms Loo wipes the feet of Mr Quek, a former patient, before clipping his toenails and cleaning him. Ms Loo has been visiting him at his one-room rental flat in Kitchener Road on her days off over the past two months even though he is no longer officially under her care. The 75-year-old, who is in the final stages of heart failure, is estranged from his children and lives with his younger brother, who has dementia.

ST PHOTO: DESMOND LIM

Desmond Lim

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It is hard to define where Ms Loo Min Min's job starts and ends.
A regular work day for the senior staff nurse involves home visits to patients under Tan Tock Seng Hospital's (TTSH) Post Acute Care at Home (PACH) programme.
PACH is a post-discharge service for patients who need rehabilitative or nursing care after leaving the hospital.
For the past two months, she has been making weekly visits on her days off to help a man who wants to be known only as Mr Quek.
In the stuffy one-room rental flat in Kitchener Road, she banters with the bedridden 75-year-old in fluent Hokkien to lift his spirits.
She feeds him his favourite fish soup and sugar cane juice before wiping his gaunt body and unflinchingly picking the dirt out from under his fingernails and toenails.
The elderly man has been estranged from his children for years and lives with his 65-year-old brother, who has dementia. They are being taken care of by an elderly woman who is an old friend.
Mr Quek's condition worsened shortly after being discharged from the PACH programme.
A community welfare group now cares for him and visits him periodically.
Ms Loo says she finds it hard to stop caring for him even though he is officially no longer her patient.
It is a desire to help that drew Ms Loo, who is single, to nursing and eventually to become one of just four PACH nurses at TTSH.
Since its start in 2008, enrolment has risen steadily and peaked at about 600 last year.
The job of a PACH nurse involves visiting patients' homes to check on their medication, dress their wounds and communicate with family members and caregivers regarding the patients' conditions.
She has about 40 patients under her care and visits about three patients every day - half the time on her own, and other times with a doctor.
She has been with PACH for just under a year and admits that the workload can be challenging.
"The hours can be long and tiring but whenever I feel tired, I tell myself that I'm not the only one working this way."
She adds: "It's not for myself but for the good of others."
In between visits, she writes reports and attends to patients' care- givers who call her on the phone.
"The rapport and trust I get to build with the family of the patients are very satisfying, especially when they know I'm trying my best to help," she says.
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