End-of-Life Doula Support

Non-medical emotional, practical, spiritual, and family-centered support for people who are dying and the people who love them.

I offer end-of-life doula support, sometimes called death doula care, for individuals and families navigating the final part of life. Support can begin well before the final days and may continue through and after a death.

Some people reach out with a clear need; others simply know that something is changing and they could use more support.

What Is an End-of-Life Doula?

An end-of-life doula provides non-medical support for people who are dying and for the people around them.

End-of-life doula support can work alongside hospice, medical providers, therapists, spiritual care providers, and family members. My role is not to replace medical care, but to offer additional emotional, practical, spiritual, and family-centered support.

Sometimes that means sitting quietly with someone who is dying, helping a family talk through what matters most, supporting caregivers, preparing for a vigil, or making space for memory and ritual. End-of-life doulas are also sometimes called death doulas, death midwives, end-of-life guides, or transition guides.

When Families Reach Out

End-of-life doula support does not have to begin only in the final days or hours of life. Some families reach out when death is near; others reach out earlier, when a diagnosis, decline, caregiving situation, or difficult family conversation makes it clear that more support would help.

You might reach out because:

  • You or someone you love has received a terminal diagnosis

  • A loved one is declining or nearing death

  • Caregiving has become emotionally or physically exhausting

  • Family members need help talking together

  • You are preparing for death at home

  • You want support around Medical Aid in Dying

  • You want support around Voluntarily Stopping Eating and Drinking, often called VSED

  • You need help after a death has occurred

You may also reach out simply because something feels overwhelming, unfamiliar, or hard to name.

How I Can Help

Support can look different depending on the person, family, setting, and stage of the process.

I can help people and families talk through what is happening, what matters most, and what support they need.

This may include:

  • Family meetings

  • Conversations with the dying person

  • Support for spouses, partners, adult children, parents, and caregivers

  • Talking about wishes, fears, needs, and hopes

  • Emotional support before and after death

  • Grief support for family members

Emotional and Family Support

End-of-life care often involves ordinary tasks during an extraordinary time.

Practical support may include:

  • Organizing the space

  • Cleaning and light household support

  • Creating a calmer environment

  • Respite for caregivers

  • Practical planning and organization

  • Helping family members think through what needs attention

The goal is not to make everything perfect, but to make daily life feel a little more manageable and supported.

Practical Support

Some families want support during the final days or hours of life.

Support may include:

  • Vigil support

  • Sitting with the dying person

  • Supporting loved ones who are present

  • Helping create a quiet or meaningful environment

  • Legacy work

  • Ritual or meaning-making, if desired

  • After-death support

This support can be spiritual, secular, practical, or simply human. I follow the needs, beliefs, and preferences of the person and family.

End-of-Life Presence

MAID and VSED Support

I offer emotional, practical, and family-centered support around Medical Aid in Dying (MAID), sometimes called Death with Dignity, and Voluntarily Stopping Eating and Drinking (VSED).

Support may include preparing emotionally, talking with family, considering the setting and who will be present, and receiving support before, during, or after the death.

These can be deeply personal and complex decisions. I do not direct the decision, determine eligibility, or provide medical or legal guidance. My role is to offer steadiness, preparation, and support for the person and family.

For medical, legal, or procedural information, I encourage you to speak with your medical team and review trusted Washington resources, including the Washington State Department of Health and End of Life Washington.

What I Cannot Provide

End-of-life doula support is non-medical. I do not provide medical or legal advice, determine eligibility, guide medication use, or direct end-of-life decisions.

If medical, legal, hospice, or mental health crisis support is needed, I will encourage you to connect with the appropriate licensed, hospice, or emergency professionals.

Online and In-Person Support

End-of-life doula support may be available online or in person, depending on the service, location, need, and availability.

In-person support may take place at home, in a care facility, or another appropriate setting in King County and the greater Puget Sound area. Online support can be useful for planning conversations, family meetings, emotional support, preparation, legacy work, and follow-up care.

Some families use a combination of both, beginning online and meeting in person when more direct support would be helpful.

Many people reach out when things are uncertain, changing quickly, or difficult to sort through alone.

A free 30-minute consultation can be a place to talk through what is happening, ask questions, and consider what kind of emotional, practical, spiritual, or family-centered support may be useful.

End-of-life doula support is non-medical. I do not provide medical care, medical advice, legal advice, eligibility determinations, medication guidance, or direction about end-of-life choices.

Working Together