"One Mission, Shared Governance, Shared Resources"

A Community Center where people see a Vision, create a Mission and commit to Action towards everything that truly matters to them and the larger community they are in.

Sitting with Community Board 9 (Queens,NY) www.nyc.gov/queenscb9

The Nurse is IN Richmond Hill:



A Model for an Integrative and Participative Concept of Health Care Delivery

VISION: A community centre where learning, health, and wellness is developed through integrating existing health care concepts and practices (traditional, alternative, and complementary), and developing the informed participation of individuals, their families, and communities in its implementation and applications.

MISSION: To develop health-empowered individuals skilled in health maintenance; trained and supported in sustaining their own well-being, in order to serve families, groups, and the general community.


Philosophy and General Assumptions

Utilizing existing information from the Federal, State, and City health departments including (but not limited to), mortality & morbidity rates; Census demographics on literacy & educational levels; primary & secondary languages spoken; immigration status; and other socio-economic indicators, the model seeks to engage the participative energies of members of the focused community in addressing the unmet health care needs and access issues of their families, groups, and other social networks, in Richmond Hill, NY.


This model seeks, as a consequence, to eventually wean groups and populations dependent on Medicare & Medicaid and other such programs; relieve such persons of the burden of over-medication and chronic lack of adequate and suitable health care; reduce overall individual health care costs by reducing dependency on government health agencies and/or health care facilities; and increase individuals’ economic participation and productivity.


It is hoped that this model could be replicated anywhere in the USA as well as in any part of the world, to address the urgent health care needs of the uninsured, underserved, high-risk, and, even almost, invisible sectors of our societies.



  • Reduce healthcare cost
  • Provide quality healthcare for all.
  • Resolve the healthcare apartheid and promote equality of healthcare for all.
  • Create jobs.
  • Quality education and training for both skilled and non-skilled specialties.
  • Emphasize preventative and community health approach


THREE-PRONGED GOALS (First of Two Developmental Phases):


I.To develop, train, and support individuals and community members in health maintenance skills and well-being sustenance, through The Nursing Office which will manage and implement THE NURSING ANNEX educational program, to include:


  • Home Health Aide Training 
  • Community Health Workers training
  • Community Value Formation
  • Acculturation Program for New Immigrants and ethnic groups (This program will share the dreams and expectation of each group for their integration and inclusion into the American system)
  • Community Health Mentors (or Educators/Volunteers) and Career Ladders
  • ESL Programs (tri-lingual: English, Spanish, & French characteristic of the Dominicans who constitute 97% of the target community).
  • Personal Safety Skills (or Self-Defense) – focus on prevention of domestic violence, a prevalent issue in low literacy, low-employment, immigrant communities.
  • Immigrant Rights and Citizenship Training.
  • Job Training Program for assistance into the entry level positions
  • Alternative Health Care Modalities, including Indigenous/Ethnic health practices.


II.To develop, maintain and support a Database System whereby the focused community’s health needs assessment, access, and other health care issues can be documented, studied, analyzed, and utilized in training, education, service delivery, and health advocacy.  The objective is to establish a FEEDBACK mechanism for the established health care delivery system (city or state) to evaluate and assess the effectivity/efficiency of their existing (and/or projected) delivery strategies.


III.To establish and provide the Infrastructure (physical and human) for  “Health-fair,” “One-Stop Health Shop” Events focused on Individual Examinations & Consultations, such as, breast exams/mammograms, pelvic exam, pap smear, chronic conditions geriatrics, cancer screenings, heart disease/hypertension/blood pressure screening, diabetes, cholesterol, blood screening, vision & dental, pediatrics/Teen Health, Mother-infant care, HIV counseling & Anonymous Testing, EKG, HMOs, Managed care, Medicare, Medicaid, etc.

Second Developmental Phase/Goals:  Leadership Networking & Advocacy; Fundraising and Outreach; Research and Information Technology Management.

Highlights of the Project:

  • Community Healthcare Center
  • Socio-Cultural Center
  • Serve as an agency to collaborate with Richmond Hill, DOH and Human Services
  • Serve as an agency for the State of NY, Office of Minorities and Cultural affairs
  • Learning Center for Healthcare related Skills and Competencies
  • Assist with Funding, financial planning for sustainability of the Project
  • Assist with Business Management and Marketing


Funding Possibilities:


  1. Grants for minorities from India, Pakistan, Bangladesh, Trinidad, Filipinos and other minorities comprising the total population of underserved communities of Richmond Hill.
  2. Grants for major health issues affecting these minorities: Cardiovascular Health, Addiction & Alcoholism, Domestic Violence, Mental Health , Diabetes and other assessed healthcare needs.
  3. Grants for healthcare education, outreach, advocacy and leadership training.



In collaboration with

  • Philippine Community Center Services for Aging 
  • The Diabetes Health and Wellness Academy of NY
  • The Office of Assemblyman David Weprin
  • AARP
  • Community Board 9 (Richmond Hill,Ozone)


Lutgarda M. Resurreccion (Director of Programs & Development)

Myrna D. Santos, MSN, RN (Chief Nurse, The Nursing Office)



Entrepreneurship: Support to Women And Minority Owned Business

Services for Aging Immigrants

Services to Women & Children (Women in Jail)

Services to Families

Services to Youth

Responsible Fatherhood

Services to Immigrants

Services to Veterans

LGBTQ Circle

Wellness Circle

Gift Shop Exchange 

Extended Arts

Philippine Museum & Library 

RICHMOND HILL CULTURAL PIZZA:                                            

 A Concept Closest to the Heart of Immigrants


Richmond Hill is a “rich” enclave in New York City’s central southern Queens County, which is known to be the most richly diverse community in the world. Almost all the countries on Planet Earth are represented in Queens County. Asians comprise 24% of the population, second only to Whites (35%); and are larger than African Americans (18%), Multi-racials (14%) and Other ethnicities (13%).  It is a place like no other --- foods, arts, languages, and cultures from all parts of the world are open and available to anyone curious enough to experience the myriad mosaic of sights and sounds, music & dance, arts & crafts that only multi-cultural diversity can offer.


PIZZA! Everyone likes pizza, hot or bland, meat & cheese or vegetarian, with fruits or plain --- every culture puts in its own flavor and condiments to make it taste like “home” or comfort food.   This cultural pizza of different nationalities and cultures of Queens County will be presented at this health fair & walkathon event.  


Mission: This Fair and Cultural Pizza will herald the day of putting our marginalized and underserved immigrant communities of Richmond Hill into a more visible position so that their true needs will be assessed and addressed as effectively using all resources available and inherent to their cultures and complement those that the United States can support them with.


Objective:  To attract, encourage, and engage people from different nationalities in Queens County to participate in the health fair and walkathon, to become informed of health care, social services, legal services & financial education opportunities in the neighboring areas of Richmond Hill, particularly through PAGASA and The Nursing Office Community Center.


  • Community building
  • Cross cultural exchange
  • Honoring local cultures & heritage


Welcome to the Richmond Hill Cultural Pizza! (FAMILY FUN SUNDAY)

1) Walkathon  2) Health Fair   3) Cultural Fair   4) Family Picnic     hosted by

PAGASA Social Foundation, Inc., and The Nursing Office Community Center

In Collaboration with the Office of Assemblyman David Weprin, The Diabetes Health and Wellness Academy of New York and the Darby Foundation, etc.

Contributing institutions (mobile vans): Jamaica Hospital, Queens General Hospital, Flushing Hospital, NY Long Island Jewish Hospital, Sloan Kettering Cancer Hospital, etc.


Research from Asian American Life video/Youtube, health issues update:

  1. Eating disorders (i.e., anorexia) is a leading disorder among Asian Americans, like younger Chinese Americans.
  2. Diabetes – highest among South Asians. It will make India the diabetes center of the world, as 1 in 5 Indians are diabetic, according to the SKN Foundation of Dr. Navi Mahotra.  Diabetes is also a major issue among Filipino Americans, and other ethnic groups as well.

Other issues:  Alcoholism, Men’s health, insurance coverage, access to health care services.


Music & entertainment & Cultural show & Safety education

Tent for BP and Glucose screening, etc., (see generic outline of Health Fair) 

Ethnic merchandise vendors,(Flea Market) Gemma

Mammogram Vans, Mobile Clinic

The Nurse Mobile


See Project Development and Management....

Meeting at Hon. D. Weprin's Atlantic Avenue Office (2015)
NaFFAA's Steven Raga, Dr. Rivera, Atty. Merit Salud, Makilala TV host, Jen Furer, NY Consul General Mario de Leon and The Nursing Office, Myrna D. Santos (Jan, 2015)



It is ironic that we, Filipino Americans, with the largest number of health professionals and healthcare givers in America, have a considerable number of Senior citizens and members, whose life issues are largely unseen and/or unheard of. While other senior ethnic groups have already established their own groups and spaces supported by the government at City, State, or Federal levels, Filipino-American Seniors have yet to establish constant visibility, in order to break the life-denying barriers of isolation,

fear and loneliness, unattended health problems, and a reduced sense of purpose or meaning. Moreover, the silent epidemic of depression and mental illness, fueled by denial & neglect, bias & aging stereotypes, has been creeping into the fiber of communities everywhere, including Filipino-Americans.


With the vision-mission of extending health care delivery to needy groups regardless of race, gender, or color, The Nursing Office (TNO) seeks to address and stress this unheard & unseen crisis of INVISIBLE SENIORS in our midst. By collaborating, cooperating, and sharing resources with PAGASA (Philippine American Group of Active Seniors), TNO has defined, formed, and physically established a Community Center designed to deliver, among other service programs, such critical health care support to our needy Seniors.


This is in addition to and apart from the informal groupings in churches around socio-civic activities, which have been more impromptu and ad hoc in nature than stable and consistent. Like the adage, “There’s no place like home,” PHYSICAL SPACE is essential and critical to creating a “home” community of wellness support groups, therapy, exercise, song & dance, arts, crafts & theater, healthy eating & nutrition, bereavement support & addressing fears of death & dying, financial planning & education to allay anxieties on financial problems, health-care for self-care, social media & intellectual skills upgrades, and many more. In other words, we are all called to plan, create, and run SENIOR-FRIENDLY environments that foster and enhance our own and our community’s well-being.


Senior issues of ill-health, disease, medical conditions & treatments have been well documented and need not be the focus of this concept paper. However, it is worth noting that in 1992, the American Medical Association expounded on the NIH (National Institute of Health) Consensus Conference on the Diagnosis and Treatment of Depression in Later Life, by demonstrating that depression symptoms occur in at least 15% of community residents over 65 years old, with 15-25% in nursing homes and rates of 13-18% of new cases developing within a 1-year period.


According to current information (www.Helpguide.org), clinical depression in elderlies affect 6 million Americans 65 years & older. It is also a known fact that this number does not include the larger number of UNDERCOUNTED, UNNAMED, INVISIBLE minorities, such as Filipino Americans, whose ageing issues are only beginning to surface in community gatherings such as this one.



We in the general community therefore, need to be cognizant of general Senior issues and be aware or informed on how we can expand the range of choices that motivate our Fil-Am seniors to actively participate in and enjoy the benefits of well-being practices. By no means exhaustive, the following is a typology of choices open to all Seniors, their significant others or families, and caregivers.


A. Individual initiatives

  • EXERCISE – moderate and regular: physical activity has powerful mood-boosting effects.
  • CONNECT WITH OTHERS – face-to-face whenever possible
  • GET ENOUGH SLEEP – 7-9 hours of sleep per night or daily
  • MAINTAIN HEALTHY DIET – avoid sugar & junk food
  • PARTICIPATE IN ACTIVITIES YOU ENJOY – hobbies, pastimes that are joyful
  • VOLUNTEER YOUR TIME – helping others expands your social network
  • TAKE CARE OF PETS – good exercise & great way to meet people
  • LEARN A NEW SKILL – pick something you have always dreamed of doing
  • CREATE OPPORTUNTIES TO LAUGH – laughter is the best medicine: mood-boosters, such as, watching comedies, reading funny books, telling jokes, etc.

At this point, we emphasize that the foregoing approaches, while individual-based, could be more effective & impactful in the environment of a Senior-friendly COMMUNITY SPACE run with, by, and for Senior citizens.


B. Treatment choices – conventional or herbal: some medications may have deleterious side effects, such as Prozac, which can cause rapid bone loss & increase risks for fractures & falls. Natural, homeopathic, Ayurveda, traditional Chinese medicine, acupuncture, qi-gong, etc. may be effective as non-invasive interventions with body systems. With existing social networks of participating & supportive Seniors in a COMMUNITY SPACE, treatment choices may be discussed and even debated on with the help of professional & non-professional caregivers as to the efficacy of a treatment choice and appropriate use. Support groups provide a SAFE SPACE to share experiences with various treatment modes, acquire timely advice and encouragement to follow through with healthy lifestyles.

C. Community therapies

  • Supportive counseling: religious & peer: can ease the loneliness & help Seniors find new meaning & purpose to their extended years.
  • Therapy: help work through stressful life changes; heal from losses; process difficult emotions; help change negative thinking patterns; and develop better coping skills.
  • Support groups: depression, illness, bereavement – connecting with others who are going through the same challenges.


Again, we hereby underscore the crucial importance of a Senior-dedicated, Senior-friendly PHYSICAL SPACE in which these community therapies may have maximum impact on Seniors’ well-being.

D. Family-based initiatives

  • Invite loved ones out
  • Schedule regular social activities
  • Plan & prepare healthy meals
  • Encourage person to follow through with treatment
  • Make sure all medications are taken as instructed
  • Watch for suicide warning signs & seek immediate professional help.


It must be noted that while most families are capable of taking care of their Senior members, not all have the time or resources to do so. Hence, the need for a viable COMMUNITY SPACE available to support their Senior caregiving efforts.



There is a great number of strategies for Fil-Am organizations and groups to acquire or help run community spaces for Senior Citizens. Among these are:

1. Financial – outright donated buildings/spaces from business entities

2. Collaborative cooperation – organizing partnerships with other agencies/corporate entities, which are focused on acquiring, running, and maintaining community spaces for Seniors

3. Sharing resources with existing community spaces

4. Soliciting donated spaces from private individuals & corporations seeking tax-exemption benefits

5. Planned giving/legacy endowments from private individuals &/or corporations


CONCEPT PAPER for NaFFAA Conference (Prepared by Lutgarda M. Resurreccion and presented by Myrna D. Santos, RN, MSN, of The Nursing Office, New York City, January 31, 2015)




The People we Serve

Women and Minority Owned Business
Fil-Am Community

The Community in ACTION

Four Dragon Global Network, Inc. introduction at the PAGASA Community Center Grand Opening and Blessing
Mark's 70th
Promoting Culture and Tradition
Interagency Collaboration: Parol Making with Filipino School of NY-NJ
Advocacy and Support to Aging Seniors
Fun and Entertainment
Political Action and Social Activism
Inter generational Integrative Communion
Inter-generational: Growing Up and Growing Old in Harmony

Community Resources

Office of Assemblymember David Weprin

111-12 Atlantic Avenue (#5)

Richmond Hill, NY 11419