20. To ensure the independence of older persons and their access
to right to health, there are three main areas to be looked into
(i) General health including physical, mental and social health
disabilities; (ii) The ability to perform basic self-care activities, and
(iii) The ability to perform more complex self-care activities that will
allow for greater independence.
21. Dr. Molly Cheah further recommended the following:
a. The early detection of treatable conditions, like cataract,
glaucoma to prevent blindness and result in better quality of
life;
b. Pre-retirement and post-retirement courses help retirees to
anticipate avoidable pitfalls during old age so that they can
manage their lives better;
c. Addressing the needs of those who have to be placed in
institutional homes to ensure they are cared for appropriately
with dignity and compassion. The differential of admission by
the older persons to care centre and nursing homes should
be made according to their health status. The Care Centre
Act 1993 does not define the types of enrolment of older
persons in institution homes; however it is recommended
that enrolment should be based on the health conditions of
older persons;
d. Some old-old56 persons with multiple and severe conditions
should be managed humanely and not be subjected to heroic
interventions;
e. To have a clear definition of community care. There appears
to be a lack of satisfactory definition of community care and
some confusion as to its meaning. The narrow definition
refers to the provision of domiciliary rather than
institutional services, while the wider definition of
community care refers to treatment and care outside
hospitals or residential/ nursing homes, which ensure mutual
aid, and giving those older persons a sense of well being;
56
Old-old person who is age 75 and older
REPORT ON CARE SERVICES FOR OLDER PERSONS AND SUPPORT FOR CAREGIVERS
59