There is life before death… but for some people it is full of pain…

I am amazed at the job done by Mike Hill in writing, directing and producing an amazing series of Short Films about the crisis in untreated pain and the transformative effects that pain management and palliative care services can bring to patients and families.

The collection of 50 short films have received over 122,000 views to date and can be accessed for free at

A feature film was released in February 2012 and has now been screened over 210 times in 37 countries to more than 24,000 people.

He has created a special edition two-disc box DVD set containing subtitles in 11 languages which is now available for purchase from their website, or you can buy one and give one to an activist working in a low-resource setting by visiting

Congrats to Mike and his team!!!

Teaching and Learning in Nepal

We all need to be heard and understood/

Once again I contemplate that we are more the same than we are different…. this time, when it comes to learning.

My reflective writing reads:  When it comes to learning:

  1. We all need to be understood and to be heard.
  2. We all need to understand the language and the content.
  3. We all need to be inspired.
  4. We all benefit when learning is enjoyable!

Though there are time when we learn when these needs are not met, or not important… my bias is that these help prepare and open the individual to learning.  And, no matter which culture we work in, we can facilitate learning if we remember these points.


My experiences at the workshop on Advancing Hospice Palliative Care in Nepal

Welcome to the colours of Kathmandu!

Colourful dyes in Khatmandu

Colourful dyes in Khatmandu

In Katmandhu on April 7 & 8th, nurses, doctors, a dietician, educators, a few community members, and a government representative gathered for two days of presentations and brainstorming to discuss the future of HPC in Nepal. This workshop was sponsored by the Nepal Association of Palliative Care, and the International Network for Cancer Treatment and Research (INCTR).

The presentations were inspiring,  the people are inspiring.

At the conference, participants were talking about:

  • the need for a national hospice palliative care policy,
  • the man who opened the doors to getting Morphine manufactured in Nepal (vs having to purchase through India) who updated participants on opioid availability,
  • two remarkable presentations on PC education in medical and nursing education.

I find it difficult to share what I am hearing, as i am not sure if I have the details all correct, and there is soooo much to write, where do I even begin?

Twinning projects in hospice palliative care in Nepal?

There are six hospices in Nepal.  I visited Bharatpur at the National Cancer Hospital last week, about a 30 min flight from Kathmandu (the drive is anywhere from 4 to 14 hours!) Bharatpur has twinned with Victoria Hospice , and they just renewed their twinning agreement to work together in sharing knowledge of hospice palliative care.

Twinning Project for Nanaimo and Nepali Hospices

Victoria Hospice and Bharatpur Cancer hospital renew twinning agreement

Today we go to Bhaktapur Hospice, just half an hour from here.  Nanaimo Hospice has been twinning with Bhaktapur hospice for over five years now. In both cases, the twinning project has fostered relationships, sharing of learning, and strengthening of programs.

While we are here members of the Nanaimo Hospice team will work on the hospice unit with the Nepali staff  and lead an 8 day workshop.

At the request of the Nanaimo team, we are adapting the “Essentials in hospice palliative care” text and companion study guide.  I have come to participate in the piloting of these materials with the nurses.  This is a wonderful experience  for me, and I am thrilled.


Meeting LDM Online Students in person!

A few of the Life and Death Matters international students

I have also had the incredible opportunity to meet several of the students who have taken online courses with us at Life and Death Matters.  How profound to meet them in person!!!







Life Matters! – Visiting and Sightseeing

Meanwhile, as all this is happening, we have visited a few Hindu sites, witnessed cremations in holy places, and bathe in the beauty of the Nepali people.

Life and Death Matters visits Nepal

A man praying