Khon Kaen International Conference in Palliative Care- 12 July 2019

To find out more, please visit: www.karunruk.com

Hospice Visits in Taiwan

MacKay Hospice and Palliative Care Center

On 22nd April 2019, we had the privilege of visiting two different hospices in Taipei. We started off the morning by heading over to MacKay Hospice and Palliative Care Center. The staff graciously brought us around and introduced the different aspects of their Hospice Palliative Care Center. From each room to the equipment to the paintings on the walls, every detail was specially curated for the palliative care patients.

Within the general area, the concept behind the layout was to give off a homely atmosphere so patients would feel more at ease.

Picture 1: This area resembles a living room space with comfortable couches for patients to gather, along with a piano and television for entertainment. On designated days during the week, various activities are held in that space to engage the patients.

Picture 2: The view from the living room space looks out towards the garden area where patients can take walks and enjoy the fresh air outside (Picture 3).

Nearby, there is a table where relatives and friends may leave their well wishes and words of encouragement for the patients to read.

This area has a skylight so patients have the option to sit below and enjoy the sunlight instead of going outside. The circular wall has been creatively painted with a carousel motif.

Along the hallway, there is a designated room for family meetings.


This outdoor area that leads to the fish pond is situated right outside the patient’s room which is accessible by the backdoor of their rooms. The patient can choose to draw the curtains so they can have a view of the pond.

They have an assisted bath for patients with challenging conditions. There is a vertical-raising, side-entry door that ensures easier access.

We were taken to another part of the hospital to have a look at the cancer ward area, where we saw a couple of rooms designated for their religious patients to have an area to pray.

One of their nurses even shared a story about how a particular series of artworks on their wall (see picture above) was painted by one of the patients.

Dah-Der Hospice & Palliative Care Foundation at Taipei Veterans General Hospital

We headed to Dah-Der Hospice & Palliative Care Foundation in the afternoon where we met Professor Chantal Co-Shi Chao, a nurse turned educator who introduced the concept of palliative care to Taiwan. She and two other nurses kindly took us on a tour of the palliative ward.

They also had an area that resembles a living room for the patients to gather.

The outdoor rooftop garden area outside the living room space is for both patients and their families to relax. In the rightmost picture, next to the table and chairs, there is a washing machine and dryer (not in the picture) for families to do their laundry.

One of the most unique aspects of the palliative ward was this particular room in the leftmost picture above. They had designated a large room with a single hospital bed and an altar in front of the bed. Some families conduct prayer rituals for their loved ones and this room allows them to have the privacy and space for such a situation. We were told that the altar had interchangeable sliding boards for the different religions, should they require it for prayers. The area in the picture on the right is for the family members to rest while attending to their loved ones after a long period of time.

Other interesting aspects of the palliative ward included a therapy dog, an aromatherapy game created especially for their patients and a mobile hair washing station for patients with difficulty in mobility.

We managed to take a look into an empty ward as well.


After visiting the two hospice services, I was touched by the people and the amount of effort and thought that was put into creating an environment tailored to palliative care patients. In palliative care, it is important to have the right person to carry out the right task at the right time. Both services have an interdisciplinary team within their unit and everyone that we had met spoke about their work with such sincerity.

We would sincerely like to thank the team at MacKay Hospice and Palliative Care Center and Dah-Der Hospice & Palliative Care Foundation for allowing us to get a glimpse into the hospice services in Taiwan and taking the time to bring us around while providing such in-depth explanations about their services.

 

Written by: Trudy Giam, APHN Executive

Edited by: Ms Djin Lai, APHN Volunteer Editor

Asia-Pacific Region on Advance Care Planning Consensus Taipei Forum- April 2019

Palliative care professionals greeting each other

From left to right: Dr Shao-Yi Cheng, Dr Tai-Yuan Chiu and Dr Ying-Wei Yang

Dr Shao-Yi Cheng delivering the opening remark and introductions

Reading through the 2019 Taipei Declaration on ACP

Group photo with everyone

Discussions about the recommended elements of ACP

International Outpatient Centre at National Taiwan University Hospital (NTUH)

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Written by: Trudy Giam, APHN Executive

Edited by: Ms Djin Lai, APHN Volunteer Editor

In the early afternoon of 19th April 2019, a group of people started to gather in a conference room at the Taiwan Medical Association in Taipei. That particular group of people were made up of palliative care professionals from six countries (Hong Kong, Indonesia, Japan, Korea, Singapore and Taiwan) who had been graciously invited by our Taiwan delegates to update the status of Advance Care Planning (ACP) in their respective countries and to sign the Taipei Declaration on ACP.

As people started to stream in, the room was filled with a cacophony of voices. A series of friendly exchanges were made, many amongst those who had only seen each other via Skype meetings. Once everyone had settled down, the meeting began with a welcome message from the President of Taiwan Medical Association, Dr. Tai-Yuan Chiu. He emphasised that the importance of this meeting was an opportunity to conduct face-to-face discussions with fellow palliative care professionals on the Asian Delphi Taskforce on ACP.

Following, the representatives from each of the six countries gave insightful presentations on the current status of ACP in their countries. Each presented their country’s unique perception and approach to ACP in terms of implementation, education, research, and future perspectives. One of the noticeable differences between countries were educational opportunities. Japan has implemented many projects, such as seminars for healthcare professionals, clinical questions of ACP as part of clinical practice guidelines and developed a card game on end-of-life (EOL) for the general public. In contrast, Indonesia has yet to integrate ACP into the curricula of medical education and there has not been specific training available for healthcare professionals on ACP. However, despite the different rates at which each country was progressing, it was heartening to see the effort that each country had put in to improve the quality of ACP.

At the end of the meeting, the ACP taskforce representatives signed the 2019 Taipei Declaration on Advance Care Planning: A Cultural Adaptation of End of Life Care Discussion. It was a momentous occasion as it signified the culmination of the efforts of the task force members from the six countries. The declaration was tailored accordingly to the Asian cultural context and it is hoped that all National Medical Professional Associations develop a national policy of various roles and tasks on palliative care and advance care planning based on the recommendations in the declaration.

Note: The 2019 Taipei Declaration on Advance Care Planning: A Cultural Adaptation of End of Life Care Discussion was sent for review and has now been accepted by the Journal of Palliative Medicine.

The next day, the members of the Asian Delphi task force met at the National Taiwan University Children’s Hospital to further discuss the ongoing research collaboration. One of the task force members, Mr. Lin Cheng-Pei began with his presentation on “The preliminary result of systematic review on advance care planning in Taiwan”.  Next, the task force members launched into a discussion on the various recommended elements of ACP. Each element was carefully scrutinised and the members gave their opinions on how to improve the elements until they reached a consensus. After the discussion, everyone was taken on a tour of the National Taiwan University Hospital (NTUH) and its International Outpatient Centre. Once the tour was over, everyone gathered to have lunch and the two-day forum concluded on a good note.

UICC Capacity Building Opportunities

Dear APHN members,

The call for applications to the UICC’s Young Leaders Programme is now open until the 16th June.

The Young Leaders programme is a year-long programme that commences at the 2019 World Cancer Leaders’ Summit and concludes at the 2020 World Cancer Congress. It aims to introduce emerging cancer control professionals to global health policy discussions, influential networks, and other professional opportunities, to help them fulfil their leadership potential and increase their impact within their local and regional contexts.

Eligibility and selection criteria

UICC defines a Young Leader as someone who:

  • is up to and including 40 years of age at the application deadline
  • is an emerging cancer control professional with demonstrated impact in their network/organisation
  • is fluent in English (both spoken and written) for successful interaction at an international level
  • is a self-starter with proven experience in community engagement and mobilisation in their local setting
  • has the ambition to scale their impact on a regional and global level

Further information and application instructions can be found on the Young Leaders Programme webpage. If you have any questions, please do not hesitate to contact us at education@uicc.org.

 

The UICC fellowship portfolio includes Technical Fellowships, Bourses pour l’Afrique francophone and the YY study grants

  • The Technical fellowships provide funding of up to 3,400 USD for one-month international visits for all cancer professionals working in public health, research or the clinic who have a Master’s degree or medical/nursing equivalent and who work in one of the many fields of cancer control including cancer prevention, cancer causes, cancer registries, analysis of cancer data, early detection, pathology, diagnosis, and prognosis, cancer treatment, patient support, survivorship and palliative care, health economics, universal health coverage and policy or national cancer control plans.
  • The aims of the programme are to share best practises, to forge long-lasting international collaborations and to gain hands-on experience from world-renowned mentors. The call for applications is open between January 31 and December 31.
  • The Bourses pour l’Afrique francophone is a sub-programme of the Technical fellowships (same eligibility conditions apply) that is dedicated to professionals working in francophone Africa who want to visit a Francophone country to gain new skills. It is in French and the call for application is open between January 31 and December 31.
  • The YY Study grants provide funding of up to 10,000 USD for three-month international collaborative projects for cancer researchers who are 2 years post PhD, there is one call per year.

 

Please visit the Fellowship website for more information on applying, or contact us on fellows@uicc.org

 

*Note: For APHN members please apply under APHN.

Lien Centre for Palliative Care: Palliative Care Course for Therapists

Register now for upcoming course!

Palliative Care Course for Therapists
20 Aug, 21 Aug & 3 Sep 2019
(Registration deadline on 14 June.
Registration may close earlier when maximum intake capacity has been reached)

You may click on this link to register: https://www.duke-nus.edu.sg/lcpc/registration-for-palliative-care-course-for-therapists

APHN-Hospis Malaysia: Workshop on Communication Skills

Workshop on Communication Skills: 22 – 23 June 2019

Dear Doctors, Nurses & fellow healthcare professionals,

We would like to invite participants to our 2-day palliative care workshop on Communication Skills Workshop on 22 and 23 June 2019.

This workshop is conducted and facilitated by Clinical & Health Psychologist from the United Kingdom, Dr Rebecca Coles-Gales and Hospis Malaysia’s Medical Director, Dr Sylvia McCarthy. This workshop will deal with the mechanics of communications that range from issues, techniques and practical sessions when dealing with patients with life-limiting illness and their families.

Registration submission can be made either online at our website or completed registration form emailed to: education@hospismalaysia.org or faxed to: 603 9133 3941.

You may click on this link to view the upcoming 2019 workshops.

 

Thank you

 

Yours Sincerely,

Dr Ednin Hamzah

Chief Executive Officer, Hospis Malaysia

APHN Webinar #12

Hello everyone!

The APHN will be hosting it's third webinar of the 2019 APHN Webinar series on 13th June 2019. We have partners all over the region who will be screening this webinar at the respective venues for you to attend! Get this chance to network with other APHN members and friends!

We are honoured to have Dr Sushma Bhatnagar speaking on the topic of "Pain Management".

Dr Sushma Bhatnagar is the Professor & Head of Onco-Anaesthesia, Pain & Palliative Medicine IRCH at All India Institute of Medical Sciences, New Delhi. She is also a member of implementation task force of Lancet Commission report on Palliative care, president of Indian Association of Palliative care and has 30 years of teaching and research experience, among other achievements.

We believe that you will be able to get the latest updates and enjoy the meaningful discussions during this webinar session.

Join us! This webinar is FREE for all palliative care colleagues, so SIGN UP NOW at this link ! Registration closes when slots have been filled up.

Note: For 2019, non-organisational members/non-Lien Collaborative affiliated countries (Bangladesh, Myanmar, Sri Lanka, India, Bhutan and China) will only be able to participate in two webinars. Hence, we encourage you to join our APHN membership. Membership fees start from USD $20. You may click on this link to apply: http://aphn.org/membership-2/application-for-organisational-membership/ 

We will like to thank all participating organisations for hosting this event and supporting this APHN initiative.

For more information or if your organisation will also like to participate, you may contact Joyce at aphn@aphn.org or call +65 6235 5166.


More host sites may be added so keep a lookout for new host sites in your region!

The last day to register for the webinar at any of these host sites will be on 12th March 2019 (12.00 pm GMT+8)

Teaching Hospital of Sichuan University

Venue:

Meeting Room, 6th Floor, Third Hospital Building

No. 4 West China Teaching Hospital of Sichuan University

Sec.3, No.18, Ren Min South Road, Chengdu, China

Dr. STM Hospital Government Medical College, Haldwani

Venue: 

Dept of Anaesthesiology and Critical Care, Dr. STM Hospital Government Medical College, Haldwani

Rampur Road, Haldwani, Nainital, Haldwani, Uttarakhand 263129, India

RMD Specialties Hospital

Venue:

RMD PAIN AND PALLIATIVE CARE TRUST
3rd Floor,
13, Ragaviah Road,
T. Nagar,Chennai - 17

Dharmais Cancer Hospital

Venue: 

Dharmais Cancer Hospital, Webinar Room 4th Floor, Management Building

Slipi, Jalan Letjen Jend. S. Parman No.84-86, RT.4/RW.9, Kota Bambu Sel., Palmerah, Kota Jakarta Barat, Daerah Khusus Ibukota Jakarta, Indonesia

Dr. Cipto Mangunkusumo National Hospital

Venue:

TBC

Assisi Palliative Care Bhd

Venue:

Training Hall First Floor, Assisi Palliative Care Bhd

No 49, Jalan Railway 1/2,

46000, Petaling Jaya,

Selangor, Malaysia

Institut Kanser Negara

Venue:

Institut Kanser Negara, MDC Seminar Room (Level 4)

4, Jalan P7, Presint 7, 62250 Putrajaya, Wilayah Persekutuan Putrajaya, Malaysia

Sunway Medical Centre

Venue:

Rainforest Room

Level 4, Tower A, Swan Convention Centre

Sunway Medical Centre, Bandar Sunway, Malaysia

Davao Regional Medical Center

Venue:

Family Medicine Conference Room at Palliative Ward, Level 2 Main Building, Davao Regional Medical Center

Apokon, Tagum City

Healthserv Los Banos Medical Center

Venue:

Healthserv Los Banos Medical Center, Medical Arts Building, Level 5, Board Room

8817 National Hwy, Los Baños, Laguna, Philippines

Hospice Philippines/ActivCare Home Health Solutions, Inc.

 ActivCare Home Health Solutions, Inc.

263 St. Francis Street, Barangay Oranbo

Pasig City, Philippines

Lung Center Of Philippines

Venue:

Lung Center of Philippines, Ground Floor AVR

Quezon Avenue, Quezon City 1100, Philippines

Makati Medical Center

Venue:

Makati Medical Center, Cancer Center 1F, Circular Tower 1

No. 2 Amorsolo Street, Legaspi Village, Makati City, Philippines 1229

Silliman University Medical Center

Venue:

5th Floor Roofdeck, Medical Arts Building, Silliman University Medical Center

V. Aldecoa Road Daro Dumaguete City

The Ruth Foundation for Palliative And Hospice Care Inc.

Venue:

The Ruth Foundation for Palliative And Hospice Care Inc., Room Number 2719,27th Floor

Entrata Urban Complex #2609 Civic Drive, Filinvest City Alabang Muntinlupa City, Philippines

 

Dover Park Hospice

Venue:

Dover Park Hospice, Level 3, Training and Resource Centre

10 Jln Tan Tock Seng, Singapore 308436

Khoo Teck Puat Hospital

Venue:

Khoo Teck Puat Hospital

Pre-Fab Training Room 2 & 3

90 Yishun Central, Singapore 768828

CANE Hospice- Jaffna

Venue: 

CANE Hospice - Jaffna (Board room)  

No.05, Sabapathipillai Road,

Uduvil, Chunnakam, Jaffna

National Centre for Primary Care and Allergy Research

Venue:

National Centre for Primary Care and Allergy Research, University of Sri Jayewardenepura, Conference Room (1st Floor)Nugegoda, Sri Lanka

Egodawatta Road, Boralesgamuwa 10290

Sri Lanka Medical Association

Venue:

The Council Room, Sri Lanka Medical Association

No. 06, Wijerama Mawatha, Colombo 07.

 

Karunruk Palliative Care Center

Venue: Karunruk Palliative Care Center Conference Room, 18th floor

Somdet Phra Srinagarindra Memorial Building, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand

 

Ho Chi Minh City Oncology Hospital

Venue: Meeting Room (1st Floor), Ho Chi Minh City Oncology Hospital

47 Nguyen Huy Luong, Binh Thanh District, Hochiminh City.

University of Medicine and Pharmacy, Ho Chi Minh City

Venue:

The Conference Room. Ground floor. Block A

University Medical Center at Ho Chi Minh City

215 Hong Bang Street, District 5, HCMC

Chinese ePall Book launched!

Dear friends,

The Chinese ePall Book has finally been launched at https://www.duke-nus.edu.sg/lcpc/zh/resources/sg-pall-ebook-disclaimer 

This eBook has been created by practicing palliative care doctors and nurses in Singapore and has now been translated into simplified Chinese.  The content is most appropriate for doctors, nurses, and allied health care professionals who encounter patients with palliative care needs in their practice.

We hope you will find this resource useful!

 

Thank you

Paediatric Palliative Care Workshop- Malaysia

Oceanic Palliative Care Conference 2019, Perth

Oceanic Palliative Care Conference 2019
10 – 13 September 2019
Perth, Western Australia

In September 2019 the palliative care sector will gather in the beautiful location of Perth, Australia for the 2019 Oceanic Palliative Care Conference #19OPCC, formerly the Australian Palliative Care Conference. The theme for the inaugural Oceanic Palliative Care Conference is Universal Access: Oceans of Opportunities.

The theme will allow for exploration of palliative care as a human right and what can be done to ensure people from underserved populations can access palliative care and have their pain and other symptoms managed at the end of life.

The conference will promote the concept that palliative care should be available to everyone, regardless of their location, age, income,diagnosis, prognosis, gender, sexual orientation, social background or cultural origin.

By bringing people from across the globe together for three days of thoughtful, inspiring and practical discussions, delegates will leave armed with information and resources to improve palliative care in their regions. On behalf of Palliative Care Australia, Palliative Care WA and Hospice New Zealand, we look forward to seeing you in Perth in 2019.

Note:

  • There are scholarships or bursaries provided for the event
  • Discounts are available to APHN members

Email for inquiries: info@oceanicpallcare.com

To find out more please visit OceanicPallCare.com

APHN Webinar #10 Report

RMD Specialties Hospital, India

RMD Specialties Hospital, India

Dr. STM Hospital Government Medical College, India

Dr. STM Hospital Government Medical College, India

The Ruth Foundation, Philippines

National Kidney & Transplant Institute, Philippines

National Kidney & Transplant Institute, Philippines

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Written by: Trudy Giam, Executive, APHN

APHN kick-started 2019 with our first webinar of the 2019 APHN Webinar series on 24th January 2019.

This time round we invited Dr Naveen Salins to deliver a lecture on the topic of “Management of Delirium”. Dr Salins is the Professor and Head of the Department of Palliative Medicine at the Kasturba Medical College, Manipal. His area of interest in palliative care is end-of-life (EOL) care, and he played a pivotal role in drawing up the position statement and policy guidelines on EOL care for India.

Delirium is prevalent in patients approaching end-of-life and have an association with high mortality and morbidity. In addition, delirium results in the hindering of patient communication which causes high stress levels in not only the patient but the family members or caregivers as well.[i] Hence, it is important for our palliative care colleagues to learn about managing delirium.

Much like our first collaborative webinar, we had an array of host sites from our different sectors. Many of the previous organisations were willing to participate in the event again. We even managed to recruit seven new host sites! The hour long event was comprised of 45 minutes of pre-recorded lecture and a 15-minute real time question and answer segment where participants could pose their questions via a message board.

We had over 647 participants in this webinar, which was a significant increase from the previous webinar! APHN would like to thank the following 23 organisations for their efforts and hospitality as the host sites:

  1. Bangladesh- Hospsis Bangladesh
  2. Bangladesh- National Institute of Cancer Research Hospital
  3. China- West China Fourth Hospital of Sichuan
  4. India- RMD Specialties Hospital
  5. India- Sanjay Gandhi Postgraduate Institute of Medical Sciences
  6. India- Dr STM Hospital GMC Haldwani
  7. Indonesia- Dharmais Cancer Hospital
  8. Indonesia- Cipto Mangunkusumo Hospital – Oncology Centre
  9. Indonesia- Universitas Padjadjaran, Faculty of Nursing
  10. Philippines- San Beda College of Nursing
  11. Philippines- Healthserv Los Banos Medical Centre
  12. Philippines- Davao Regional Medical Centre
  13. Philippines- Hospice Philippines
  14. Philippines- Makati Medical Centre
  15. Philippines- Lung Centre
  16. Philippines- The Ruth Foundation for Palliative and Hospice Care
  17. Philippines- National Kidney & Transplant Institute
  18. Philippines- Siliman University Medical Centre
  19. Philippines- Philippine Institute Of Traditional And Alternative Health
  20. Singapore- Khoo Teck Puat Hospital
  21. Sri Lanka- University of Sri Jayewardenepura
  22. Sri Lanka- Sri Lanka Medical Association
  23. Thailand- Khonkaen University, Srinagarind Hospital

Lastly, we would also like to thank all individuals who participated and supported this initiative in one way or another.

Overall, the webinar was successfully conducted and feedback was well received.

 

Do keep a lookout on our website or newsletter for updates on upcoming webinars.

 

If your organisation is located in the Asia Pacific region and would like join us as a host site for future webinars, please contact the Secretariat office at email at: aphn@aphn.org


[i] Bush, S. H., Tierney, S., & Lawlor, P. G. (2017). Clinical Assessment and Management of Delirium in the Palliative Care Setting. Drugs77(15), 1623-1643.

Lien Collaborative for Palliative Care – Bhutan Module 2 of 6

Lien Collaborative for Palliative Care – Bhutan Module 2 of 6, Trip Report for 28 Jan to 2 Feb 2019

Written by: Ms Joyce Chee, Assistant Manager, APHN

Edited by: Dr Shirlynn Ho, Lien Collaborative faculty country lead for Bhutan

The 2nd Module of the Lien Collaborative for Palliative Care – Training of Trainers in Palliative Care Programme for Bhutan was conducted from 28 January to 2 February 2019, at the Jigme Dorji Wangchuk National Referral Hospital (JDWNRH) in Thimphu, Bhutan. The course was taught by a 5 member faculty team consisting of Associate Professor Cynthia Goh (Project lead), Dr Shirlynn Ho (Country Lead), Dr Jamie Zhou, Ms Saw Nandar Nwe and Ms Jan Philips.

A total of 23 participants, consisting of 8 doctors, 10 nurses, and 5 allied health professionals attended the course. Key topics covered during the 2nd module was built upon the topics taught in the 1st module, and they include the following:

• Pain assessment & management
• Use of opioids and co-analgesics
• Breathlessness
• Nausea & Vomiting
• Constipation & Diarrhoea
• Clinical ethics
• Alternative routes of nutrition & hydration
• Communication
• Navigating Cancer
• Care at the end of life

There were 3 sessions of clinical bedside teaching, which allowed the participants to practice their newly learnt skills. Unique to this module was that each topic was tailored to the participants’ needs. The aim was to provide them with relevant knowledge and skills which will impact their practice. To meet this goal, the faculty were very flexible in adjusting the training to the local context and participants’ feedback at the end of each training day. Three topics were added to the module and the contents of the other topics were modified. These were “Subcutaneous medications available in Bhutan”, “Cost comparison based on equianalgesic dosing” and “Caring for ourselves”.

Overall, the 2nd module was a success. The participants felt more confident in their communication with patients and caregivers. They were excited to share the knowledge and skills learnt during the course with their colleagues and to apply the palliative care approach to their daily work.

During this trip, the team from the Asia Pacific Hospice Palliative Care Network (APHN) was extremely honoured to be given an audience with His Majesty the King of Bhutan, Jigme Khesar Namgyel Wangchuck and to meet with His Excellency Dr Lotay Tshering, the Prime Minister of Bhutan. Both of them recognised the palliative care need in Bhutan and were very supportive of initiating palliative care in the country. The pictures below have been republished with permission from the relevant authorities in Bhutan.

From left: Ms Saw Nandar Nwe, Dr Zamie Zhou, His Majesty Jigme Khesar Namgyel Wangchuck, Dr Cynthia Goh, Ms Joyce Chee (APHN Assistant Manager), Ms Jan Philips, Dr Shirlynn Ho, Mr Christopher Lim (APHN Volunteer)

From left: Mr Sonam Tobgay (participant of the course), Mr Christopher Lim (APHN volunteer), Ms Jan Philips, Dr Shirlynn Ho, A/Prof Cynthia Goh, His Excellency Dr Lotay Tshering Ms Joyce Chee, Dr Jamie Zhou, Ms Saw Nandar Nwe, Ms Yangden Paki (participant of the course)

The APHN hopes to continue to engage and support the development of palliative care in Bhutan via an official partnership with JDWNRH, the nation’s main national referral hospital, to train its core palliative care team, and to establish it as the first teaching centre for palliative care in Bhutan.

Team photo of Faculty and participants

The APHN will like to thank the Director of JDWNRH for providing the training venue, logistics and lunch for the training, as well as hosting dinner for the team. We will also like to thank Ms Phub Zan, President of the Bhutan Chamber of Commerce & Industry and the Fu Lu Shou restraurant for their hospitality in hosting dinner for the team.