Section 8: worker arranged for and facilitated a dialogue between the group and the hospital on the

subject of patients' wearing the hospital uniform, the hospital represented by the chief and head nurse,
agreed not to impose the policy. instead, the H-mole patients would wear their "dusters" in the ward but
must cover with the hospital uniform early in the morning when the physician would make their rounds.

Section 9: a dialogue between the group and the chief nurse and the head of the kitchen staff was
arranged. An agreement was reached for the patients to stop using their personal plates and in their place,
the hospital would provide them same-size trays and food would be apportioned equally while still at the
dietary unit or kitchen instead of the present practice of scooping the food into the plates being held by
patients or their caregivers.

Section 10: a dialogue was arranged between the assistant director for Health Operations and the group
on the subject of the security personnel’s treatment of patients’ caregivers, most of whom were their
spouses or children. A system coordination between the ward staff and security personnel patrolling the
ward was adopted during the session to avoid untoward incidents. This dialogue resulted in the
caregivers’ being officially authorized to stay and assist the patients in the ward (especially during the
period of chemotherapy when the patients would feel very weak) provided that they kept away from
hampering the treatment, and they followed the rules on cleanliness and orderliness in the premises.

Section 11: worker informed the group that she had told the Chief Pharmacist about continuing shortage
of chemotherapeutic drugs forcing the patients to buy these outside the hospital where they are quite
expensive. The Chief Pharmacist suggested that the group elevate their concern to the higher authority as
this well involve a review of drug allocation, setting of priorities, and fund sourcing. this letter resulted in
the Administrator’s instructing the Pharmacy and OB Gynecology heads to meet and discuss how to help
the H-mole patients with their concern.

Section 12: this session was meant to bring together the group and the hospital officials for a review of
what transpired in the session. Flor, the recognized leader of the group, acted as the “speaker” and read
the group’s problems that were discussed in their “club” and the corresponding results after meeting
regularly as a group. Doctor A. and the chief nurse each gave a “response” with the latter ending past
cases of abuses by patients and their caregivers like camping in the corridors, hanging their laundry all
over the place, wasteful use of water, airing and exaggerating their complaints over TV and radio instead
of bringing these first to the attention of hospital authorities.

Section 13: this last session was held two eeks before Christmas. Three of the members were going home
“on pass,” while the rest would remain in the hospital. These activities helped minimize the members’
resistance to the termination of the group although the members had been making references to it with
words like “malapit nang matapos,” “ga-graduate na tayo,” “parang ang bilis ng panahon,” etc.
The group discussed what had been accomplished and shared their plans upon being discharged. This led
to an acknowledgment of their individual strengths and limitations, (being “pikon,” “masungit,” “makitid
ang isip,” etc.) They thanked worker for the group experience worker thanked them too for what she also
learned from them.