Custodial Services

     Bicol Sanitarium, as a healthcare facility initiates advocacy efforts in order to reduce stigma and discrimination against people and families affected by the disease. It empowers people by allowing them to participate more fully in the life of the community and be able to meet their own needs,gain social acceptance to their disability and live a dignified life.                    Admitted patients afflicted by leprosy are categorized into three and are based on the servicesthat they are receiving namely Clinical,Palliative and Custodial Care.Specifically, Custodial Care caters to those patients who have completed Multidrug-Therapy and have no clinical signs of the disease and co-morbidity. Some patients have difficulty returning home and decided to live inside hospital premises with their families. They are also enrolled in special programs and activities which aim to enhance their interaction with the people and become productive members of the community. These patients are provided with monthly stipend and weekly rations to continuously support their daily needs. Their  activities are being managed by administrative service in partnership with St. Paul of Chartres Sisters guided by the hospital management and Custodial Care Committee.


A.   Physical Rehabilitation

 Daily HATAW exercise


      This is a daily activity conducted at the Pavilion activity area and at OPD-Rehab area every Friday by rehab staff and nurses. This activity aims to enhance their muscle strength and daily routine. They perform exercises with the help of video presentation and music.


   Wound Care/Management


     The ulcers commonly found in the feet of the people affected by leprosy. If there is no nerve function, the pain cannot be felt by the patients that may results to further damage. Wound debridement, this is a usual procedure performed in rehab section. Another wound care is with the use of Unna Paste and Unna boots. Unna patch is usually made of Zinc Oxide paste applied uniformly to the entire gauze. The Zinc Oxide paste in the Unna patch maintains moist and promote healing within the wounds sites, this also contains gelatine,glycerine oil and distilled water. It is used to treat edema, ulcers and sores. The healing process of wounds needs proper footwear. Bicol Sanitarium established our own footwear section in order to help the patients with their healing process. This is important to the patients because without proper footwear many patients with wound will fail to fast recovery. Many patients with sensory loss may be at risk of developing wound when they walk long distance. The regular use of appropriate foot wear is on of the most important measures to prevent disability. This ensures proper foot care adequate attention to patient's wound and plantar ulcers to avoid further damage and deformities.


   Nerve Function Assessment

      It is a neurological examination clinical assessment of sensory and motor components of central and peripheral nervous system. This can be done with the use of a filament that can be point in a certain part of our extremities and will determine if there is numbness/paresthesia.Voluntary muscle testing will also determine if there is weakness at some point of the extremities. The result of nerve function assessment will be grade 0 if there is no deformity, grade 1 if there is numbness but no visible deformity and lastly is grade 2 if there is clawing and wound.


   Assistive Devices

        A variety of equipment used to aid patients in performing tasks or movement. Assistive device available in Bicol Sanitarium are crutches, quadcane and wheelchair. The therapist will fit and instruct the patient about how to care with this assistive device. The goal of this device is to achive independence and safety.


B.   Monthly Socialization

    Monthly Socialization

         Bicol Sanitarium conducts monthly socialization for admitted post- leprosy patients of the hospital. The patients participate in healthy lifestyle activities and different facilitated games for them to have fun. This is to build harmonious relationship among patients and staff of the hospital. It is also a tradition that gifts will be given to monthly birthday celebrators. Every month, there is an assigned program coordinator to give lecture about the monthly celebration of Department of Health Program. This will increase their awareness regarding the current health status. Aside from that, there is a quarterly module-based facilitation with topics depending on the current needs of the patients. This is done to address the present psychological needs of the patients in order for them to have positive mental health and growth.

C.   Quarterly Urinalysis and Monthly Weight Monitoring 

         This is a standard operating procedure conducted monthly for weight monitoring and quarterly for urinalysis of patients to monitor their health status and for diagnostic purposes.Upon registration of attendance  for the monthly socialization, each patient go to weighing scale to be recorded by the nurse assisting them. On the other hand, the quarterly urinalysis is done with assigned schedule made by the nurse in-charge for their laboratory requests.

D.   Spiritual Enhancement

a. Recollection (Lenten and Advent)
         The employees and patients are given opportunity to have recollection twice a year Lenten  and Advent). This is a moment of silence and reflection for them, an opportunity to thank God for all the blessings they receive and to ask forgiveness through the sacrament of reconciliation.
Spiritual Enhancement
b. Rabus
            Rabus is one of the physical activities of the patients. Monthly, they take part in maintaining the cleaniness of the hospital grounds. This is voluntary for those who are still able. It aims to build up community and teamwork among the patients.
c. Faith Sharing
       Faith sharing is the expression of the Church as - Church on a Communion: It is in community that a Christian grows in faith. We are called as individuals. Each one must give a personal response: But Christ calls us to form a Christian Community. He wants the church to be a Communion of life, love and truth. (L.G. # 7) A community of faith, hope and charity (L.G. #8). The patients are divided according to what purok they belong. They meet once a month to learn the word of God and share their faith experiences in the light of the Gospel.



      NON-COMMUNICABLE DISEASES                                                                     FAMILY HEALTH                                                               COMMUNICABLE DISEASES                 
      Cancer Control Program                                                                                        Expanded Program of Immunization                                 Infection Control
      Diabetes Mellitus Control Program                                                                        Family Planning Program                                                  National Tuberculosis Program (TB/DOTS)
      Healthy Lifestyle Program                                                                                      Lactation Management/ Mother                                        Leprosy Control Program
      Mental Health                                                                                                         Newborn Screening                                                          Waste Management
      National Prevention of Blindness and Control Program
      National Voluntary Blood Service Program
      Occupational Health
      Patient Safety
      Renal Disease Control Program
      Smoking Cessation/Tobacco Control Program