Dying Matters Awareness Week 2025 - Norma Tiama

This week, during Hospice UK’s Dying Matters Awareness Week, with the theme of ‘The Culture of Dying Matters’ we would like to share some of the wonderful faces behind the care here at Hospice Isle of Man.

Our amazing staff bring diverse experiences and perspectives on death and dying that help us provide truly patient-centred care.

Norma Tiama, one of our Rebecca House nurses shares her insights on how her culture approaches conversations, feelings and traditions around death and dying:

1. Could you share some background information about your heritage, family origins, or cultural background?
I’m originally from the southern part of Luzon in the Philippines, specifically from Quezon Province. I grew up in a small, close-knit community where family, faith, and traditions play an important role. Our culture is a blend of indigenous Filipino customs and strong Spanish-Catholic influences. Growing up, I was surrounded by a culture that values respect for elders, hospitality, community support, and togetherness.

2. How does your culture deal with death and dying – are there any significant traditions or differences of note to those you’ve witnessed locally?
In the Philippines, especially in Quezon Province, death is both a solemn and communal experience. In our culture, death is seen not just as an end, but a transition into the next life. When someone passes away, the whole community gathers to support the grieving family. Families and neighbors come together for several days to keep vigil during what we call the “lamay” or wake, filled with prayers, candle lighting, stories and shared meals. Novena prayers and rosaries are held for the soul of the departed, often for nine consecutive days, and then again on the 40th day after death. These rituals provide comfort, a sense of closure, and a reminder that we are not alone. It’s a way to show love, support, and solidarity.

3. How does your cultural background shape your work at Hospice Isle of Man and contribute to making it a supportive place for patients?
My background has helped me become attuned to the emotional and spiritual needs of people who are facing the end of life. Coming from a culture that places high value on compassion, presence, and family connection, this mindset carries over into my work at Hospice. I aim to bring warmth, empathy, and sensitivity to each interaction, being present for both the patient and family. I understand the importance of respecting various customs and offering culturally sensitive care that honors each person’s dignity.

4. What message would you share with the wider Isle of Man community about the important of understanding different cultural perspectives on death and dying?
Death is one of the few experiences that connects every single one of us, yet the way we cope, grieve, and remember is shaped by culture, faith, and personal values. When we take time to understand and respect different cultural perspectives, we create a more inclusive and compassionate space. It helps us support each other better and reminds us that no matter our background, we all seek comfort and connection during life’s difficult moments.