4.7. Suggestions for improvement
4.7.1. Maintaining sustainability of the service support to them at home and expected that the project could be sustained as part of regular healthcare shared, “My father’s condition continued to progress. I do not know that this project will cease. This is worrisome. I am not sure if I can manage the care at home myself. I wonder where I can seek similar help further.
4.7.2. Strengthening the communication between care sectors The collaboration amongst various care sectors appears as a cornerstone to enhance the quality of care in the community. A family member highlighted the importance of maintaining direct communication between the hospital and the project team to enhance the continuity of care. “It would be good if the project team can have access to the medical record and talk to the hospital team directly. Sometimes, I am afraid I might have conveyed the wrong message.
4.7.3. Providing additional support for rehabilitation As the family members generally noticed that the health conditions of their sick relatives were worsening, members appreciated the dietary advice from the project nurse and social worker, but they hope to have uptake through diet. Another family member expected inputs from physiotherapist to improve the patient’s strength and muscle endurance. He stated that, “She [the patient] now cannot move well. It would be good to have some care assistants to come over to teach her some simple exercise to delay the deterioration.
patients’ mobility even at the late stage of life.
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