The Philippine General Hospital (PGH) in Manila is the national tertiary referral center with a mission of providing specialized medical treatment to indigent Filipinos. The Pediatric Hematology-Oncology Unit was established in the 1950's and sees over 300 newly diagnosed children with cancer each year from all over the country.
The main focus of this collaboration is improvement of patient care in terms of diagnostic and treatment guidelines, chemotherapy administration, medical procedures, infection control, palliative care, and parent education. The GHI provides mentoring and technical advice on clinical and pathology cases, and psychosocial aspects. A separate curriculum for nursing education is being developed.
In addition, a palliative care program for children at end of life was established and funded by donations raised by the GHI team during the Boston Marathon® Jimmy Fund Walk in 2014. The palliative care program includes (1) Training of a dedicated pediatric oncology nurse; (2) Conduction of semi-structured interviews among patients and their families to identify Filipino beliefs, values and needs regarding end of life care; (3) Development of an easy and affordable medication access program for morphine and other medicines for symptom control (4) Creation of a parent information packet for parents; (4) Development of a pediatric manual for the management of pain and other symptoms; and (5) Creation of a home visit program in collaboration with the local health community services.
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