Training Overview and Structure

This course is for massage and health care professionals.

Providing Massage in Hospice Care consists of 33 hours including 22 hours of classroom instruction and 10 hours of clinical practice, and is presented in 4 modules. The successful completion of all 4 modules is recognized with an Everflowing Practitioner’s Certificate.

The first three modules are conducted in a classroom setting and the clinical practice module is conducted on site in a hospice in-patient care facility.

The prerequisites for each module are listed in the description of each module.

Participants must attend the first three modules together, however, participants may take up to one year to complete the clinical practice module.

The goal of this program is to provide participants with an understanding of the special tactile needs of dying persons and to present skills, techniques and personal practices for adapting touch and massage into a dying person's care. These skills and practices will assist practitioners to provide a safe and effective touch session throughout a client’s dying process; cultivate an understanding of serving as a member of a health care team; achieve more physical comfort at the bedside and clarify feelings concerning death, dying and grief. The skills, techniques and personal practices presented in this program will enhance the overall effectiveness of health care for patients and/or clients. These teachings may also be incorporated into daily nursing care and be structured into most bodywork modalities.

Teaching Methods

In The Classroom

The teaching methods utilized in the classroom includes guest lectures, discussion, small group dialogue, dyad exercises, group sharing, charts, demonstrations, and supervised hands-on practice. These are coupled with personal feedback from your supervisor, meditation, group movement, personal reflection and written homework.

Guest Lecturers

The classroom experience is maximized through the presence of guest lecturers currently serving the hospice community

On Site Clinical Practice

The teaching methods for onsite clinical practice include gathering information from hospice staff, observation of the Everflowing supervisor, working with hospice residents, supervised hands-on practice with hospice residents, one-on-one feedback from the Everflowing supervisor and written reporting and group debriefing. Practitioners must have liability coverage to participate in the clinical practice.

Course Materials

providemassage1A digital copy of the Everflowing course workbook, Providing Massage in Hospice Care, is emailed in advance of the date of the first module to those participants who enroll in the first three modules collectively. Each module has additional materials provided. These materials are listed in the description of each module.


Course Approvals

NCBTMB Approved: Irene Smith is approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) as a continuing education Approved Provider #1167.

The completion of the Providing Massage In Hospice Care course provides for 33 CE hours for bodyworkers and massage therapists.


Provider Approved by the California Board of Registered Nursing; Provider No. 13446.

Link to Module 1

Link to the Schedule page

"I took the whole series of classes with Everflowing including the basic, clinical internship, advanced and business class. Irene is one of the most compassionate and experienced teachers in the field.

The material I learned with Everflowing goes beyond offering touch to dying; it teaches how to be present for the client with compassion, respect and healthy emotional boundaries.

Irene's teaching does not stop at skills; it builds the attitude of presence for the client." — Wieslaw Rocki, MD, PhD

“My teaching style is whole. It joins mind, body and spirit. This involves the student in processing information through the body. Movement, awareness of breath, and a focus on conscious delivery are all part of the Everflowing relationship. There are spaces of silence in my classes to make room for the deepening of awareness to our internal and external environment. Learning to listen to non-verbal messages plays a big role in working with clients in later stages of life.

Everflowing classes are intimate, the approach is personal and the intention is tenderness.” – Irene Smith


Course Attendees During Module 4.