What is an End of Life Doula?

Whether you say Death Doula, Death Midwife, or End-of-Life Doula we are all providing comprehensive support to dying people and their families sorely needed in our fractured healthcare system.  Every doula has different strengths and skills.  

With my clinical background, I collaborate easily and effectively with facility or medical personnel. As an gentle yet authoritative advocate, I can assist with:

Ensuring end of life wishes and advanced directives are honored throughout the dying process

Assisting with emotional and logistical support services including during the earlier comfort care/palliative phase 

Clarifying care goals that are uncertain or changing 

VSED and MAID counseling, support and doula care during the journey

Supporting the continuity of a dynamic care plan, providing ongoing education and collaboration with medical professionals, family and paid caregivers

Facilitating decision making with family or health care proxy

Managing transitions with or for the family (e.g., transfer to hospice services, 24-hour care, making referrals or placement in higher level of care)

Ongoing oversight and monitoring when family are not nearby

Providing direct bedside care as needed, cultivating a calm and supportive environment including space for letting go

Education and bedside family support during the active dying process

Working with senses i.e. music, positioning, touch, aroma therapy, light, etc.

Coordinating optimal and ongoing pain management with hospice

Troubleshooting and resolving issues, conflicts or gaps in care

Providing after death logistical and emotional support including grief counseling

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