International Representatives

Thank you for your interest in our organization.

The International Association for Animal Hospice and Palliative care spans the world in its membership. Worldwide pet parents are demanding more in the life care of their pets. Dignified and respectful end-of-life services will be an organic area for professionals to focus on as a niche area of service and client experience. Wherever you are in the world, join us. Together we are shaping this profession, and we need you. Don’t see your country represented here? Let us know and we’d love to have you as an advocate to continue to share the mission for end-of-life services.


Dr. Lianna Titcombe – Ottawa, Ontario

Meet Dr. Lianna

Dr. Lianna is the founder and owner of Claire Place Veterinary Hospice, one of the first practices in Canada devoted to end-of-life care for companion animals. After 20 years in the field, Dr. Lianna has retired from clinical practice to focus on education. On the subject of animal hospice and palliative care, she is an author, speaker, educator, and mentor. She is past president of the International Association for Animal Hospice and Palliative Care and is still active with their international committee. In an effort to improve animal welfare more universally, Dr. Lianna participates in volunteer missions to provide veterinary care to underserved communities both locally and in developing countries. A large focus of her career has been the care of all the people involved in the end-of-life stage for companion animals. Dr. Lianna has been the director of the Pet Loss Support Group of Ottawa for over 20 years and, as a certified yoga instructor, is now offering grief retreats to people living with loss. Recognizing that her true passion is the art of gentle euthanasia, Dr. Lianna joined the Companion Animal Euthanasia Training Academy (CAETA) in 2021 as the international director and instructor. Her goal is to expand the CAETA vision to a global scale, ever approaching the ultimate mission: to ensure that all animals, including humans, have the peaceful death that they deserve.

United Kingdom

Dr. Suzen Gregersen – West Sussex

Meet Dr. Suzen

Dr Suzen, Vets2Home Founder & Owner, and UK’s leading hospice vet and pet euthanasia expert. Her caring home care vet team at Vets2Home – Peaceful Pet Goodbyes, has been helping families say goodbye at home peacefully with vet home visits in Sussex since 2005.

Dr Suzen graduated in 1999 from The Royal Veterinary & Agricultural University in her native Copenhagen, then left Denmark to become a mobile vet in England. She realised as a big animal lover herself, that saying goodbye with gentle dog euthanasia or cat euthanasia at home and the whole end-of-life journey with any beloved pet was the most important but difficult and challenging time for any pet parent.

Dr Suzen had a vision to offer a professional, compassionate home care vet alternative to the clinical experience commonly offered. Vets2Home was founded in 2005 based on these important values. In addition to running Vets2Home, she is the UK instructor of CAETA International. CAETA offers specialised training to vet colleagues interested in using state-of-the-art euthanasia techniques when delivering the goodbye experience. She is honoured to serve as the first European Member on the board of the non-profit International Association of Animal Hospice and Palliative Care (IAAHPC).

Australia and New Zealand

Dr. Jackie Campbell – Sunshine Coast, Queensland

Meet Dr. Jackie

Jackie has been a longstanding member of the IAAHPC and is one of Australia’s leading voices in the field of veterinary palliative care. As the owner of Sunset Vets, the nation’s largest network of veterinarians focused exclusively on palliative and end-of-life care, Jackie spends much of her time helping families effectively navigate medical decision-making at end-of-life.

A passionate advocate for the advancement of palliative medicine, her work extends beyond the clinical setting into speaking, education, and policy. She is a founding member of the Australian Palliative Care Advisory Council, was responsible for the delivery of the first ever Australian Veterinary Palliative Care conference event, and has been instrumental in the rollout of a nationally recognised grief support program for families experiencing pet loss associated grief.

As a part of the IAAHPC international committee she is delighted to represent her Australian and NZ colleagues and aims to help support and encourage others with an interest in this area of care, to connect, learn and all grow together.


Dr. Chang

Dr. Wan-Jou (Veronica) Chang – Taiwan

Meet Dr. Wan-Jou (Veronica) Chang

Doctor of Veterinary Medicine (Taiwan), Certified Hospice and Palliative Care Veterinarian (CHPV),
Member of the International Animal Association of Hospice and Palliative Care

Veronica graduated as a vet from National Taiwan University in 2006. She started her career as a small animal general practitioner and is also a professional animal communicator for 10 years. During this time she worked with families to address the mental and social needs of pets in the end-stage.

Following writing a book (Provisional Translation) “What Can We Do For Pets Before End-of-Life Nears: the importance of pets’ mental needs and human-animal bond” in 2020, she then pursued a profession as a certified hospice and palliative care veterinarian to further improve quality of life for pets on the physical basis. Veronica uses her unique blend of veterinary skills and animal communication knowledge to advocate for more awareness of palliative care issues in the veterinary industry.

Veronica has a sincere passion for the care of pet families so she completed grief counseling and hospice spiritual care training. She has delivered more than 20 workshops and lectures on EOL care, self-care, and death and grief.

Veronica has had more than 10 media interviews since 2015. She blogs at and holds a Facebook group of 5 thousand people.


Dr. Svenja Joswig – Hannover

Meet Dr. Svenja

Svenja Joswig initially studied European economics in Bamberg and then completed her studies in veterinary medicine at the University of Veterinary Medicine Hannover, where she also received her doctorate in 2014. With her 15-year-old Labrador Momo, she for the first time increasingly dealt with the needs of geriatric animals. In various clinics in the USA and Germany, she deepened her knowledge of treatment and rehabilitation measures for this group of patients. This culminated in her training as a Certified Animal Hospice and Palliative Care Veterinarian (CAHPV), which she successfully completed in 2018 while working in various practices in Germany at the same time. She is the German representative of the International Association for Animal Hospice and Palliative Care (IAAHPC) and now has her own practice in Hankensbüttel in the district of Gifhorn.

I am a licensed veterinarian, specializing in geriatrics (geriatric medicine) for animals.

After the wish of my great 15-year-old Labrador mix dog Momo to grow old as nicely as possible, I specialized in veterinary geriatrics and after graduation also wrote my doctoral thesis in this area. My dog is now unfortunately already in dog heaven, but I would now like to help other animals and pet owners to master the age well and to make these sometimes difficult, but also valuable last years together particularly well.

With this goal in mind, I also advise other veterinarians on how to better respond to aging patients and their owners in their practices.


Dr. Els Nys – Wien (Vienna)

Meet Dr. Els

Vet Els Julienne Nys finished Vet school in 2003 in Belgium and moved to Austria where she started up her own Clinic in Vienna. (
The human-animal-bond has always been a central part of her work. She was able to join several conferences of the IAAHPC and she finished the hospice and palliative care certification in 2020.


Dr. Shannon Axiak Flammer

Meet Dr. Shannon

Shannon Axiak Flammer is a proud member of the AHPC Certificate class of 2021. After blindly climbing the academic ladder, she finally stopped and decided to invest time in the things that interest her most. Playing the cello was a childhood fantasy and now, just after a few years, she is playing with the Belper Orchestra (fake it ’till you make it!).
Another passion was herbal medicine, and she is currently becoming certified in Veterinary
Phytotherapy by the Swiss Society of Medical Phytotherapy. She recently founded her own mobile palliative care practice in Bern, Switzerland (, and is thrilled that as a business owner she can unilaterally choose to wear pink.

Shannon received her DVM from Michigan State University (2001), followed by an internship at
Angell Memorial Animal Hospital in Boston. After working as a private emergency veterinarian, she completed a residency in Veterinary Anesthesia and Analgesia at the University of Bern with successful ACVAA board certification in 2008. Shannon served as European Editor-in-Chief of Veterinary Anaesthesia and Analgesia from 2014-2018 and remains on the Editorial board.


Dr. Patricia Montechiari

Meet Dr. Patricia
Dr. Patricia Montechiari is the first Brazilian veterinarian to join the IAAHPC in 2018. She graduated in 1998 from UFF in Rio de Janeiro, dedicating the past 20 years to general veterinary practice. Since 2018 she has owned VIVA VETERINARIA INTEGRATIVA in Rio de Janeiro. The first veterinary hospital in Brazil to offer hospice and palliative care to clients. She is also the voice behind the Seniopetbrazil, a 20k members community, where her experience is shared with senior pet parents around Brazil.

As a part of the IAAHPC international committee she is committed to support colleagues with an interest in this necessary field.

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