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Adj Assoc Prof Lim Si Ching

Adj Assoc Prof Lim Si Ching

MB.ChB, MRCP (UK)

Senior Consultant

Changi General Hospital

Specialty: Geriatric Medicine

Conditions Treated by this Doctor:
Delirium, Dementia, Dementia, Depression, Falls, Major Depressive Disorder, Parkinson’s Disease.

Clinical Appointments

  • Education Director & Senior Consultant SingHealth Duke-NUS Centre of Memory and Cognitive Disorders
  • Senior Consultant Geriatric Medicine Changi General HospitalChangi General Hospital

Profile

Adjunct Associate Professor Lim Si Ching is a Senior Consultant with the Department of Geriatric Medicine at Changi General Hospital (CGH). Prior to training in geriatric medicine, Dr Lim was a renal physician overseeing the largest dialysis centre in Brunei. After completing her specialist training in geriatric medicine at CGH, she went on to set up the inpatient service for geriatric medicine at Singapore General Hospital, including training for nurses, medical students, junior doctors and trainees.

As a Senior Consultant in CGH, she established Ward 58 for dementia patients and is actively involved in multiple quality improvement projects at CGH.

Education

  • FAMS (Singapore) 
  • Specialist Accreditation in Geriatric Medicine, Singapore 2006
  • MRCP (UK) 1996
  • MB.ChB (University of Bristol, UK) 1992

Professional Appointments and Committee Memberships

  • Clinical Quality Surveyor (JCI) for Changi General Hospital, 2023 – Present
  • Part Time Professional Appointment by the Ministry of Health for the Administration of the Private Hospitals and Medical Clinics Act and the Healthcare Services Act, 2021 – Present
  • Director of Education, SingHealth Duke-NUS Memory and Cognitive Disorder Centre, 2020 – Present
  • Taskforce Co-Lead, Changi General Hospital Delirium and Dementia Steering Committee, 2020 – Present
  • Peer Review Panel, Changi General Hospital Joint Research and Innovation Grant, 2021 – 2023

Awards

  • Silver Award, Singapore Health Quality Service Awards 2024
  • SingHealth Residency Excellent Faculty Award for Internal Medicine, 2022/2023
  • Dean’s Award for Teaching Excellence, Yong Loo Lin School of Medicine, NUS, 2022/2023
  • Silver Award, Singapore Health Quality Service Awards 2022
  • Changi-Simei Wonder Woman Professional Heroine Award 2022
  • Poster Excellence Award, SingHealth Quality and Innovation Day 2022
  • One CGH Cares Award December 2020
  • Dare to Do Award – Person-centred care model in CGH Dementia ward with restraint-free policy, Public Sector Transformation Award, 2020
  • Team Award – Reducing falls through improving delirium care practice in acute wards, SingHealth Target Zero Harm Award, 2019
  • Gold Award – Facilitator/Advisor for Delirium awareness and delirium pathway, CGH Improvement Festival, 2018
  • Silver Award, Singapore Health Quality Service Awards 2018
  • Best Educator Award, Medical-Postgraduate Residency Education, Changi General Hospital, 2014
  • SingHealth Residency Outstanding Faculty Award, 2013-2014
  • SingHealth Residency Top Faculty Award, 2012-2013
  • Service with a Heart Award, Singapore General Hospital, 2008, 2010 & 2012
  • Excellent Service Silver Award, Singapore General Hospital, 2010


Research Interests

  • Dementia
  • Person centred care
  • General geriatrics

Publications

1. SC Lim, V Doshi, B Castasus, JKH Lim, K Mamun. Factors causing delay in discharge of elderly patients in an acute care hospital. Ann Acad Med Singapore 2006;35:27-32

2. SC Lim, K Mamun et al. Discharge of elderly patients from acute hospital- Experience of a Geriatric Care Unit in Singapore. Aus Jour on Ageing, Nov 2006;vol 25, supp 1, page 438.

3. SC Lim, K Mamun. Comprehensive Geriatric Assessment. SGH Proceedings. Vol 17. Nov 3.2008. page 148-153.

4. SC Lim. The elderly Fallers, what do we need to know. Proceedings of Singapore Healthcare vol 19, number 2, 2010 pg 155-8.

5. Si Ching Lim, Kaysar Mamun, Jim KH Lim. Comparison between elderly inpatient fallers with and without dementia. Singapore Med J 2014; 55(2): 67-71 doi:10.11622/smedj.2014017

6. SC Lim, Jeannie PL Ong, CH Poh, Christopher TC Lien. Nutrition and the role of tube feeding in the elderly. Jacobs Journal of Gerontology. JJ Geronto. 2016,2(1):017

7. Lim SC, Poon WH. Restraint use in the management of the elderly with dementia in hospital. : Internal Medicine Research - Open Journal (IMROJ). Vol 1 issue 2- December 14, 2016. Article link : http://researchopenworld.com/restraint-use-in-the-management-of-the-elderly-with-dementia-in-hospital/

8. Lim SC (2017) A case of Getting the Diagnosis Right in the Management of An Elderly Man with Challenging Behavior. J Gerontol Geriatr Res 6: 383. doi:10.4172/2167-7182.1000383

9. Lim SC, Chow PCL (2017) A Case of Atraumatic Fracture Resulting from Physical Restraint in an Elderly Woman. J Gerontol Geriatr Res 6: 387. doi:10.4172/2167-7182.1000387

10. SC Lim. Managing the elderly with urinary Incontinence and Dementia. Int Arch Urol Complic 2017;3:027. DOI: 10.23937/2469-5742/1510027

11. Si Ching LIM. Managing behavioral and psychological symptoms of dementia- from a geriatrician’s perspective. J Aging Geriatr Psychiatry. 2017;1(3):1-7

12. Lim SC, Koh AJH (2017) Nutrition and the Elderly Surgical Patients. MOJ Surg 4(5): 00088. DOI: 10.15406/mojs.2017.04.00088

13. SC Lim, Adrian JH Koh, Poon WH. Electronic display board in OT for easy patient identification. Lim SC, et al. BMJ Open Quality 2017;0:e000021. doi:10.1136/bmjoq-2017-000021

14. Lim SC. Medication non-compliance among the elderly with dementia. Theranostics Brain Disord. 2017;2(1):555577.

15. Lim SC (2017) The Role of Dementia Ward in an Acute Hospital. J Gerontol Geriatr Res 6: 453. doi:10.4172/2167-7182.1000453

16. Si Ching LIM (2017). Managing the elderly with dementia and frequent falls. Gen Med Open 2017. Volume 2(1): 1-4.

17. SC Lim and Peter CL Chow. Managing eating disorders in elderly with dementia and ethical considerations for tube feeding. Int J Psychiatry. 2018. Volume 3, issue 1. ISSN:2475-5435.

18. Jing Wei Lim, Si Ching Lim. Challenges in the management of an elderly patient with chronic schizophrenia and dementia. Archive of Neurology and Neuro Disorders. Volume 1, issue 1, 2018. PP 17-20.

19. Si Ching Lim, Peter CL Chow, Zhang Di, SS Hiew, Adrian JH Koh. Postoperative delirium in a General Surgery-Geriatric Medicine Service. Open Journal of Geriatrics. Volume 1, issue 1, 2018, pp 15-20.

20. Astrid M Suantio, Jonathan Teh, Vignesh Sivasamy, Andrew SY Wong, SC Lim. “Hepatic Encephalopathy Masquerading as Delirium”. Acta Scientific Neurology 1.2 (2018): 05-11.

21. Lim SC, Chiam WM, Goh CH, Zhang Di, Png GK, Li FY. Initiatives to improve awareness of delirium in a teaching hospital in Singapore: for better patient care. Arch Neurol & Neurosci 2(3):2019. ANN.MS.ID.000536. 

22. Si Ching Lim, PCL Chow, FY Li, SS Hiew, Lau Soy Soy, Zhang Di. Improving Outcome for the Elderly Surgical Patients in a Singapore Teaching Hospital. Surg Med Open Acc J. 2(3). SMOAJ.000537.2019. DOI: 10.31031/SMOAJ.2019.02.000537

23. V C Barrera, W T Chang, SC Lim. Harmless Over the Counter Medications- are they truly harmless for the elderly? Open journal of Geriatrics. ISSN: 2639-359X. Vol 2, Issue 1, 2019 pp 18-25.

24. SC Lim, Hazel Teng Leng, FY Li, Zhang Di. Nurses’ attitude towards usage of restraints in a teaching hospital in Singapore. Open Journal of Geriatrics. Volume 2, issue 1, 2019. Pp 29-35.

25. SC Lim, Grace Tay, Ang Boon Hock, Hoon Chin Steven Lim. Project to reduce elopement of vulnerable patients from the A&E. Acta Scientific Neurology Volume 2 Issue 1 July 2019.

26. Lim SC, Zhang Di, Png GK, Li FY. Transforming Dementia Care in an Acute Teaching Hospital to a Dementia Aware Hospital: The 3 Tier Model of Dementia Care. American Journal of Gerontology and Geriatrics. 2019; 2(2): 1019.

27. Rachelle Tan-Pantanao, Eden XJ Tay, WT Chang, SC Lim. Managing sexually inappropriate behaviour among the older adults with dementia. Open Journal of Geriatrics. Volume 2, Issue 2, 2019:23-31.

28. V C Barrera, SC Lim. The lady with insomnia who took too much over the counter medication. Progress in Mind. 5/21/2020. https://sea.progress.im/en/content/lady-insomnia-who-took-too-much-over-counter-medication#

29. Sigaya Kenneth Villan, SC Lim. An elderly lady with recurrent falls and function decline: Approach to elder abuse. Annals of Clinical Medicine and Research 2020. Volume 1(1):1005.

30. Si Ching Lim. Management of BPSD in a teaching hospital- From a Geriatrician’s perspective. Ann Clin Med Res. 2020;1(2): 1008.

31. Barrera VC, Lim SC. Hyperthyroidism in the elderly: Challenges in diagnosis and management. Am J of Gerontol Geriatr. 2020;3(1):1021.

32. Si Ching LIM. Falls among the persons with dementia and interventions to reduce falls in a dementia ward. Journal of Brain and Neurology 2020. Volume 3, issue 2.

33. Espeleta Wrenzie Del Valle, Barrera Vivian, Sigaya Kenneth Villan, Arroyo Shiela Panao and Si Ching Lim. The impact of Circuit Breaker (COVID 19) on the older adults and their caregivers. Ann Clin Med Res. 2020;1(4):1016.

34. Rong Fang Zhang, SC Lim, Eleanor S. Mc Connell. Use of a tailored, multifaceted educational approach for prevention and early detection of delirium in hospitalised elderly patients. Open Journal of Geriatrics. Vol 3 Issue 2, 2020, PP: 35-47. ISSN:2639-359X.

35. Barrera Vivian, Sigaya Kenneth Villan, Espeleta Wrenzie Del Valle, Tanya Quicho, LIM SC. Examining nurses’ wellbeing while caring for the elderly with pneumonia-acute respiratory infection (PARI) Ward. Ann Clin Med Res.2020;1(4):1017.

36. Vivian Barrera, Ivan Ngeow, Sinnatamby Savithri, Lim Si Ching. Impact of Patient Centred Care in a dementia ward in an acute hospital. Inno J Neuro Neurosci. 1(1)-2021: IJNN.MS.ID.000502.

37. Si Ching LIM. Caring for the older persons living with Dementia. Published by Book Publisher International. 2021.

38. Arroyo SP, Zhou LP, Hartiny I, Zheng YL, Zhang Di, Lim SC. An exploratory study examining the adequacy of water intake among the elderly inpatients. Ann Clin Med Res. 2021, 2(2): 1025.

39. Oo TD, Aung ZY, Barrera VC, Arroyo SP, Lim SC. The use of iPads as part of person centred care in a teaching hospital in Singapore. Ann Clin Med Res. 2021;2(5):1040.

40. Vivian C Barrera, Shiela P Arroyo, Theik Di Oo, Zay Yar Aung, Savithri Sinnatamby, SC Lim. Exploring strategies to reduce falls and the role of simulated presence for the elderly patients with cognitive issues in isolation rooms. Open Journal of Geriatrics. ISSN:2639-359X. Volume 4, Issue 1, 2021. DOI: https://doi.org/10.22259/2639-359X.0401004.

41. Di Oo T, SC Lim. An unusual case of Erythema Ab Igne from a tropical country. Ann Clin Med Res 2022;3(1):1055.

42. SC Lim. SingHealth Dukes NUS Memory and Cognitive Disorder Centre A Caregiver’s Easy Guide. Supporting Persons with Dementia.

43. Vivian C Barrera, Wing Hong Poon Edward, SC Lim. Nurses’ perspective on using iPads as part of person centred care in an acute hospital setting. Arch Neurol & Neurosci. 13(3):2022. Ann.MS.ID.00811.

44. Espleta Wrenzie del Valle, Arroyo Shiela P, SC Lim. Outcome of outdoor activities as part of person centred care in the dementia ward of an acute hospital. Arch Neurol & Neurosci. 13(4):2022. ANN.MS.ID.000816.

45. Khoo SSH, Arroyo S, Lee YQ, SC Lim. Development of a dysphagia cup to improve patients’ fluid intake and reduce caregiver burden. BMJ Open Quality 2022;11:e002055.doi:10.1136/bmjoq-2022-002055.

46. SC Lim, Vivian Barrera, Lim Huiru, Anna LP Bantillan. The role of a therapeutic garden in the dementia ward in a teaching hospital in Singapore. Nov Res Sci. 13(2). NRS.000806.2023.

47. Aung Zay Yar, Lin Fang, SC Lim. Nurses’ perception, attitudes and practices towards continence aids use in a teaching hospital in Singapore. J Neurol Psychol Res. 2023;4:1.

48. Zhou K, Tan SY, Arroyo SP, Lim SC. Depression in older adults- A review. Neurol Neurosci.2023;4(1):1-7.


Research Trials