Papers by Tuck Wai Chan

Chinese-Singaporean's Perceptions of a Good Death
Proceeding of the 23rd International Nursing Research Congress, Aug 1, 2012
ABSTRACT
Aim: The study aimed to explore the knowledge, attitudes and perceptions of people liv... more ABSTRACT
Aim: The study aimed to explore the knowledge, attitudes and perceptions of people living in Singapore on issues surrounding death, dying and the end of life.
Methods: Data were collected by paper initially and then via survey monkey by convenience sampling. The study was approved by the Institutional Review Board of the National University of Singapore. Data were then transcribed verbatim and Taylor(2006) thematic analysis was undertaken.
Results: The results revealed the end of life associated issues included the themes of denial of death, fear of dying, uncertainty of death and the afterlife, being peaceful, ready and free from suffering, and possible ways to a good death. Most of the latter theme consisted of cultural and religious practices.
Conclusion: There were 517 Singaporean respondents in this survey, of these 63% were females and 36% were males. The data obtained in this study revealed issues relating to end of life to be a major concern. This study demonstrated the interconnectedness of spirituality, physical and psychological concepts around concepts of death and dying. Health care professionals should be mindful that when talking to persons or their family carers about death and dying of the interconnectedness of the spiritual, physical and psychological aspects of death. They should also be aware that people from different religious backgrounds will have different needs as they prepare for their death and these differences should be taken into consideration.

A 10-year (2002 to 2011) retrospective analysis of consent documentation for the donation of left... more A 10-year (2002 to 2011) retrospective analysis of consent documentation for the donation of leftover or residual human tissue from surgical interventions at a major academic healthcare institution in Singapore was conducted. Findings suggest that demographics like gender, religious belief and socioeconomic status could be indicators of the willingness of a patient to donate residual tissue to a tissue repository or biobank for future research use. Patients in general did not decide to donate based on specific details that were provided to them. Instead, those who donated were of a background that engendered a level of security or confidence that harm would not befall them. It is argued that willingness to donate depended more on this sense or perception of security that arose from systemic trustworthiness than from the rigour of consent-taking. In 2015, changes to the regulation of tissue banking and related activities in Singapore include legislative requirement for a prescribed list of information to be provided to a prospective tissue donor in consent-taking. While this and other legislative changes are important to ensure that tissue donation for research remains informed and voluntary, it is argued that trust and trustworthiness remain an unfinished project. Tissue repositories or biobanks more broadly must be constituted as moral institutions that safeguard the interests and rights of altruistic tissue donors. More critically, they must advance security and trustworthiness through good stewardship that is directed at promoting the common good through accountability, transparency and control.
The Singapore Bio-Bank (SBB), originally known as Singapore Tissue Network (STN), was established... more The Singapore Bio-Bank (SBB), originally known as Singapore Tissue Network (STN), was established in 2002
as a national non-profit tissue bank under the auspices of the Ministry of Health and the Agency for Science, Technology
and Research in Singapore (A*STAR). The SBB served as the only public level bio-specimens and DNA repository in
Singapore with the objectives to facilitate the conduct of the highest quality of translational and population research.
In 2011, the SBB was closed down and more than a million vials of stored tissue samples have been returned to the
researchers and their research institutes. This article considers demand-side problems that led to the closure of the SBB.
Biobanking of residual human biological materials (HBMs),
usually obtained from surgeries, is cr... more Biobanking of residual human biological materials (HBMs),
usually obtained from surgeries, is crucial in biomedical
research for the advancement of science and public health.
[1] Research results obtained from studies using HBMs improve drug
discovery, clinical management and current treatment of various
diseases. However, biobanking of residual HBMs comes with ethical,
legal and social implications (ELSI) that require attention. On the
requirement of consent, there are on-going discussions about the
various models of informed consent concerning the collection,
storage and use of human biological materials (HBMs) for future
research [2]. This paper provides an analysis of the approach to
consent-taking by the Tissue Repository of the National University
Hospital (NUH TR).
Patients’ experiences towards the donation of their residual biological samples and the impact of these experiences on the type of consent given for secondary use: A systematic review
TYPE OF INTERVENTION (PHENOMENA OF INTEREST): This review will consider publications that investi... more TYPE OF INTERVENTION (PHENOMENA OF INTEREST): This review will consider publications that investigate the patients' experiences to the donation of their residual tissues. The review will also consider publications that include the patient's experiences to the different types of consent for the left‐over residual tissue and the use of their leftover tissues, as well as how the different types of consent may influence their decision to donate.

Journal of bioethical inquiry, Aug 27, 2012
Religious faith and medicine combine harmoniously in Buddhist views, each in its own way helping ... more Religious faith and medicine combine harmoniously in Buddhist views, each in its own way helping Buddhists enjoy a more fruitful existence. Health care providers need to understand the spiritual needs of patients in order to provide better care, especially for the terminally ill. Using a recently reported case to guide the reader, this paper examines the issue of medical futility from a Buddhist perspective. Important concepts discussed include compassion, suffering, and the significance of the mind. Compassion from a health professional is essential, and if medical treatment can decrease suffering without altering the clarity of the mind, then a treatment should not be considered futile.Suffering from illness and death, moreover, is considered by Buddhists a normal part of life and is ever-changing. Sickness,old age,birth,and death are integral parts of human life. Suffering is experienced due to the lack of a harmonious state of body, speech, and mind.Buddhists do not believe that the mind is located in the brain, and, for Buddhists, there are ways suffering can be overcome through the control of one’s mind.

Progress in Palliative Care, 2011
Palliative care professionals, particularly nurses, understand that it is crucial to deliver cult... more Palliative care professionals, particularly nurses, understand that it is crucial to deliver culturally and religiously appropriate care to the dying while attending to their physical needs. This article provides a brief overview of the different types of Buddhism and the major beliefs of Buddhists, particularly around suffering and death. It explores the impact of some of the current practices of end-of-life care from the Buddhist perspective, with an emphasis on Buddhist goals, beliefs, and practices at the time of death. It outlines the importance of advanced care planning, particularly with respect to the use of analgesia,palliative sedation, and any special dietary requirements. It notes that regardless of advanced care planning, nurses should continue to assess the needs of the patient, and in discussion with family, titrate medication and provide an environment that helps the Buddhist reach his/her spiritual goals. It outlines the importance of the environment in achieving this goal, particularly as the Buddhist practitioner will wish to use non-medication practices, such as meditation and chanting, to finish the last meditation before death. The paper provides guidance on how nurses can ensure a good death for the dying Buddhist, and their family or loved ones, especially in the area of choice in terminal pain management and palliative sedation therapy.
asiabiotech.com
The Singapore Bio-Bank (SBB), originally known as Singapore Tissue Network (STN), was established... more The Singapore Bio-Bank (SBB), originally known as Singapore Tissue Network (STN), was established in 2002 as a national non-prot tissue bank under the auspices of the Ministry of Health and the Agency or Science, Technology and Research in Singapore (A*STAR). The SBB served as the only public level bio-specimens and DNA repository in Singapore with the objectives to facilitate the conduct of the highest quality of translational and population research. In 2011, the SBB was closed down and more than a million vials of stored tissue samples have been returned to the researchers and their research institutes. This article considers demand-side problems that led to the closure of the SBB.
International Journal of …, 2012
During a patient's surgery, some biological samples may be removed from the body to aid in the di... more During a patient's surgery, some biological samples may be removed from the body to aid in the diagnosis and/or treatment of their medical condition. In a majority of these cases, not all the tissues removed are needed for the primary use of clinical diagnosis and treatment of the condition. The leftover of these human biological materials, which are normally discarded or destroyed, are useful samples for secondary uses such as biomedical research, education and training
Nurse researcher, Sep 2010
The three themed papers in this edition identify particular issues in the ethical conduct of qual... more The three themed papers in this edition identify particular issues in the ethical conduct of qualitative research. Some concerns are common to all three papers and other concerns raise queries related to the conduct of the authors' own research. This commentary will focus on three of these issues: gaining access and recruitment, informed consent and the relationship between the researcher and participant.

Asian Bioethics Review, Volume 4, Issue 2, June 2012, Jun 2012
In this essay, we discuss a typical scenario where a patient sought an "alternative" treatment re... more In this essay, we discuss a typical scenario where a patient sought an "alternative" treatment regime (as opposed to conventional "western" medicine) and healthcare professionals (HCP) who were "system apartheid" and less tolerant towards other care systems.
Alternative treatment is typically defined as any healing regime that does not fall within the realm of conventional medicine. Alternative treatments, also known as Complementary/Alternative Medicine (CAM), have been either used as an adjunct/additional treatment with conventional medicine or as a complete replacement of conventional medicine. Some of these alternative treatments include natural medicine such as herbal or mineral-based products, mind and body medicine such as meditation and faith healing, and manipulative and body-based practices like massage and chiropractics.
Buddhism and Bioethics by Tuck Wai Chan
What nurses need to know about Buddhist perspectives of end-of-life care and dying

Religious faith and medicine combine harmoniously in Buddhist views, each in its own way helping ... more Religious faith and medicine combine harmoniously in Buddhist views, each in its own way helping Buddhists enjoy a more fruitful existence. Health care providers need to understand the spiritual needs of patients in order to provide better care, especially for the terminally ill. Using a recently reported case to guide the reader, this paper examines the issue of medical futility from a Buddhist perspective. Important concepts discussed include compassion, suffering, and the significance of the mind. Compassion from a health professional is essential, and if medical treatment can decrease suffering without altering the clarity of the mind, then a treatment should not be considered futile. Suffering from illness and death, moreover, is considered by Buddhists a normal part of life and is ever-changing. Sickness, old age, birth, and death are integral parts of human life. Suffering is experienced due to the lack of a harmonious state of body, speech, and mind. Buddhists do not believe that the mind is located in the brain, and, for Buddhists, there are ways suffering can be overcome through the control of one's mind.
End of life by Tuck Wai Chan
What nurses need to know about Buddhist perspectives of end-of-life care and dying
Chinese-Singaporean's Perceptions of a Good Death
Alternative medicine by Tuck Wai Chan
Talks by Tuck Wai Chan
Title: "Singapore Elderly Happiness & Dignity"
Boredom leads to loneliness which lead to helplessness. Depression then follow. Glad u realised ... more Boredom leads to loneliness which lead to helplessness. Depression then follow. Glad u realised this early.
Experience and expectation in life lead to people being selective in what they want to do and sometimes restrict our relationship with people.

Title: "Older but Wiser" 《老不沉重》
"The En-Lightened Older Persons" Chinese Forum,
6 June 2015.
静境镜创作室在六月六日举办了一个《老不沉重》中文座谈会。
... more "The En-Lightened Older Persons" Chinese Forum,
6 June 2015.
静境镜创作室在六月六日举办了一个《老不沉重》中文座谈会。
其中一名讲座嘉宾是陈德威博士。陈德威是一名药剂师。目前是国大研究伦理委员会,高级副执行长。他刚完成新加坡国立大学医学伦理的博士学位。他致力推广和促进关于银发族护理,乐龄保健,临终关怀以及各种善终的知识。
http://cn.c3a.org.sg/WatchVideo_details.do?id=3302
This is a MOH supported Chinese symposium on "Old Is Not Heavy" on June 6.
One of the guest speakers is Dr. Chan Tuck Wai. Chan Tuck Wai is a pharmacist. At present, he is the Senior Associate Director of the Research Ethics Committee (NUS-IRB) of the National University of Singapore. He has completed his doctorate in medical ethics from the National University of Singapore. He is committed to promoting and promoting knowledge about silver-haired care, happy-age health care, hospice care and end-of-life care.
Title : English Forum (Singapore): Life & Death - Facing, Accepting, Caring & Letting Go, Part 1
http://www.youtube.com/watch?v=nsJySoLxzpo&list=PLAE0232B44AA4C401
Title : English Forum (Singapore): Life & Death - Facing, Accepting, Caring & Letting Go, Part 2
http://www.youtube.com/watch?v=wPKKKlqRZAg&list=PLAE0232B44AA4C401
Uploads
Papers by Tuck Wai Chan
Aim: The study aimed to explore the knowledge, attitudes and perceptions of people living in Singapore on issues surrounding death, dying and the end of life.
Methods: Data were collected by paper initially and then via survey monkey by convenience sampling. The study was approved by the Institutional Review Board of the National University of Singapore. Data were then transcribed verbatim and Taylor(2006) thematic analysis was undertaken.
Results: The results revealed the end of life associated issues included the themes of denial of death, fear of dying, uncertainty of death and the afterlife, being peaceful, ready and free from suffering, and possible ways to a good death. Most of the latter theme consisted of cultural and religious practices.
Conclusion: There were 517 Singaporean respondents in this survey, of these 63% were females and 36% were males. The data obtained in this study revealed issues relating to end of life to be a major concern. This study demonstrated the interconnectedness of spirituality, physical and psychological concepts around concepts of death and dying. Health care professionals should be mindful that when talking to persons or their family carers about death and dying of the interconnectedness of the spiritual, physical and psychological aspects of death. They should also be aware that people from different religious backgrounds will have different needs as they prepare for their death and these differences should be taken into consideration.
as a national non-profit tissue bank under the auspices of the Ministry of Health and the Agency for Science, Technology
and Research in Singapore (A*STAR). The SBB served as the only public level bio-specimens and DNA repository in
Singapore with the objectives to facilitate the conduct of the highest quality of translational and population research.
In 2011, the SBB was closed down and more than a million vials of stored tissue samples have been returned to the
researchers and their research institutes. This article considers demand-side problems that led to the closure of the SBB.
usually obtained from surgeries, is crucial in biomedical
research for the advancement of science and public health.
[1] Research results obtained from studies using HBMs improve drug
discovery, clinical management and current treatment of various
diseases. However, biobanking of residual HBMs comes with ethical,
legal and social implications (ELSI) that require attention. On the
requirement of consent, there are on-going discussions about the
various models of informed consent concerning the collection,
storage and use of human biological materials (HBMs) for future
research [2]. This paper provides an analysis of the approach to
consent-taking by the Tissue Repository of the National University
Hospital (NUH TR).
Alternative treatment is typically defined as any healing regime that does not fall within the realm of conventional medicine. Alternative treatments, also known as Complementary/Alternative Medicine (CAM), have been either used as an adjunct/additional treatment with conventional medicine or as a complete replacement of conventional medicine. Some of these alternative treatments include natural medicine such as herbal or mineral-based products, mind and body medicine such as meditation and faith healing, and manipulative and body-based practices like massage and chiropractics.
Buddhism and Bioethics by Tuck Wai Chan
End of life by Tuck Wai Chan
Alternative medicine by Tuck Wai Chan
Talks by Tuck Wai Chan
Experience and expectation in life lead to people being selective in what they want to do and sometimes restrict our relationship with people.
6 June 2015.
静境镜创作室在六月六日举办了一个《老不沉重》中文座谈会。
其中一名讲座嘉宾是陈德威博士。陈德威是一名药剂师。目前是国大研究伦理委员会,高级副执行长。他刚完成新加坡国立大学医学伦理的博士学位。他致力推广和促进关于银发族护理,乐龄保健,临终关怀以及各种善终的知识。
http://cn.c3a.org.sg/WatchVideo_details.do?id=3302
This is a MOH supported Chinese symposium on "Old Is Not Heavy" on June 6.
One of the guest speakers is Dr. Chan Tuck Wai. Chan Tuck Wai is a pharmacist. At present, he is the Senior Associate Director of the Research Ethics Committee (NUS-IRB) of the National University of Singapore. He has completed his doctorate in medical ethics from the National University of Singapore. He is committed to promoting and promoting knowledge about silver-haired care, happy-age health care, hospice care and end-of-life care.
Aim: The study aimed to explore the knowledge, attitudes and perceptions of people living in Singapore on issues surrounding death, dying and the end of life.
Methods: Data were collected by paper initially and then via survey monkey by convenience sampling. The study was approved by the Institutional Review Board of the National University of Singapore. Data were then transcribed verbatim and Taylor(2006) thematic analysis was undertaken.
Results: The results revealed the end of life associated issues included the themes of denial of death, fear of dying, uncertainty of death and the afterlife, being peaceful, ready and free from suffering, and possible ways to a good death. Most of the latter theme consisted of cultural and religious practices.
Conclusion: There were 517 Singaporean respondents in this survey, of these 63% were females and 36% were males. The data obtained in this study revealed issues relating to end of life to be a major concern. This study demonstrated the interconnectedness of spirituality, physical and psychological concepts around concepts of death and dying. Health care professionals should be mindful that when talking to persons or their family carers about death and dying of the interconnectedness of the spiritual, physical and psychological aspects of death. They should also be aware that people from different religious backgrounds will have different needs as they prepare for their death and these differences should be taken into consideration.
as a national non-profit tissue bank under the auspices of the Ministry of Health and the Agency for Science, Technology
and Research in Singapore (A*STAR). The SBB served as the only public level bio-specimens and DNA repository in
Singapore with the objectives to facilitate the conduct of the highest quality of translational and population research.
In 2011, the SBB was closed down and more than a million vials of stored tissue samples have been returned to the
researchers and their research institutes. This article considers demand-side problems that led to the closure of the SBB.
usually obtained from surgeries, is crucial in biomedical
research for the advancement of science and public health.
[1] Research results obtained from studies using HBMs improve drug
discovery, clinical management and current treatment of various
diseases. However, biobanking of residual HBMs comes with ethical,
legal and social implications (ELSI) that require attention. On the
requirement of consent, there are on-going discussions about the
various models of informed consent concerning the collection,
storage and use of human biological materials (HBMs) for future
research [2]. This paper provides an analysis of the approach to
consent-taking by the Tissue Repository of the National University
Hospital (NUH TR).
Alternative treatment is typically defined as any healing regime that does not fall within the realm of conventional medicine. Alternative treatments, also known as Complementary/Alternative Medicine (CAM), have been either used as an adjunct/additional treatment with conventional medicine or as a complete replacement of conventional medicine. Some of these alternative treatments include natural medicine such as herbal or mineral-based products, mind and body medicine such as meditation and faith healing, and manipulative and body-based practices like massage and chiropractics.
Experience and expectation in life lead to people being selective in what they want to do and sometimes restrict our relationship with people.
6 June 2015.
静境镜创作室在六月六日举办了一个《老不沉重》中文座谈会。
其中一名讲座嘉宾是陈德威博士。陈德威是一名药剂师。目前是国大研究伦理委员会,高级副执行长。他刚完成新加坡国立大学医学伦理的博士学位。他致力推广和促进关于银发族护理,乐龄保健,临终关怀以及各种善终的知识。
http://cn.c3a.org.sg/WatchVideo_details.do?id=3302
This is a MOH supported Chinese symposium on "Old Is Not Heavy" on June 6.
One of the guest speakers is Dr. Chan Tuck Wai. Chan Tuck Wai is a pharmacist. At present, he is the Senior Associate Director of the Research Ethics Committee (NUS-IRB) of the National University of Singapore. He has completed his doctorate in medical ethics from the National University of Singapore. He is committed to promoting and promoting knowledge about silver-haired care, happy-age health care, hospice care and end-of-life care.