08 NEWS singapore health May – Jun 2014 Delivering quality care A record 2,727 health care professionals were recognised for their work at the 2014 Singapore Health Quality Service Award Services Development Programme grant to use endobronchial ultrasound to help diagnose lung cancer and determine how much the disease has advanced more accurately. As the Director of both the Allergy Clinic and Asthma Programme in SGH, Dr Koh was instrumental in setting up the Severe Asthma Phenotype database to help doctors understand severe asthmatics better. Dr Koh turned to medicine as a career because of her grandmother. A doctor who practised till she retired at 85, her grandmother was her “inspiration and motivation”, Dr Koh said. By Sol E Solomon G oing over and beyond the call of duty for their patients led these four health care professionals to win accolades at the Singapore Health Quality Service Award (SHQSA) 2014. They were among the 2,727 health care professionals – a record number – from 17 institutions who were honoured this year for their outstanding contributions. Notably, community hospitals and nursing homes registered a more than 57 per cent increase in the number of winners – a strong testament to the health care community’s shared commitment to provide the best care for patients at every stage of their lives. The Singapore Health Quality Service Awards, organised by SingHealth, is Singapore’s first dedicated platform to honour health care professionals who have delivered quality care and excellent service to patients. Dr mariko Koh, Superstar (Clinician) Dr Mariko Koh is a Senior Consultant with Singapore General Hospital’s (SGH) Department of Respiratory and Critical Care Medicine. She also heads the hospital’s Allergy Centre, Pulmonary Function Laboratory, and Asthma Programme; takes on research; and teaches at the NUS Yong Loo Lin School of Medicine. Despite her many responsibilities, Dr Koh is, at heart, a clinician who always puts her patients first. “Good patient care starts right from the beginning – from the moment patients enter the hospital compound, till post-treatment and aftercare. It is about total and complete care,” said Dr Koh. To have a clear idea of her patients’ conditions, she puts herself in their shoes, listens closely, and tries to understand their circumstances. “It helps to understand the patient’s perspective, to really listen and to have their best interests at heart. It is about being patient-centric,” she said. Being patient-centric also means looking for better ways of treatment. Dr Koh, who has been actively involved in clinical research on asthma and lung conditions, received $1.3 million in funding support from the Ministry of Health (MOH) to perform a novel procedure, bronchial thermoplasty, to reduce the frequency of asthma attacks and improve overall asthma control in people suffering from severe asthma. She also received an MOH Health Photo: zaphs zhang Mr Mazlan Senawi, Star (Allied Health) His work can be laborious. And he has there. After her discharge, he was able to been doing the same job for the last nine help her with the exercises that he learnt years. Yet, Mr Mazlan Senawi (far left), as a volunteer. Senior Therapy Assistant, Ang Mo Kio“At that point, I realised that I enjoyed Thye Hua Kwan Hospital (AMK-THKH), helping elderly patients, so I decided to continues to look forward to work at the work at the hospital.” community hospital each day. Mr Mazlan, 48, treats his elderly “I’m always happy at work, and I’m patients as though they are his parents. always looking forward to meeting my When they are depressed, he gives them elderly patients,” said Mr Mazlan. “My “a little tender loving care” or “sayang” in parents taught me to treat every individ- the Malay vernacular. ual with respect, and patients can sense “The elderly have mood swings. So if you’re genuinely nice to them.” it’s very important to talk to them nicely, Always ready with a smile, Mr Mazlan slowly, and to listen to them. You’ll build has had plenty of experience dealing with their trust, (you’ll get to know) what probthe old. lems they’re facing. Once they trust you, The youngest of 10 children, he took it’s not hard to get them to do their exerit upon himself to care for his parents in cises,” he said. their old age. A former hotel chef, Mr Mazlan has marHe volunteered at AMK-THKH as a ried his passion for cooking with his currehabilitation assistant to see how “the rent calling by conducting weekly group staff helped patients” when his late therapy cooking classes for patients. mother was recovering from a stroke Kneading dough and cutting onions Good patient care starts right from the beginning – from the moment patients enter the hospital compound, till post-treatment and aftercare. Medicine, she said, is a learning process. In that regard, teaching younger doctors has helped Dr Koh in her perpetual quest for better patient care. “When I teach them, I also learn from them. We are always striving to find ways to improve patient care,” she said. are forms of exercise therapy for patients, who may be recovering from the debilitating effects of stroke, fractures or amputations. In his classes, he teaches the patients how to make pizza, prawn noodles, goreng pisang and ondeh-ondeh. He also holds separate classes for dementia patients. “They all look forward to the class, and everybody participates,” said Mr Mazlan. The classes not only help patients physically but also allow Mr Mazlan to interact better with them. A part of his job involves working with the hospital’s occupational therapists, and helping to break in new therapy assistants. “We are a team,” said Mr Mazlan, who stressed that the award recognising him for good service should include all his colleagues. “I am just happy to be of service to my patients. It is my job.” May – Jun 2014 NEWS 09 MS Fan Zuoxia, Gold (nursing) and advice, and her team visits homes after work too. Besides her hospital work, Ms Kang trains confinement nannies to care for babies and assist mothers to breastfeed. She sits on many committees, including the Association for Breastfeeding Advocacy, Singapore. She has even produced a breastfeeding video endorsed by the Health Promotion Board, and in 2010, developed a flip chart on breastfeeding and wrote the book Successful Breastfeeding: A Practical Guide. She regularly contributes to magazines too. Despite her heavy schedule, the youthful 62-year-old said: “I enjoy my work. I don’t feel tired. I can go on from morning until midnight.” In order to go the extra mile when asked to perform a task, one should ask “Why not me?” instead of “Why is it me?”, said Ms Fan Zouxia. For the Enrolled Nurse at Thomson Medical Centre’s (TMC) maternity ward, this means doing everything possible to make the mothers happy. She teaches new mothers the essentials, like the correct way to hold a baby, change diapers, and breastfeed. New mothers are often anxious about breastfeeding, and they can get distressed if they have problems with inverted nipples or heavily engorged breasts, for instance. Ms Fan understands their disappointment when their initial efforts to breastfeed fail. “I feel happy whenever I see a mother under my care succeed in breastfeeding. It feels especially rewarding to see them embrace their new parenting role and be able to be part of a family’s excitement in welcoming their new bundle of joy,” said Ms Fan, 32. Ms Fan, who is from Harbin, China, used to spend her weekends at the hospital where her aunt worked as a nurse. She had hoped to train as a teacher, but after witnessing the recovery of a patient, changed her mind. Unable to walk when he was admitted to the neurological ward, the stroke patient regained his mobility after about a month of care. Seeing how the nurses looked after the patient led Ms Fan to appreciate the importance of good care and the role of nurses. Also, seeing the gratitude that Ms Fan’s aunt received from the patient reinforced her conviction to work as a nurse. In Ms Fan’s two years at TMC, she has received more than 70 compliments. She said it was the newborn babies – or more accurately, how they looked at her – who drove her to do her best at work. “Babies are very expressive although they are unable to speak yet. They communicate with their eyes and it’s amazing how they seem to be able to understand what we say sometimes.” Photo: zaphs zhang Photo: Mt Alvernia Hospital Ms Kang Phaik Gaik, GOld (Nursing) Not being able to breastfeed can worry a new mother. But when she eventually does, the feeling can be overwhelming, not just for the mother but the nurses who have helped her overcome her difficulties. “On our part, we feel rewarded and very fulfilled to have been able to help these mothers. When we go the extra mile for our patients, they remember us for a lifetime,” said Ms Kang Phaik Gaik, Senior Nurse Manager, Parentcraft/Lactation, Mount Alvernia Hospital. When interest among new mothers to breastfeed grew in the 1990s, the hospital looked to Ms Kang, then a ward sister, to specialise in teaching and guiding mothers. Today, she is a lactation specialist, renowned both at home and abroad. Ms Kang became a nurse out of practical considerations. Both her parents were diabetics, and none of their 11 children knew how to care for them. Seeing the care that nurses gave their father at a hospital, she decided to train as one. Ms Kang qualified as a nurse in Scotland, and when she moved to Singapore, began working at Mt Alvernia Hospital – her first and only employer in the city-state. With more than 500 babies delivered at Mt Alvernia each month, Ms Kang and her team are kept busy round the clock. 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