Why Do We Need End-of-Life Doulas, if We Have Hospice?
- Anna Adams

- Oct 9
- 2 min read

Hospice's informational/educational time with the patient and family is very limited and focused on key tasks.
Hospice provides profoundly important guidance, comfort and care, but they cannot provide companioning or caregiving services - beyond occasional brief and limited volunteer time.
Hospice cannot address many other patient and family needs, due to resource constraints.
End-of-life doulas are trained to help families and loved ones overcome varied and complex obstacles to peace, comfort and care at home, in partnership with hospice.
Doulas help reinforce hospice care guidance and free families to focus on what is most important at this sacred time.
Doulas can provide or arrange respite care for caregivers and families, allowing them peace of mind knowing that their loved one is not simply with a caregiver, but with a caregiver who understands the unique needs of the very ill and dying.
Doulas can help plan and manage vigils (companionship and care of the dying in the last weeks, days and hours), even sitting vigil ourselves.
Doulas can coordinate numerous family and circle-of-care responsibilities.
Doulas can help struggling family members understand care decisions - facilitating meetings and mediations to help preserve family closeness in high-stress conditions..
Doulas can advocate for clients and families with various agencies (including hospice).
Doulas create space and affirmation for the mysterious and sacred, even creating rituals and ceremonies that bring peace, healing and love into the room and the experience.
Doulas provide a sacred support after death, teaching after-death care and making sure that dignity and respect are honored during removal of body.
Doulas do so much more... our holistic training is founded on an assessment/problem-solving model that means we meet each client and family where they are now and help to meet their unique needs.




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