Career Highlight: Palliative Care

Palliative care is a multidisciplinary approach to specialized medical care for people with life-limiting illnesses. It focuses on providing people with relief from the symptoms, pain, physical and mental stresses of the terminal diagnosis. The goal of such therapy is to improve quality of life for both the person and their family.

Palliative care is provided by a team of physicians, nurses, physiotherapists, occupational therapists and other health professionals who work together with the primary care doctors and referred specialists. It is appropriate at any age and at any stage in a serious illness and can be provided as the main goal of care of along with curative treatment.

Although it is an important part of end-of-life care, it is not limited to that stage. Palliative care can be provided across multiple settings including in hospitals, in the patient’s home, as part of the community palliative care programs, and in nursing facilities. Spiritual support is often provided in more interdisciplinary teams.

When a medicine or treatment relieves symptoms, but has no curative properties, it is said to be palliative. The word noncurative is sometimes paired with palliative for clarification purposes.

Scope

Palliative care is for patients with any serious illness and who have a physical or mental distress as a result of the treatment they are undergoing. Palliative care increases comfort by reducing pain, alleviating symptoms, and lessening stress for the patient and family. It is mutually beneficial for both patient and caregiver.

Emergency care nurses and doctors have a critical role to begin discussions with patients and their families regarding palliative care as they see them go through difficult times in life.

Paediatric palliative care is a rapidly growing subset of this field, and services directed specifically for children with serious illness are in dire need of this.

Responsibilities

Assessment of symptoms

A method fr the assessment of symptoms in patients admitted to palliative care is the Edmonton Symptoms Assessment Scare, in which there are eight visual analog scales of 0 to 10, indicating the levels of pain, activity, nausea, depression, anxiety, drowsiness, appetite and sensation of well-being. On the scale, 0 means absent, and 10 means the worst imaginable possible. Medications are often managed at home by family or nursing support.

Further actions

Effective methods to ensuring successful palliative care is to provide a safe way for the individual to address their physical and psychological distress, that is to say their total suffering.

Dealing with total suffering involves addressing a wide range of concerns, starting with treating physical symptoms such as pain, nausea, and breathlessness. The palliative care teams have become very skillful in prescribing drugs for physical symptoms, and have been instrumental in showing how drugs such as morphine can be used safely while maintaining a patient’s full functions.

Importance of counselling

Usually, a palliative care patient’s concerns are pain, fears of the future, uncertainties, and worries of their family and feeling like a burden. There are counselling, visual methods, cognitive therapy, and relaxation therapy to deal with it.

Pallliative care sees an increasingly wide range of conditions in patients at varying stage of their illness it follows that palliative care teams offer a range of care. This may range form managing the physical symptoms in patients receiving treatment for cancer, to treating depression in patients with advanced disease, to the care of patients in their last days and hours.

Training

In most countries hospice and palliative care is provided by an interdisciplinary team consisting of physicians, pharmacists, registered nurses, nursing assistant, social workers, and others. The focus on the team is to optimize the patient’s comfort.

Nurses in palliative care are given extensive training in counselling, medication dispensing, and support. The aim is about relieving distressing symptoms for the patient. Nurses are also part of the management of the imminently dying patient, more so than the physicians or doctors themselves.

Work Opportunities

The work opportunities that we get is aplenty. Palliative care is often used interchageably as a term with hospice care, albeit some slight differences. They share some similar goals of providing symptom relief and pain management. Palliative care services can be offered to any patient without restriction to disease or prognosis, and can be appropriate for anyone with a serious, complex illness, whether they are expected to recover fully or not.

Hospice is a type of care involving palliation without curative intent. usually it is used for people with no further options for curing their disease or in people who have decided to not pursue treatment that is hard on them.

Typically hospice and palliative care nurses work in non-hospital settings.



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  Photo by Rami Al-Zayat  

  1. Note-taking  
 2. Scheduling  
 3. Reading  

 Smartphone as a work assistant 

 Our phones have gone from blocky, awkward devices to sleek, thin machines. It is now 2017, and processing power in smartphones (even in budget ones) have overcome the performance of some computers just ten years ago. 

 With the modern smartphone now more of a pocket computer than a communication device, several apps have been made to make work easier. These apps, when used with a bit of creativity and time, can help you  stay on top of your goals, never miss an important piece of info, track everything that matters to you and increase mental focus.  

 Read on to find out how you can transform your phone from a typical communications device to an indispensable work and life assistant. 

 1. Note-taking 

 Text 

 Take notes with your phone rather than on a piece of paper. Unlike paper, you won’t lose digital notes if you have them backed up to the cloud. Moreover, you can take hundreds of notes with you on your phone without needing to carry thick notebooks everywhere you go. 

 Most note-taking apps are searchable, like a web browser. Retrieve your information quickly and easily, whenever you need it. On Android, the best note-taking app is  Google Keep . Keep allows your to color-code your notes to your fancy. Add them to your home screen as a widget for quick access. You can still view your notes on any computer with an internet connection. Simply go over to the  Google Keep  site, log in with your Google account, and browse through your notes. 

   

  source  

   

  source  

 On iOS, we recommend the default Notes app. It’s beautifully designed, clean, and robust. Write notes on the fly, and format your text in  bold ,  italics , or underlined. Much like Google Keep, you can attach photos on to your notes. You can also organize them in folders, for easy retrieval. 

   

  source  

  Bonus tip : You can create a note with your voice! Activate Siri by long-pressing the home button, and say “ Make a note “. Siri will ask you what to write about, and it will write whatever you just said. 

 Scan documents 

 What if you had access to all the paper receipts, documents, letters, and notes; any time, anywhere? You can! Your smartphone has a camera. The best scanner is the scanner you always have with you! 

 Simply point your phone towards a paper document and take a photo. Make sure you adjust the focus a bit so text is clear on your phone’s screen. Then, simply create a photo album in your phone’s photos gallery, label it  SCANS  and move the photos of your documents there. 

 Evernote ( iOS ,  Android ) is a multi-platform note-taking app that has a really cool scanning function. When you scan documents with Evernote, the app will brighten the document, making it seem like it was really scanned using a proper scanner. In dark environments, the app will automatically activate your phone’s flash to brighten up the image. Even when taking scans of the document at an angle, Evernote will modify the image to make it seem like you took it straight down! 

   

  source  

 Evernote has OCR (Optical Character Recognition); meaning that words in the document scans are searchable in the app. It even works for handwriting! 

 Other alternatives to Evernote include  Scanbot ,  PDF Scanner + OCR Free , and  Scanner Pro . 

 Draw sketches 

 Sometimes text just doesn’t cut it. What if you need to draw something? It happens a lot, especially in nursing and medical work. 

 Both Google Keep and iOS notes have the ability to create drawings. Unlike pen and paper, you’ll never run out of ink! 

   

  Android Police  

   

  How to make a drawing in Notes iOS  

 2. Scheduling 

 Calendar 

 Schedule events or tasks that you can’t do today. Any calendar app works well; but we recommend Google Calendar ( iOS ,  Android ). It has natural language text-parsing, meaning you simply type your event into the app like how you’d say it. For example, typing: 

 
 Midwifery refresher seminar 8pm Sunday at UMMC 
 

 Will add a calendar entry  Midwifery refresher seminar , dated on Sunday at 8PM, and location at UMMC. The app can take the information of the location of the event from Google Maps. So on that day, it notifies you what time you should leave to arrive on time! 

   

  Macworld  

 3. Reading 

 Books 

 Why bring your whole bookshelf when you can just carry your phone with you? Many textbook publishers also offer ebook versions of their textbooks. With an ebook reader app, you can read books you’ve saved on your phone. Now you can refer your favorite 900-page physiology textbook anywhere without needing to break your back. 

 The Kindle ( iOS , Android ) app allows you to buy ebooks from Amazon and you can read them anytime you like. Check out their selection of  nursing textbooks  that you can get cheaper than the physical copies. Even if you delete the ebooks off your phone, you can still re-download them from Kindle. 

   

  Play Store  

 3. Task Management 

 Todoist (iOS, Android) 

 Putting tasks out of your head and into a system that you trust is one of the best ways to prevent information overload. This enables you to have less mental distractions as you only focus on the task you are currently doing, rather than having other future tasks nagging in your mind. 

 Using task management apps can seem complicated, but it actually is not. The end goal is to spend less time doing the things you want to do, so that you have more time to do the things you want to do. 

 Having a to-do list makes it easy for you to see what you have right now, and what actions are up next.  Todoist  is a great app for this. It’s available on all platforms: iOS, Android, Windows, and Chrome. 

   

  Todoist  

 Start by listing down tasks in your Inbox. As your task list grows, you might start to see some tasks are related to each other. Create projects in Todoist to group these tasks and sort them. 

 Some tasks are more complicated than other tasks. You can break down these tasks into a series of sub-tasks, allowing you to focus on tackling one thing at a time in pursuit of a larger goal. Remember, to eat an elephant, you need to take one bite at a time. 

   

  Todoist  

 Also, just like Google Calendar, Todoist accepts natural language input; set tasks to recur daily, monthly, every two weeks, or even something complicated such as “ Every third Saturday of the month “. Todoist will understand you. See  here  for the complete guide. 

 Todoist is free to use, but with a small subscription fee, premium features such as location-based reminders, file attachments, and tagging are unlocked. 

 
 The modern smartphone is a great tool for self-improvement, organization, and productivity. In such a small device, you can read books, take notes, and stay on top of your work any time, any day. As nurses’ work become more and more complex, we need better tools to help us keep track of daily life. Hopefully you have gained insight into using this great tool, and help you take on challenges that will advance your career as a nurse. 

 Head over to  MIMS Career  and discover our wide range of nurse jobs. All of our pages are mobile-responsive; browse jobs, sign up, and apply are all doable on your smartphone. Make your next career move, with  MIMS Career . 
   

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You Should Be Using These Apps On Your Phone

Photo by Rami Al-Zayat 1. Note-taking 2. Scheduling 3. Reading Smartphone as a work assistant Our phones have gone from blocky, awkward devices to sleek, thin machines. It is now 2017, and processing power in...

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 Think about working in Australia. The salary of nurses are one of the highest in the world. They have a large, interesting country with endless things to explore. The quality of life is great; it is second best globally. People live outside a lot more than they do here, are laidback, and friendly. 

 Working overseas, while initially scary, can be one of the best decisions you ever make. Being outside your comfort zone forces you to grow as you are tested by challenges that not many people will get the opportunity to go through. 

 Depending on where you go, it can be very different from back home. This change in environment builds confidence as a result of changes in your perspective. Not only will it look good on your resume for future career opportunities, a new country is a land of endless discovery that you can make during your downtime after work. 

 Want to work as a nurse in Australia? Read on to find out. 

  About Australia  
 Register with NMBA  
 Apply for skills assessment with AMNAC  
 Get on AHPRA online public register  
 Pass the AMNAC skills assessment  
 Living in Australia  

 About Australia 

 Because it was geographically isolated as an island for millions of years, many species can only be found on the Australian sub-continent. Australia is a rapidly advancing country: it is the 13th-largest economy, and is ninth on the list of income-per-capita. It ranks highly in terms of quality of life, healthcare, education, economic freedom, civil liberties and human rights. An influx in migration from all over the globe to Australia has resulted in the country becoming a rich, diverse, and friendly melting pot of cultures and ideas. 

 Register with NMBA 

 The process of migrating to Australia for work as a nurse involves a few regulating bodies. In a nutshell, in order to practice nursing, you’d have to register with the Nursing and Midwifery Board of Australia (NMBA). This board handles your qualifications, and deems your education to be relevant, meeting Australian standards. Then you have to apply with the Australian Nursing and Midwifery Accreditation Council, or ANMAC. This body takes into account your work experience, and handles your migration to Australia. It is possible to be accepted by the NMBA, but rejected by the ANMAC. 

 The suggested pathway is to register with the NMBA first. For registration, they will assess you on three things: 

 
	 Criminal history
	 
		 English language skills (a recent result of tests like IELTS or TOEFL is needed) 
		 Recency of practice. You need to clear this part if you’ve already been practicing as a registered nurse here in Malaysia. Recent grads without prior work experience need not do this step. 
	 
	 
 

 Apply for skills assessment with AMNAC 

 Once this is done, and approved by NMBA, you then apply to AMNAC for a skills assessment. This is the application that will approve your migration to Australia. 

 They have five criteria to submit: 

 
	 Proof of identity 
	 English language proficiency (similar to NMBA criterion) 
	 Educational equivalence (whether or not the nursing degree or training is the same standard as AMNAC’s standards) 
	 Professional Practice 
	 Fitness to practice. 
 

 Get on AHPRA online public register 

 If you’ve graduated from Malaysia, you would have to complete some further training. This is because you do not meet Criteria 3- Education equivalence. Hence you would not be suitable for a skills assessment from AMNAC, which prevents your migration. 

 To get over this hurdle, you need to be on AHPRA’s online public register, which determines that you are fit to practice, and that your education and training are both deemed usable for their healthcare system. 

 This training can be in the form of a bridging program or something similar. Contact the Dept of Immigration and Border Protection for a visa to go to Australia to complete your training. 

 Pass the AMNAC skills assessment 

 Then there’s only left the final step! AMNAC will approve your application to go through their skills assessment. Once that’s done, they will issue a Letter of Determination. If you are suitable for migration, congrats! Head back over to Department of Immigration and Border Protection website to start the visa process. 

 Living in Australia 

 Australia has seven of the top 100 universities in the world so great place for education. Also, each year Australian Government provides approx $200 million dollars in scholarships for local and international students. It’s a good opportunity to raise your children there. 

 Australia is a safe, multicultural, friendly and harmonious society. It has a comparatively very low crime rate and strict gun control laws providing a safe place to live. 

 Medical insurance, healthcare facilities and doctor’s prescription medications are cheaper than many developed countries. So you can have a peace of mind whenever misfortunes happen. 

 Halal food is relatively easy to get in the larger cities. Lately the vegetarian movement has been very well-liked with the local populace. Regardless of your dietary needs, Australia is open enough to accommodate everyone. 

 Conclusion 

 Migration to another country can be scary. There are no certainties. No guarantees. You’d be leaving familiar environment behind, and embracing the change that will happen. Be proud of yourself for taking this next big step in your career. 

 As the world gets smaller and more connected, employers are more in need of healthcare practitioners who are open-minded, culturally-exposed, and competent to meet the needs of 21st century challenges. 

 You stand to gain a new skillsets from experienced specialists who work in challenging environments. It will solidify your confidence - and compassion. That compassion will come from the realization that despite differing borders and flags, we are still one big family. The realization that we’re not so different after all, and that access to health care is a basic human right. 

 Start applying for nursing jobs overseas with MIMS Careers. Just signup, input your details and resume, and you will be able to apply for those job posts with a single click. Not only that, you can save jobs you are interested in for later viewing. 

 Can’t find what you’re looking for? Set up job alerts so we can notify you of new employers that meet your search criteria.

How to Work as A Nurse in Australia

Think about working in Australia. The salary of nurses are one of the highest in the world. They have a large, interesting country with endless things to explore. The quality of life is great; it is second best globally. People live...

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 1. Midwifery 

  What : Interested in obstetrics and gynaecology? Taking up a midwifery course can land you jobs in O&G offices, clinics, or hospitals. In O&G settings, emergencies can arise at any time, so expect some pretty hectic days. You can even open up your private practice as well. 

  How : A lot of teaching institutions offer midwifery courses in Malaysia. You can check out MAHSA, IMC, UKM, and others. Course duration takes about 1-2 years. 

  Why : Nurses with Midwifery skills can earn up to 33% more than normal registered nurses. Search high-paying Midwifery jobs now. 



 2. Administrative Skills 

  What : This is a part of nursing that not many will look at. With good administrative skills, you can take on behind-the-scenes roles and oversee the “business” aspect of nursing. You can review budgets, HR functions, management, and more. 

  How : Take up administrative tasks, or courses. A lot of universities and colleges offer full- and part-time programs that you can fit in your schedule. Otherwise, online courses work as well. You can find more here. 

  Why : Nurse Administrators earn about 30% more than unspecialized nurses. 



 3. Telemetry and Informatics 

  What : As global advances in electronics become more and more sophisticated, technology companies have been producing better instruments to help healthcare workers better understand their patients. Reading these instruments require skill, training, and critical thinking in order to use the data to make decisions on treatments. 

  How : You’d need a Masters in nursing, or computer science and its equivalents. This is an emerging field, so don’t expect it to be so widespread, but you will be in high demand and paid more. 

  Why : The salary ranges from USD58,088 to USD105,034. 



 4. A different language 

  What : The advantages are numerous. You can expose yourself to new settings. New people. Take more opportunities you wouldn’t have done without that third or fourth language. Right now Mandarin is very highly prized in this side of the world. 

 What about Arabic? There’s a huge market for nurses there. Knowing Arabic would create better patient-nurse relationship that’s beneficial to treatment. 

  How : Take up language classes! Learning centers are abundant. Online classes are available here as well. 

  Why : It opens a world of job opportunities, gives your brain a boost, and develop priceless intercultural relationships. 



 5. Use MIMS Career! 

  What : MIMS Career is an effective, one-stop application platform for nurses in Malaysia, Singapore, Indonesia and Philippines. Signup today and enjoy our unique 1-click application process to countless high-paying nursing jobs. 

  How : Signup. Fill in your details and resume. Apply.  

  Why : Find high-paying nursing jobs in the comfort of your home, or wherever you are. Get connected with top healthcare employers in the country, for free, in a safe, secure manner.

5 Things Nurses Need to Know to Be Paid More

1. Midwifery What : Interested in obstetrics and gynaecology? Taking up a midwifery course can land you jobs in O&G offices, clinics, or hospitals. In O&G settings, emergencies can arise at any time, so expect some pretty...

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 For those nurses serving with  Kementrian Kesihatan Malaysia  (KKM), the start of your work life will present you with one of the toughest choices you’ll make: 

 
 EPF (Employees’ Provident Fund, also known as KWSP), or choose the pension fund? 
 

 Both are viable options in securing your financial health after you retire. Although retirement might seem like ages away, a good amount of planning and successful investments can mean the difference between being able to live comfortably in your golden years, or struggle with daily or medical expenses. 

 So which to choose? We’ll break down the points below. 

 Pension fund 

  What is it?  
It’s a monthly stipend of a set amount, provided by the Public Services Department upon your retirement. In addition to that, you also receive a  gratuity  payment, and medical/health benefits. 

  Calculation  
Here we will be assuming that you start work at 20 years old, with a starting salary of RM2,000, and continue working until you retire at 55 with a salary of RM5,600 (3% annual pay increase). 

 Your monthly pension will be your last drawn salary, divided by two. For example, if your base salary is RM5,000 when you retire, your monthly stipend will be RM2,800/mo. 

 In addition to that, you will receive gratuity payment, which is calculated as such: 

 
 gratuity = 7.5% x 35yrs x 12 months x RM5,600 (final drawn salary) 
= RM 176,400. 
 

 RM176,400 will be given as a lump sum, while RM2,800 will be given per month. Again, this is all assuming you retire at 55, with a final salary of RM5,600. 

  Benefits  

 
	 No subtraction from base pay. 
 

 Unlike EPF, as we will see later, there is no subtraction from your base salary. 

 
	 Guaranteed monthly retirement funding 
 

 Again, unlike EPF, where your money can be withdrawn for other uses, pension takers are guaranteed to have a monthly source of income. 

  Disadvantages  

 
	 You have to start and end your service in the public/government sector. It might hamper your ability to seek work overseas, better base salaries, or even some chances to study. 
 

 EPF or Employees Provident Fund (KWSP - Kumpulan Simpanan Wang Pekerja) 

  What is it?  
EPF is the accumulation of savings generated from deductions of your base salary. Currently, you can choose either 11%, or 8%, as  recently announced . 

 This accumulation of money is further grown by annual dividends. On average the dividend is around 6%, depending on the GDP (gross domestic product) of the country. 

 What makes EPF great as long term savings is due to the magic of  compound interest. . Your employer also contributes to your fund (12% of your pay). These two things make an EPF account grow substantially when properly managed. 

  2 accounts  

 Your EPF savings are divided into two accounts. 70% goes into account 1, and the rest to account 2. Account 1 is your retirement funds. Account 2 is withdrawable, under a few conditions: 

 
	 more than 50 years old 
	 Housing downpayment for your 1st house 
	 housing loan payment 
	 education 
	 medical costs 
	 Hajj pilgrimage 
 

 Upon reaching the age of 55, you will be able to withdraw from account 1. You will have to choose to withdraw one lump sum, or as a monthly stipend like a pension. 

  Calculation  

 Let’s take the same example as just now. Start work at 20, salary RM2,000, retire at 55, salary RM5,000. 

 
 Deduction from pay = 11% = RM220 
Employer contribution = 12% = RM240 
 We will assume no withdrawals are made over entire working period  
EPF annual dividend = 6% 
 

 The interest adds up year over year, and with the help of EPF’s  online calculator , 

 Total EPF savings at 55 years old = RM461,900 

 It is a marginally higher amount than RM176,400 gratuity you will receive from a pension. 

  Benefits  

 
	 Flexibility. At the age of 55, you can withdraw that money and invest in another scheme, venture, or fund that offers greater returns. 
	 Faster growth. As shown, even with a contribution of 11% of your pay, over the course of 35 years it balloons into a large amount of money. 
	 Freedom of employment. You no longer have to work within the constraints of the government or public service. You are free to pursue study or work opportunities as you wish. 
 

  Disadvantages  

 
	 Sometimes things don’t go as planned. You might hit a financial roadblock that forces you to withdraw from your EPF fund. An example of this is a medical emergency. 
	 It subtracts 11% of your base salary. 11% might not seem like much, but for people who live paycheck to paycheck, it can be a bitter pill to swallow. 
	 Annual dividend from EPF can decrease, depending on economic climate. 
 

 Making a comparison 

 Monthly funds 

 Assuming that you live until the mean life expectancy age in Malaysia, which is 76 years old. 

 
 Years to live off retirement fund (pension) = 76-55 = 21 years 
 

 To make a fair comparison, let’s subtract the gratuity amount of a pension scheme from the lump sum of EPF savings. 

 
 EPF at 55 years old - gratuity of pension at 55 years old = RM461,900 - RM176,400 = RM285,500 

 Stipend per month that EPF provides = RM285,500 / 21 years / 12 months = RM1,132.94/month 
 

 Even if we did not subtract the gratuity value, it would be: 

 
 RM461,900 / 21 years / 12 months = RM1,832.94/ month 
 

  It is far less than RM2,600/month from a pension scheme . 

 What if we invest all of EPF savings? 

 Say at the age of 55, you embark on another investment with better returns. We will assume 8%. You pile up all your savings into it. 

 Investment return x EPF savings = 8% x RM 461,900 = RM36,952/year or RM3,079.33/month. 

  It is more than what you’ll obtain from a pension.  However you’ll need to ensure that the second investment has better returns than EPF dividends. That in itself can sometimes be a challenge. 

 Conclusion 

 They both have their advantages and drawbacks. It seems like it is up to you to play it well, to ensure you can lead a comfortable life upon retirement. 

 However the main question of choosing either EPF or pension as retirement savings often boils down to your choice of employer. 

 Will you stay with the government sector for another 30+ years? You don’t want to end up with no retirement fund… No EPF or no pension. That’d be the worst. 

 If yes, go for the pension scheme. It is safe, guaranteed, and offers great peace of mind in your golden years. 

 However, with EPF, you are free to take up opportunities that come your way. Countries like Saudi Arabia, Singapore, and Australia are actively seeking out Malaysian nurses with extremely attractive pay. Opportunities for post-graduate education are more limited in the government sector; if in private, you get to choose when you want to do it. You can also fund it with your EPF savings, something you can’t do on a pension. 

 Choose the freedom of choice. Search for high-paying nursing jobs, and overseas jobs on MIMS Career. Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to prevent scams and mistrustful behavior. 
   

 
 Our Most Popular Articles 

  Think About These 5 Things Before You Decide On A Specialization  

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  10 Ways Malaysian Nurses Can Increase Their Income

EPF (KWSP), or Pension? Which to choose?

For those nurses serving with Kementrian Kesihatan Malaysia (KKM), the start of your work life will present you with one of the toughest choices you’ll make: EPF (Employees’ Provident Fund, also known as KWSP), or choose...

Read More




 Some of you might wonder: is it possible to practice my profession overseas?  

 Fortunately, the answer is yes. Working overseas provides many benefits. Among them is the experience that you’ll get. Moving to a foreign country will expose you to experiences that not many would have. 

 It will expand your perceptions on the profession as you go through the day-to-day challenges. Depending on the country, you get higher wages. A registered nurse in Australia typically gets paid around AUD 53,900 to AUD 75,000. This results in a high quality of life for your family. You can see similar numbers for Singapore, Canada, and the Gulf countries. 

 There are plenty of opportunities overseas. It takes a bit of creativity and resourcefulness to find them, but it’s worth it for all the benefits. It is a must-do for those of you who feel you need a change of pace in life. 

 Opportunities in: 

 
	   Specialize in a field of choice   
	   Locum jobs in free time   
	   Advance in your Career   
	   Work Overseas   
	   Ask for additional shifts from your employer   
	   Take up health writing jobs   
	   Medical Communicator   
	   Tutor (University or school)   
	   Become a field nurse at community events   
	   Something non-nursing, like passion or interest   
 



 Singapore 

   



 Home Care 

 Many foreign nurses are being hired to provide home care for the elderly in the city-state of Singapore. 

 They enter with the same work pass as a maid; and live in with the patients that they care for. 

 There is a genuine demand for nurses who are willing to work in these conditions in Singapore. Compared to sending their aging relatives to nursing homes, Singaporeans now prefer them to stay at home, where they are familiar and can be comfortable.  

 You would not need to spend on food and lodging. Also, if not working at the patient’s home, you have more time and freedom on your hands, as compared to working in a hospital. 

 The disadvantage is that your pay is only slightly more than a domestic helper. On average, home care nurses get only about SGD600-SGD1000 a month. 

 Check out Active Global Caregiver, Optinuum Health Services and Homage if you’d like to find out more about this kind of work. 



 Private Practices 

 Many clinics in Singapore are actively seeking out Malaysian Nurses; they even list it out in their job descriptions. 

 The pay is higher compared to working in Malaysian private practices: about SGD2000-SGD3000 per month on average. 

 Regular hours for these institutions means you can opt to live in Johor Bahru, while commuting to work in Singapore. You earn in a stronger currency but live in a more affordable area. 

 However the commute can be really tiring, and it can take hours to travel to and fro across the Johor Straits. 



 Public Hospitals 

 As mentioned, the Singaporean government is investing in a lot of foreign nurses. According to sources, the country is investing SGD 24million to help fill out 9000 jobs in healthcare. 

 They even have overseas nursing graduate programs and scholarships to woo over those from overseas, even if from a different career. 

 Job prospects looks bright. With all the government actions, its a clear indication that foreign nurses are very much needed in years to come. 

 However, it can create high levels of stress to work in such conditions. Short of manpower, it creates a large amount of workload. Singaporean nurses cite great demands at work, and internal conflicts. According to a study, affected nurses cope better when with friends and family. 

 Working overseas normally means leaving friends and family behind, therefore leaving you with a lesser safety net for your mental fortitude. 

 You can check out how non-Singaporean registered nurses can work in Singapore here. 



 Australia 

   



 Hospitals 

 Also facing a shortage in nurses, they seek to hire foreigners to meet demands. Some will even sponsor you. 

 As a rapidly developing country, Australia has very high standards of nursing care that we can learn from. A job stint there will expose you to cases or methods that you would not normally have the opportunity to see here. 

 A major advantage of being a nurse in an Australian hospital is that it is one of the highest paying countries for nurses. However, the process for Malaysians to immigrate and practice nursing there can be lengthy. First you have to register with the NMBA. Then register with ANMAC, complete training with AHPRA, pass ANMAC skills assessment, obtain placement in an institution, and then only finally migrate. 

 You can check out our article on how to become a nurse in Australia for more detailed info. 



 Nursing Homes 

 As Australian society continues surging onward with better healthcare delivery, life expectancies have increased, leading to a ballooning population of geriatrics. Australian hospitals tend to want to discharge patients as fast as they can, resulting in more patients being put into extended or long term care centers. 

 These care centers are sprouting up in all Australian states. They even have one specifically to cater to those of Chinese ethnicity. Malaysians of ethnic Chinese parentage would do well here. 

 Advantages of working here include flexible hours, and locations you can choose. The work experience you gain from here can set you up for specialization in Geriatrics, an increasingly valuable specialty. 

 However, like any business, nursing homes can close down due to lack of funding, or if investor money runs out, like this nursing home in Walcall.  

 You can check out how non-Australian registered nurses can work in Australia here. 



 Saudi Arabia 

   



 Hospitals 

 The Royal House of Saud is aggressively developing their healthcare system, capacities and how they deliver it to their citizens, according to this report. 

 Nurses from Malaysia get drafted into 1st Grade, which has a salary of RM14,000/month. The Saudis are comfortable with Malaysian nurses because of our proficiency in English.   

 You get to live a very comfortable life as a nurse here. Lodging and food are often prepared by the employer to make it easier on foreign nurses coming into work. This gives a leg up for those unsure how to begin life in a new country. 

 Many Malaysian nurses are already working there. You would have a strong support system for hard times from the community. 

 Not only is the pay very attractive, the extremely low tax rates imposed on you would result in a much higher net income. The healthcare is advanced, even if the Kingdom is struggling to deliver its healthcare to its citizens because of the large country size. Also, since it is home to the two holiest sites in Islam, it is a great opportunity to be closer to one’s faith for Muslims. 

 Unfortunately, Arabs can be culturally more aggressive compared to mild-mannered, timid South East Asians. Also, the Kingdom is a bit further away compared to working in other ASEAN countries. 



 United States and Europe 

   

 There is currently an extreme shortage of nurses going on in the States. By 2022, it is estimated that the total number of nursing vacancies is projected to be more than a million. 

 According to the latest numbers from the American Census Bureau, the 76-million strong baby boomer generation will triple the number of over-65 population in 2030. This can strain the nursing workforce. 

 It has even come to a point where American institutions are now promoting nursing as a second career. They are even helping to promote the profession to men, who have traditionally shied away from nursing. 

 Working in the United States as a nurse nets you a good pay, and a high standard of living.  

 A similar situation to the USA is also happening in Europe. A lack of interest in nursing amongst the young have pushed several European countries to act by employing foreign nurses to meet demand. 



 Conclusion 

 Moving overseas can be scary. The adjustment phase can be difficult, even to the most open-minded of all migrants. But, like all difficult things, the end result is fruitful. In an increasingly globalized world, more international experiences lead to better global ties, and a more peaceful society overall. 

 One easy way to apply for a job overseas is by MIMS Career. Signup and input your resume details with us, and you can enjoy our fast, secure, and easy 1-click application process to many healthcare employers. Find nursing work that you would get excited about in Malaysia, Philippines, Indonesia, or Singapore. You can also save jobs to view later, or create email alerts to notify you of new positions you might be interested in.

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  This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form of care for the newborns’ first 28 days, and for the mothers’ recoveries.  

  What really got us interested with Nejlika was their practice in bringing confinement, which is a traditional concept in post-natal care, into modern times by using scientific methods of observation and critical analysis.  

  Nejlika is currently hiring for post-natal care nurses.  See the job posting page here for more details .  

 
  Can you describe what your institution provides?  

 Nejlika Confinement Centre provides confinement care for post-natal mothers and newborn babies. 

 We assess the health conditions of the mother and baby, monitoring them daily. We provide professional and scientific feeding, nursing care, and early intellectual development for the baby. For the mother we have uniquely customized meals that are both healthy and delicious. These efforts do a lot to promote healing. 

  How did this place come about?  

 We first saw that there was a market demand for confinement centers in the Klang Valley. We saw that in places like Penang or Johor there are already a substantial amount. But a lot of them are sort of like household business. They hire non-medical professionals for treatment. So we set up this place in 2014. 

 The founders of this centre are all from the healthcare industry. The first 28 days of a newborn will be the most critical stage of a baby’s life. Although confinement is a traditional concept of post-natal care, we bring in present, scientific methods to bring this practice to modern times. 

 New parents or non-professionals are not able to take care of the newborn baby and mother as well as trained nurses and physicians. We aim to provide the best quality service, comfortable living environment, nutritious meals and warm family surroundings to help both the mother and newborn navigate this crucial period of their lives. 

  I saw on your Facebook you have many customers; even non-malaysians. What do you do to attract people to come here?  

 To be honest we don’t really go out to promote the centre. So far it’s all been through word of mouth, maybe a bit of Facebook postings. 

  How do you convince someone who is pregnant to use your services, rather than carry out traditional confinement at home?  

 Usually after the customer knows about us, they will call to inquire. This is before they give birth. So we arrange a 1-to-1 appointment with them. So during this appointment period we explain to them what is the service that we provide, and the philosophy behind our service. 

 Over here, our center advocates breast-feeding, and we have a certified infant massage instructor. We promote early brain development for the baby through the infant massages. 

  What makes you different from the other confinement centres?  

 First of all we are one of the pioneers here, so we are very experienced in specialized confinement care. Also, one of our founders is the only person in Malaysia with twin certificates specialized in confinement care from Taiwan. She purposely went to Taiwan to obtain this certification, not just once but twice. 

 At the same time we engage the service of chinese traditional medicine practitioners. Although we advocate scientific and modern confinement care, we also incorporate the traditional care to bring a well-rounded care to the mother and baby. 

 In Traditional Chinese Medicine, we believe the body constitution of humans can be divided into nine types. Different type of body constitution will require different forms of nutrition or medication. Our chef will prepare the personalized herbal tonic soup for each post-natal mother upon advice by our chinese medicine practitioner for greater rejuvenation.  

 Not many other confinement care provide this service. 

  Can we talk about the food you serve here? They look great! Do you have an in-house cook?  

 We have a special cook. We put out an ad in the newspaper, and managed to get one with training for confinement cooking. We advocate healthy and nourishing foods that aids the mothers’ recovery. 

 Everything that comes into contact with the mothers and babies have to be clean, healthy, and promote recovery. This includes the furniture, beds, food, even the air in the centre as well. 

  How many staff members do you now have?  

 We have 10 nurses, 2 maids, 2 chefs and 1 assistant to help us run the operation. 

 As for now, there are not many customers. It is a bit of a low season. Usually there are more births from late July-early August til the end of the year. 

  To staff: What do you do to make your staff happy and enjoy working here?  

 We feel happy because we enjoy what we do. It’s a slower pace than hospitals, and we love to look after babies. 

  What’s the hiring process like? Who decides on the hire?  

 Advertising on newspaper, platforms online, recommendations of current nurses. More so on the EQ. 

 We advertise in the newspapers, online platforms such as MIMS Career, and word of mouth. Very often we get new hires based on the recommendations of nurses currently working here. 

  What kind of people do you look for when you hire staff?  

 We need staff who are passionate about care for post-natal mothers and infant babies. Post-partum depression is very real, so nurses here have to be very aware of the telltale signs of it. They need to have high EQ to be able to console and advise mothers suffering through post-partum depression and help guide them out of it. 

 We also look out for staff who have high patience levels. Dealing with babies can sometimes prove to be a frustrating task. 

  What cool pieces of technology do you have in this centre?  

 We have a  bilirubinometer ; it is a device that measures the level of bilirubin in the babies to detect jaundice. If jaundice is determined to be present in the baby, we bring in a “jaundice phototherapy” machine and treat the infant until bilirubin levels drop to normal levels. We are the first confinement centre to provide this service. It avoids the hassle of going to the hospital, which can be very strenuous on both mother and newborn. 

 Also, to really avoid cross-contaminations we sterilize the rooms with a  UV light emitter . UV light destroys germs and bacteria. 

 On the other side of the  light spectrum , we use Infrared light emitters to promote healing of mothers’ wounds, especially ones after C-sections. 

 Finally, we have a baby swimming pool! Therapy done in the pool promotes brain development. 

  What does the future look like for Nejlika Confinement Care Centre?  

 Obviously we want to expand. That is the only way a business can grow. 

 We have moved from single storey to double storey within three years. We’re looking to set up branches in other places, in order to provide service to customers not within reach of us right now.

Institution Highlight: Nejlika Confinement Centre

This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form...

Read More