A Public Forum on Palliative Care, Oct 16
Transcription
A Public Forum on Palliative Care, Oct 16
2 Our Profile Madre de Amor Hospice Foundation, Inc. is a non-stock, non-profit organization founded in 1994 at Los Baños, Laguna by a group of entrepreneurs and relatives of cancer victims. The idea was to complement the efforts of formal medical institutions to care for the terminally-ill whose needs are different from patients with curable disease. Madre de Amor operates under the dictum that “when cure is no longer possible, there is no end to the care and love we extend to our terminally-ill patients”. Because of this belief, Madre de Amor does not only provide assistance to terminally-ill patients through the administration of simple nursing care, including administration of morphine under the supervision of a certified physician, but more importantly, extend psychological, mental and especially, spiritual support to their relatives. Madre de Amor provides its services free of charge to its mostly indigent patient. A Board of Trustees sets the vision and policy direction for the organization. On a day-to-day basis, it is run by a medical director, who serves as its Executive Director, supported by two licensed nurses and an Administrative Officer and a core of more than (50) volunteers who conduct regular visits to the patients and their relatives providing psychological, moral and spiritual support to them. Volunteers undergo training before being deployed for home visits. Madre de Amor systematically keeps a record of all the patients it has administered to ever since its establishment 19 years ago. It had published two books to document its experiences in administering to the needs of terminally-ill patients and their relatives, and the rich experiences of its volunteers to serve as a handy reference for other communities wanting to establish their own local hospice. Madre de Amor is a founding member of Hospice Philippines, an umbrella organization of approximately 37 hospice/palliative care centers in the Philippines. It is also a member of the Asia Pacific Hospice Palliative Care Network. Because of its solid track record as an NGO serving the needs of indigent patients, Madre de Amor is accredited by the Philippine Council for NGO Certification and was recognized by the Department of Social Welfare and Development Region IV-A Office as Social Work Agency per Administrative Order No. 17 series of 2008. It is also accredited by the Department of Health partnered with the Laguna Medical Center as the only NGO allowed to administer morphine for free to indigent cancer patients suffering from extreme pain due to their illness. Madre de Amor is the longest existing community-based hospice organization in the country and because of the immense knowledge, skills and experiences it accumulated throughout its long years of its operations, its executive director and staff have been invited to serve as resource persons for other communities or medical institutions wanting to establish their own hospice. Among them were groups in Lucena and Tayabas in Quezon, Bel Air in Makati, St Louis University in Baguio, Davao, Pampanga, and Biñan in Laguna. 3 VISION The foundation envisions a system of responding the multifaceted requirements of a dying patient and his family, tailored to the country’s environment. It upholds the hospice philosophy of care by emphasizing the quality of life. The foundation is likewise committed to serving as a “Midwife for Souls” who will facilitate the passage of the spirit from the love of his kin to the embracing love of God. MISSION To provide hospice home care for terminally-ill patients regardless of race, religion or financial status. To educate the public and provide training in hospice care and to establish hospices in other towns as part of the mission of spreading the hospice movement in the country. GOALS •Achieve the best possible quality of life for patients and their families. •Organize, develop and strengthen a motivated, responsive and dependable team of hospice volunteers. •Establish and develop infrastructures to maximize effectiveness as a home-based care unit. •Provide training to perspective volunteers who want to share their time, talent and treasure and to stimulate public awareness. •Interface with other hospice organizations both here and abroad. •Contribute to the spread of the hospice movement in the country. •Serve as a model and inspiration to be replicated in other parts of the province and eventually in other regions in the country. •To generate funds in support of the hospice care program. 4 5 Message from the President Message from the President (20th) "I solemnly assure you, unless the grain of wheat falls to the earth and dies, it remains just a grain of wheat. But if it dies, it produces much fruit." (St. John 12:24) This year, we celebrate the 20th anniversary of the Madre Amor Hospice Foundation, Inc. (MAHFI). Its establishment seems fortuitous; its existence nothing short of a miracle. The establishment of Madre de Amor was inspired by the death of our only daughter and eldest child, Sarah Katrina, to cancer at a tender age of fourteen and half years old. Her life was full of promise. She not only had loving and highly supportive parents but was gifted by the Lord with superior intellect and skills. She was an established classical pianist at the age of 12, an excellent writer, and was adept in math and science being a student of the Philippine Science High School. Sadly, with all her gifts, one thing was denied from her. That was the gift of life. When she died, doubts and questions lingered in my mind and more importantly, soul. Why was she taken away so early? Why was she given superior intellect and talents that would guarantee her success in any chosen career only to be denied life? Why born at all when she would be taken away prematurely unable to fulfill her full potentials and contribute to the betterment of society? And many more questions about life, relationship with God, etc. There were no answers. A few months after Sarah's death, my wife (Dada) and I were informed that there would be a seminar on "hospice care" to be delivered by Dr. Josefina Magno, a Filipina doctor who spent most of her professional life developing and strengthening palliative care in the US West coast. We were at first hesitant to attend because it involved traveling to Ayala Alabang (we were residing at Los Banos, Laguna). But our hesitance turned to inspiration when we discovered that many of the nagging questions we faced with the early death of Sarah found answers in the short talk of Dra. Magno on hospice care. There and then, we realized the real meaning of the untimely death of Sarah. She was the proverbial "wheat that falls and dies to produce much more fruit". Establishing Madre de Amor Hospice Foundation, Inc. was God's answer to our search for the meaning of her short stay here with us. 6 With this realization and inspiration, my wife and I linked up with respected business leaders and social entrepreneurs, led by Antonio Mercado and his wife Monina, Carol Guerrero, Ning Basa, Marcia Sandoval, and our local talent, Dr. Rhodora del RosarioOcampo to establish Madre de Amor in 1994. The successful launch and operation of our hospice would have not been possible without the active involvement of our hospice volunteers, the backbone of our operation, mainly recruited from faith-based organizations in our Los Banos community. Madre de Amor never had assured funding. Its operation throughout its two-decade existence owed much to the generosity, kindness and efforts of its donors, staff and volunteers. Despite this and with the Los Banos community originally serving as its nucleus, Madre de Amor has expanded its operation to cover 22 municipalities and four cities of Laguna. It has administered to more than1,500 patients and around 1,600 of their relatives. Given the multi-dimensional needs of patients suffering from terminal illness, Madre de Amor's services range from providing medical, psychological, emotional and spiritual support to the patients and their relatives for free (refer to 2014 Annual Report for services provided). The existence of Madre de Amor for two decades and the expansion of the range of services it offers is a miracle in itself. Hospice work is a daunting task given the emotionally, psychologically and spiritually-draining nature of daily facing the pain and suffering of terminally-ill patients and their relatives without the ability of finding answers to their most difficult questions. Finding donors is also a challenge because most would rather provide assistance to activities which give hope (i.e., supporting street children or orphans) than to easing the pain of a suffering patient who eventually would die. But the reality is that cancer and terminally-related diseases (i.e., renal failure, coronary heart disease, HIV, etc.) have become major causes of death in the country. Cancer now ranks as the 3rd leading cause of death in the country, and is expected to further rise due to pollution and poor lifestyle habits. Cancer has become such a prevalent disease that it now affects a cross section of our population regardless of income status, employment, gender and geographical location. We realize that our formal medical institutions will not be able to fully respond to the needs of patients suffering from terminal illness and their relatives. Hospice should be viewed as a complementary institution to take care of the sick. Thus, no matter how difficult hospice work is, the least of which is raising funds to support its activity, we persist in our calling because of its relevance to the dire need of our people, particularly the poor. 7 Hospice care is the most humane, the most God-like act that we could extend as human beings, to our patients suffering from excruciating pain and to their relatives overwhelmed by the magnitude of their problem and doubting for a merciful end to the tragedy that they face. From the very start, we knew that we would be successful in our endeavor because of the inspiration of Sarah and the thousands of patients and their relatives that we cared for and administered to. And more importantly, through the guidance of our Lord who has goaded us "to stay the course" despite difficulties. In the process, a miracle happened: Madre de Amor Hospice Foundation, Inc. now celebrates twenty years of extending "endless care and compassion to those whose cure is no longer possible! To God be the Glory! Fermin D. Adriano, Ph.D. 8 Message from the Executive Director Greetings of peace and hope! This year marked the 20th year of the Madre de Amor Hospice Foundation Inc. A small miracle indeed for us who began this organization in 1994. All we had then was a vision of helping the dying, coupled with passion and sheer grit. As in most pioneering efforts, courage come first, details later. We learned along the way what hospice care was all about, both in the medical perspective as well as the practical issues. The 1st 10 years saw us honing our clinical skills and improving and completing the services that we gave to our patients. These included obtaining morphine from the Department of Health, acquiring equipment like hospital beds, suction machine, oxygen tanks and gauges, networking with various GOs and NGOs who could assist our patients. All these were aimed towards obtaining legitimacy as an organization. The 2nd decade ushered in a different set of problems. These were organizational in nature. We had to clean up our policies and procedures especially in the HRD, administrative and financial modules. Our SEC papers were audited. Fortunately or providentially, a staff with an accounting background joined us and greatly facilitated these problems. As a result we were able to get a PCNC accreditation. Added to this was the capacity building project of the Ayala Foundation/USAID which resulted in a clearer set of Policies and Procedures. We continually face obstacles along the way. These included: 1)financial sustainability concerns 2) acceptance from government and community 3) finding staff and volunteers and board members willing to embrace the challenges of hospice 4) standardizing the practices both medical & administrative procedures 5) patient enrollment. But we have managed to overcome many of these through hard work, patience, determination and prayers. It has been an honor & privilege for us to serve the seriously ill and dying patients & their families in our community for the past 20 years. As we usher in our 3rd decade, I know we will face new challenges, some old, some new. But with God’s help and your continued support, I know we will succeed. Thank you. Rhodora D. Ocampo, MD 9 HISTORICAL HIGHLIGHTS…… 1993 – Sarah Katrina Adriano 14, dies of naso-pharyngeal cancer. 1994 – Madre de Amor Foundation was established. - A talk by Dr. Josefina Magno’s “Hospice: A call to one another” with an audience of UPLB Faculty and other Professionals. 1995 – Madre de Amor Foundation Inc. was registered with the Securities and Exchange Commission. 1996 –Some officers and medical professionals attend the 2nd Asia Pacific Hospice Conference in Singapore. -Pancake house sponsors the fund drive “ Help Build a Hospice” -Featured in national TV in the program “Emergency” on GMA7. -Inauguration of permanent Hospice Center. 1997 – Blessing of the Garden Shrine of Our Lady at the Hospice Center Staff and Volunteers’ Renewal of Commitment to hospice care by Dr. Josefina Magno and Dr. Neil Hobbes. 1998 – Dr. Rachel C. Gonzales joins hospice. 1999 – Annette Archer, hospice nurse from Australia visits Madre de Amor Hospice. - DOH visits hospice and the patients as part of their orientation and training in hospice -Antonio R. Mercado, our president dies at age 66. 2000 – Monina Allarey Mercado joins hospice. 2001 – Madre de Amor opens its Sta. Cruz Laguna hospice facility. -The Lucena chapter began a hospice program through the MDAFI training. -Tayabas Quezon Community based hospice started by Delsie Abrigo Horak. 2002 – Michael Jones of Herrod Foundation (Switzerland) visits the Hospice Center - San Pablo Hospice begins its services under Dt. Job Brion and Maria Stella D. Tan. 1 0 2003 – Our chairman of the board, Dr. Josefina B. Magno dies at age 83. -Carolina G. Guerrero becomes the chairman of the board. -Thanksgiving Picnic, a fund raising activity concert by classical singers Sonia A. Gomez, Steve Groff and Manuel Pacis. 2004- Ayala Foundation enlists MDAFI for grants eligibility. -Joins the National Hospice Palliative Care Council of the Philippines -Dr. Rosalie Shaw of the Asia Pacific Hospice Palliative Care Network visits hospice. -Medical and Dental clinic with the SM Foundation during hospice 10th year anniversary. -Hospice Stories publication. 2005 – ED attended the 6th Asia Pacific Hospice Conference in Seoul, Korea -ED & volunteer Tess Gonzales were speakers at the Silver Linings in EDSA Shangrila Hotel. - Produced a stage play with the National Commission for Culture and the Arts ” May Tinig and Damdamin, May Awit ang Tungkulin”. - Fielding of caregivers for private patients. 2006 – Our nurse attended the Palliative Care Nursing Workshop in Kuala Lumpur Malaysia - Featured in QTV’s Sa Pulso- “Kumadrona ng mga Kaluluwa”. - Participated in the 2nd Annual Hospice Walk in celebration of the National Hospice Week and World Hospice Day. 2007 – Conducted Palliative Care Training in Makati Bel Air senior citizen, the St. Louis University , the San Jose Batangas barangay health workers group and some barangay health workers group in Ayala Alabang hospice. -Featured in QTV’s “ Jessica Soho: Sana’y Muling Makapiling, NBN channel 4 “ Young Once” and GMA 7 “ Kapuso, Jessica Soho” -Visited by Dr. Rosalie Shaw of the Asia Pacific Hospice Network, Rev Michael Wright from UK and Dr. Frank Ferris with Prudence of the University of California, San Diego Hospice -Madre de Amor as the forefront of the 7th Asia Pacific Hospice Palliative Care Conference in Sofitel Hotel 2008 – Staff and volunteers attended the 2nd Silver Linings event in Cebu City and the Asia Pacific Hospice Conference in Singapore -Featured in GMA7 “Wish ko Lang” with actor Robin Padilla, ABS-CBN “ Salamat Dok”, “The Correspondents” and ANC’s “Talk Back with Tina.” -Celebrity Piolo Pascual visited our hospice -We got our PC-NGO Accreditation -Grant from PCSO -Concert entitled “Musika ng Pag Asa.” 11 2009 – 15th year anniversary and came out with a souvenir program with the theme “Hospice Heals” -Featured in GMA7 “Wish ko Lang” with Katrina Halili, ABS CBN’s “Bid to Give Project at “Umagang kay Ganda” in partnership with newscaster Bernadette Sembrano and Fidel Sarmiento of “Isang Samahang Makasining” -Celebrated Voices for Hospice through relief operations in Brgy. Malinta for the victims of typhoon Ondoy . -Staff attended workshop at the Asian Social Institute, forum and trainings 2010 – Partnered with the UPLB ComArts Society for a stage play entitled “Pahimakas at Panimula”. -Art work of our patients were displayed during the Art Exhibit at the D.L. Umali Hall. -Dr. Richard Yap from Singapore Palliative Care Unit visited our hospice. -Our nurses attended a forum at the Asian Hospital with the theme “Sharing the Care” and End of Life Care Workshop. 2011 - Conduct of palliative care training for the staff of Golden Acres Haven for the elderly in Tanay Rizal -Served as resource person to discuss hospice work as part of the “volunteerism” program of UPLB Alumni Association -Assisted a 9 year old patient with cancer to continue her studies -Hosted the visit of three doctor specialists on palliative care from other countries to exchange insights and lessons learned. -GMA NEWSTV I Juander host / reporter Cesar Apolinario celebrated his birthday with our patients. Our patient Angie was featured at the TV program with the theme “Masayahin si Juan.” -Staff attended forum, workshops, symposium, trainings and general assembly. 2012 – Celebrated 18th year anniversary with DSWD secretary Corazon “Dinky” Soliman as the guest speaker at the UPLB Senior Social Garden in Los Baños. -Selected to attend a two year project in USAID through Ayala Foundation’s Strengthening the Capacity of CSOs. -Executive Director talked about the Hospice Philippines role in Palliative care during the Regional Conference on Palliative Care with the theme “Breaking Barriers Ensuring Palliative Care as a Basic Human Right.” 12 -Nurses attended End-of-Life Nursing Education Consortium (ELNEC- Trainer’s Training) with lead facilitator Dr. Roger A. Strong at the UP-PGH, Taft Manila. -Staff and volunteers attended conventions, workshops, lectures and seminars. - Executive Director presented a paper at the Acta Medica Philippina “A Study of Head and Neck Cancers Admitted at a Community Palliative Care Center: Madre de Amor Hospice Foundation from 1995-2008 2013 –Conducted Hospice orientation for the Letran-Calamba College of Nursing and Palliative Care. -Training to DSWD –GRACES staff from Quezon City -Helped set up the Hospice of Northern Luzon Palliative Care in Bayombong Nueva Viscaya. -Outstanding Community Service Award given by the St. Therese Foundation-Los Baños Inc. -Hospital equipment and supplies donation by the Shindengen Company during the 19th year anniversary. 13 Our Stories Our Stories Nurturing Love She has three siblings; two of whom are married with their own families. They are supported financially by her other sister who works in a nearby town. Often her mother helps in her own little way. In August 2012, with the help of the Madre de Amor Hospice Foundation, radical mastectomy was done at the Laguna Provincial Hospital. The doctors recommended chemotherapy after the surgery. Due to financial constraints, the plan was aborted, resulting in multiple complications. She experienced excruciating pain reaching a scale of 10/10. Pain control was done by the hospice medical team with good result. It is a very difficult journey for the patient and her mother, due to sleepless nights, financial difficulties and an uncertain future. The hospice nurse and the volunteers along with lay minister provide emotional support and spiritual healing. Then her old mother, her loving caregiver started experiencing weakness, elevated blood pressure and blurred vision. Blindness set in. Both now need much care but her strong will power and faith pulled her through. Both the mother and daughter are regularly visited by hospice. Joy and gratitude fills my heart for this beautiful opportunity for caring and giving. I am so blessed. Cyndie Estrella, R.N. 15 Our Stories Pink Ribbon The pink ribbon is the logo associated with breast cancer. It is used to promote breast cancer awareness and at the same time, honor the victims and survivors of the disease. Breast cancer usually afflicts women but men are not totally immune to it either. Though not common, there are incidences of the disease too among the male members of the population. Causes of the disease are largely genetic but lifestyle factors in too, the food one eats, and regimen and the environment one is exposed to. Luckily, there are ways to detect it early making a patient’s chances of survival better, even good. Because of the increase in breast cancer cases in the country, the government launched an awareness campaign promoting its early detection by teaching women and men too, how to do breast self-examination and convince them to go in for annual breasts check-up. As of this writing, at the Madre de Amor Hospice Foundation alone, 44% of patients enrolled for palliative care are breast cancer patients. Lolit, my patient from Palingon, Calamba City, was one of them. Lolit used to be a fish vendor. It was a difficult way to earn a living, but she was able to provide for the simple needs of her family, until the day she found out she has breast cancer. Though stricken, she managed to go on with life as normally as she could. For more than ten years, she valiantly fought the disease, several hospice nurses took turns in caring for her. She was also one of the patients of the Day Care Program when Hospice re-opened it in 2006 and eventually graduated from it in 2010, when she was found to have spinal cord compression secondary to bone metastasis. I witnessed the deterioration of her health from the time she was mobile until she became bed bound. I saw how she struggled to cope with her failing health and her family’s daily needs. Due to frequent flooding they wereforced to move to her daughter’s home in one of the better situated, flood free barangay in the city, Majada, also in Calamba.I also learned that her husband and one son died of pulmonary tuberculosis, and that another son is in prison, wrongly accused, according to her, of drug related offense. But painful though those realities were, none was more severe than the physical pain she had to bear. For the longest time, she was taking opioid to ease the pain, it started with Tramadol 50 which was shifted to morphine sulfate later on. 16 Lolit finally passed early July this year, but her story did not end with her death. She has a daughter named Jinky. Jinky is single and like her Mom, she has breast cancer Stage III- C. Her Mom learned of her affliction but Jinky refused to confirm it to her, so as to shield her from added worry. For the same reason that she did not confide in her the difficulties of providing for her, for the family and for the cost of her many tests and attempts in treatment. She did not tell her about her debts, that her motorcycle was mortgaged and then foreclosed, that even her own house was mortgaged so that she could repair her Mom’s house where she knew she would be more comfortable and happier to die. Lolit died happy, surrounded by family. Jinky was even able to arrange for her imprisoned brother to visit her dying mother. Jinky didn’t want her Mom to die. She even failed to muster enough strength to look at her remains. Through the initiative of the Hospice nurses and the doctor in their Barangay, Jinky had a series of tests and was scheduled for treatment – she qualified for the Patient Navigation Program of the Department of Health and the Philippine Cancer Society. Chances Jinky set aside to care for her Mom and provide for her family. Now that her Mom is gone, Jinky is trying to catch up on the missed tests necessary for her to qualify again for the government program she put on hold. For Jinky is afraid, she is afraid to die like her Mom. Jenelyn Rualo,R.N. 17 Our Services and Activities Our Services and Activities Home Care is our core service providing palliative/hospice care to the patients. The hospice doctor and nurses regularly visit the patients for pain and symptom control, physical assessment and nursing care. A listening ears, compassionate touch and companionship with spiritual support are provided by our trained hospice volunteers. Day Care activities provide relaxation to ease patient’s boredom and loneliness. It is also an opportunity to meet and socialize with people in similar situations and a respite for their family/caregivers. Different organizations and individuals sponsored some of the recreational activities. 19 Daycare Graduation 20 Our Services and Activities Supportive care Services: A service for patients who are still ambulatory but do not want to attend the day care service. They love being visited by our staff and volunteer. Laying of stones in our Garden of the Resurrection is a bereavement support for the patient’s family to commemorate their loved ones. reminisce with us and help the process of letting go easier. This enables them 21 Visit to Sinag Kalinga in Lucban Quezon- Sept 30 ABSNET Funday with the Laguna Governor -Oct. 11 22 Our Services and Activities Hospice 20th year anniversary August 19 23 Our Services and Activities Christmas party and Annual Gift-Giving on December 12 24 Fuji Electric Employees 25 Our Services and Activities Rodel & Laiza Sison Thess & Sylvia Colisara 26 The Heart of Hospice Monthly Meetings: Volunteers regular meeting every first Friday of the month. This is the time for reporting about their patients and fellowship as well. Quarterly Recollection: A quarterly recollection for the staff and volunteer in order to replenish their weary spirits. 27 2014 Hospice Volunteer Awards Perfect Attendance: Alice Aragones Teodulo Capuno Orlando Palad Most Amicable Volunteer: Nida Javier 28 Outstanding Volunteer: Josefina Alcantara Five- Year Loyalty Award: Lina Velasco Clara Talvera 29 20 Years Loyalty Award: Alice Aragones Alicia Capiral Eva Data Teresita Gonzales Rhodora Ocampo 30 Education, Training and Forum Education, Training and Forum Volunteers’ Orientation attended by, Letran-Calamba College of Nursing on Jan 16 32 Leadership for H.O.P.E. Training, Oct. 14-16 National Hospice & Palliative Care Summit, Oct. 15 33 A Public Forum on Palliative Care, Oct 16 34 Resource Generation Garage Sale on Feb 08 36 HIV Aids film Showing on March 20 37 Larong Bata on Sept. 4 38 Statistics Table 1. The number of patients seen in home care service, 2014 Patients Los Baños Bay Calamba Cabuyao Pila Victoria Sta. Cruz Calauan San Pablo Sta. Maria Siniloan Lumban Pagsanjan Total At the start 25 18 3 12 5 63 New 52 22 15 10 10 109 Under care 77 40 18 22 15 12 Daycare 7 1 3 2 1 14 Death 35 15 11 13 5 79 Discharged 14 1 0 1 0 16 Figure 1. Age range of patients seen, 2014 40 30 20 10 0 11-20 21-30 31-40 41-50 51-60 61-70 71> 40 Figure 2. Male to Female ratio of patients, 2014 Male 48% Female 52% Figure 3. Period of Care of Patients seen in the home care service, 2014 35 30 25 20 15 10 5 0 41 Statistics Table 2. Sources of referral of patients in the home care service, 2014 Sources of Referrals Los Baños Bay Calamba Cabuyao Pila Victoria Sta. Cruz Calauan San Pablo Sta. Maria Siniloan Lumban Pagsanjan Total Volunteers 33 5 8 7 8 61 MD 24 4 3 4 0 35 Relatives of former Patients 18 16 2 8 4 48 Hospice Network 9 3 4 6 0 22 Internet 1 2 0 0 0 3 Walk in 2 1 0 0 0 3 Total 87 31 17 25 12 172 Table 3. Visitations done by team member in the home care service, 2014 Number of Visits Los Baños Bay Calamba Cabuyao Pila Victoria Sta. Cruz Calauan San Pablo Sta. Maria Siniloan Lumban Pagsanjan Total RN 2,980 2,578 1,544 1,623 1,289 10,014 Volunteers 4,154 2,504 629 1,784 207 9,278 MD 617 471 89 487 51 1,715 Total 7,751 5,553 2,262 3,894 1,547 21,007 42 Statistics Table 4. Causes of discharge of patient in, 2014 Number of Visits Los Baños Bay Calamba Cabuyao Pila Victoria Sta. Cruz Calauan San Pablo Sta. Maria Siniloan Lumban Pagsanjan Total Disease in remission 5 0 0 0 0 5 Noncompliance with hospice policies 5 2 0 1 0 8 Missed diagnosis 0 0 0 0 0 0 Moved to another town 3 0 0 0 0 3 Total 13 2 0 1 0 16 Table 5. Religious affiliations of patient seen in 2014 Religion Number Percentage Roman Catholic 128 74% Born-Again 14 8% Aglipay 16 9% Iglesia ni Cristo 8 5% Others 6 4% 172 100% Total 43 Statistics Table 6. Diagnosis of patients seen in 2014 Diagnosis of Patients Number Percentage Breast Cancer 39 23% End-stage renal disease 20 12% Colo-rectal Cancer 13 8% Lung Cancer 11 6% Cervical Cancer 7 4% Osteosarcoma 6 3.5% Ovarian CA 6 3.5% Nasopharyngeal Cancer 5 3% Leukemia 3 2% Brain Tumor 3 2% Renal Cell CA 2 1% Others 55 32% Total 172 100% 44 2013-2014 Board of Trustees Board of Trustees CAROLINA C. GUERRERO Chairman Emeritus Ms. Carol Guerrero is one of the original founders of the Foundation. A member of the illustrious Guerrero clan, she is well known as the patron of arts. She serves as an inspiration for us doing good works throughout her life. MANUEL C. LOZANO Chairman Manuel C. Lozano is the President of Meridian Assurance Corporation. Badminton Player, Bridge enthusiast, good Cook and everybody’s friend. 46 Board of Trustees FERMIN D. ADRIANO, PhD. President Dr. Fermin D. Adriano is a founding member of the Foundation. The foundation was made in honor of Fermin and Dada’s daughter Sarah who died of nasopharyngeal cancer at 14 years of age. He finished AB Journalism in UP Diliman with his Master of Arts Degree in Communication. He took his Master of Philosophy (Development Studies) from the University of Sussex in England and a Ph.D. in Sociology (Political Economy from the City University, London). He currently serves as a consultant of various international aid agencies. MILAGROS MONINA A. MERCADO Vice-President Milagros Monina A. Mercado is an AB Graduate Major in Literature and Philosophy Magna Cum Laude from Maryknoll College. She is an accomplished writer and book editor as well. 47 Board of Trustees RHODORA DEL ROSARIO-OCAMPO, MD Secretary Dr. Rhodora Del Rosario-Ocampo has a Bachelor’s Degree in Chemistry Cum Laude from the University of the Philippines Los Baños and Medical Degree from the University of the Philippines, Manila. She took her post graduate training in ear, nose and throat-head and neck surgery in the Philippine General Hospital. Her present positions are active consultant of Calamba Medical Center in Calamba, Laguna and the President of Healthserv Los Banos Medical Center in Los Banos, Laguna. She is also an elected Council Member and Assistant Treasurer for 2006-2008 of Asia Pacific Hospice Palliative Care Network. Currently she is the President of the Hospice Philippines. LOURDES S. ADRIANO Trustee Dada Adriano is the mother of Sarah Adriano and the wife of Fermin. She was the moving force in the formation of the Madre de Amor Foundation. Currently she is connected with the Asian Development Bank. 48 Board of Trustees MILAGROS T. BASA Trustee Ning Basa is also a founding member of the Foundation. She is best known as one of the founders of Pancake House. The Company began in 1970 with a small café in Magallanes, Makati. It was the brainchild of Ms. Basa, Leticia Zamora and Carmen Zaragosa. Its first franchise was established in 1978 in Greenhills, San Juan. Pancake House has since grown into one of the well-loved café and restaurants in the country. Ms. Basa has been a generous patron of our Hospice JAVIER JOSE CALERO Trustee Mr. Javier Jose L. Calero is the Chairman of Zenith Optimedia (A member of the Publicis Group of Companies) and a Senior Adviser for International Foundation for Elections System-Washington D.C. Mr. Calero made his mark with J. Walter Thomson Company beginning as an Account Manager in 1958 until he became its Chairman and CEO from 1992-2000. 49 Board of Trustees ALICIA A. CAPIRAL Trustee Alicia A. Capiral is well known in the Los Baños community for her philantrophic works for the Church. From 2006-2008 she was the past ViceInternational Secretary of the Daughters of Mary Immaculate. TERESITA C. GONZALES Trustee Teresita C. Gonzales earned her Bachelor’s degree in Elementary Education from Philippine Normal College. Her past positions include- English teacher in Maquiling School Inc. in Los Baños, Laguna, Nursing Technician at the University of Missouri Medical Center, Columbia Missouri, USA, Supervisor at the University of Nebraska Independent Study High School and English Literature teacher in South Hill School Inc., Los Baños Laguna. She is currently the editor in chief of our Newsletter “Sharing Hospice”. 50 Board of Trustees MARCIA E. SANDOVAL Trustee Marcia is a founding member of the Foundation. She is a writer and artist-painter. Elsa L. Mapua Vitaliano N. Nañagas Fr. Noel Vasquez 51 Madre de Amor Foundation, Inc. ORGANIZATIONAL CHART Manuel C. Lozano Chairman Fermin D. Adriano President Rhodora D. Ocampo Program Director ADMINISTRATIVE SERVICE Virginia G. Cabrera Administration Coordinator PATIENT CARE SERVICE Analyn A Jenelyn A. Rualo Senior Nurse Analyn R. Apuntar OA/Bookkeeper Analyn A Jeromel Lapitan, M.D. Palliative Care Physician Virginia Cyndie G. Esrella Staff Nurse Noel R. Florenda Utility/Gardener Volunteers 52 Partners Partners Individual Partners Eva Labadan Chica Lapinid Roland Corpuz Bibs & Mila Ramos Rose David Elmie Antonio Marie Garcia Leilani & Dominador Benito Toniet Pordesimo William & Tina Padolina Tess Cayton Marietta Lantican Delia Ramos Mae & Trina Mendoza Maria Christina Marasigan Antonio & Rosalinda Reyes Nimfa Roxas Dexter Capiral Loretta Galang Jane Abalos Debra Yao Orville Ocampo Lenard & Lee Lopez Cesar Perez Juliet Dimaranan Norman & Avic Ramos Tess Manilay Rey Araos Tess Colisara Babes Pagaspas Mila Tec Banaticla Family Gloria Lontoc Alarcon Family Zenaida Pineda Caballero Family Capunitan Family Mae Tecson-Mendoza Tiga & Chinggoy 54 Partners Organizations/Corporations Sikap Bidani IRRI ECDC (COOP) Knight of Columbus Calamba Medical Center Fuji Electric Employees DMI I Madhatter Colegio de San Juan de Letran DKT Reproductive Health, Inc. UPLB CDC One Pharma Co. Inc. The Cathay Drug Company Inc. Mercury Drug Foundation Ministop Pharmasia Cuvest Dalcielo Quest Care Distributor JRS Express Globequipt Los Baños Doctors Hospital SEARCA Lairon Enterprise BCBP Los Baños Rotary Club of LB Makiling Cora Aguilar Kyocera Circuit Solution, Inc. Accent System Inc. 55 56 57 58 59