"Putting  more heart into our hands..."

About Us | Paliative Care Services | Our Paliative care Team | Contact Us 

The beginnings of hospice-palliative care in the Philippines can be traced to various types of supportive and hospice care programs for patients with debilitating, life-limiting, and advanced illnesses. In the US, Dr. Josefina Magno, a Filipino oncologist, was one of many who pioneered the idea of palliative care as a distinct medical field. However, when she returned here, the Philippines had already lagged behind in the field of hospice-palliative care

When palliative care was first introduced in the country, mainly among cancer patients, the focus was on the relief of cancer pain. Through the years, other components of palliative care were gradually practiced, leading to its recognition as a public health service. National and international government health care policy documents identified palliative care as an integral component of care and support for all patients who have the following conditions: cancer, ESRD (end-stage renal disease), advanced heart/ liver/ respiratory diseases, dementia, and AIDS.

Dr. Enrique T. Ona, the former Executive Director of NKTI and the current Secretary of Department of Health, envisioned a Palliative Care Unit (PCU) to serve the patients of the institution. A substantial percentage of the patients admitted at the NKTI are ESRD cases. These patients experience significant chronic symptoms and burdens that are comparable to patients suffering from advanced forms of cancer. Because of their severe condition, they tend to stay longer in the hospital.

For most of the relatives, who are also unaware of palliative care, the idea of bringing their sick family member home brings feelings of guilt and a sense of shame for ‘giving up’. As a result, the hospital becomes congested, which affects the acceptance and accommodation of other patients who needs immediate treatment.

Guided by NKTI’s Executive Director Dr. Aileen Riego-Javier, a committee comprised of physicians, nurses, a psychologist, a social worker, and a pastor was assembled to create and set up a Palliative Care Unit (PCU) in the NKTI. Led by Dr. Zenaida Antonio, the Ad HOC committee met for the first time in April 2012 and was formally introduced on June 27 during the Medical Staff Organization General Assembly.

NKTI’s Palliative Care Unit opened its doors on July 2012, housed in a small office at the back of the Intensive Care Unit (ICU). It began accepting referrals as members of the Palliative Care Team were identified and convened. The members immediately underwent a series of trainings to enable them to accomplish the primary tasks in creating a new service unit and institutionalizing the processes, such as the development of Quality Manual, the formulation of Quality Procedure, and the creation of relevant forms, among other.

About Us 

Palliative Care  is an approach which improves the quality of life of patients and their families facing life-threatening illness, through the prevention, assessment and treatment of pain and other physical, psychosocial, and spiritual problems. (World Health Organization, WHO).

The NKTI PCU provides multidisciplinary care to patients with active, progressive, and far-advanced disease, for whom the focus of care is the mitigation and relief of suffering and upholding the quality of life. Its holistic approach aims to address the physical, psychological, emotional and spiritual needs of the patient. This approach constitutes a new dimension in patient care. The main focus of the PCU is on the quality of life that remains with the patient. Whatever the disease, however advanced it is, whatever treatments may have been given, and there is always something which can be done to improve the patient’s quality of life. The team utilizes the following approaches:

  1. Providing relief from pain and other distressing symptoms;
  2. Affirming life and regarding dying as a normal process--which neither hastens nor postpone death;
  3. Integrating the psychological and spiritual aspects of patient care;
  4. Offering a support system to help patients live as actively as possible until death; and
  5. Offering a support system to help the family cope during the illness and in their bereavement.


To promote awareness of the existence of palliative care as a medical option, to relieve suffering and empower patients with renal disorders and allied diseases, as well as their families through the provision of holistic quality care, and to advance this field of care through innovation, education, and research.


To be the center of excellence in palliative care for patients with renal disorders and allied diseases by rendering exceptional compassion and skill to all patients, families, and caregivers  for them to have dignity and good quality of life during the period of difficulties, death and bereavement.

CORE VALUES          


Palliative Care Services 

In- Patient Palliative Care Services

  1. Identifies holistic needs of patients (physical, psychosocial, and spiritual needs).
  2. Controls pain and other symptoms
  3. Provides psychosocial support through individual and family counseling and conferences using compassionate communication.
  4. Collaborates and networks of care with other services that could help and is focus on patient’s quality of life.
  5. Offers a support system to patient and family through guidance & advocating their wishes and family decision.
  6. Spiritual and Pastoral Care
  7. Prepares and trains caregiver when planning for discharge.
  8. End-of Life Care
  9. Grief and Bereavement Care

Future Services: Outpatient and Home Care Service

Palliative Care Team

 COUNTER CLOCKWISE: Dr. Joselito Chavez, Dr. Luzviminda Kwong, Pastor Gerry Cristobal,
Nurse  Vangie Follosco, Ms. Florizel Del Prado-Marquez, Dr. Leo Marbella, Nurse Marimel Nicolas,
Dr. Benita Padilla, and Ms. Leizel Lanuza.

Deputy Executive Director

Joselito R. Chavez, MD CESE
Medical Services


Dr. Luzviminda S. Kwong


Dr. Leo Y. Marbella



Medical Specialist- Nephrologist

Dr. Benita S. Padilla


Maria Florizel Del Prado-Marquez

Spiritual Adviser:

Pastor Geronimo N. Cristobal


Marie Evangeline Antoinette G. Follosco, RN


Marimel T. Nicolas, RN

Social Worker:

Leizel P. Lanuza, RSW

Contact Us                  

Clinic Hours:     Monday to Friday , 8am– 5pm (By Appointment)
Contact Numbers: (02)8981-03-00 or  8981-04-00  Local 2166
Location: Second Floor NKTI Main Building beside Pulmonary Section,
East Avenue Diliman, Quezon City
Email Us:  This email address is being protected from spambots. You need JavaScript enabled to view it.


Pastor Gerry during his spiritual counseling at the Emergency Room

The Counseling Sessions

The Family Conference

The Bereavement Care