I can't pinpoint a singular event or loss that led me to become an end-of-life doula. It's been more of a slow burn — a spark of interest that over time lit a “now-or-never” fire under me.
When I first learned about hospice, the emphasis on comfort care and alleviating pain for the dying made me think, “yeah, THAT is profound work.” My years as a writer and editor were satisfying enough—occasionally even exciting—but enduring or leaving a mark? Not often.
Over the years, the idea of peaceful death took on more significance, and I mentally filed away examples: the astonishing “Murder and Serenity” chapter in Sherwin B. Nuland's How We Die; my mother-in-law's tranquil death in hospice; the emergence of Medical Aid in Dying for people stricken by the cruelest diseases.
Not every death is serene, but I recognized that I have the conviction and disposition to nudge the needle in that direction, or at least provide solace when death refuses to come in peace.
So what does end-of-life help look like from a non-medical word nerd? Well…the journalist in me can write a well-rounded obit or create a keepsake life-review project. Hospice volunteering has shown me that comfort measures like music or gentle touch can make someone with terminal cancer sleep peacefully for a time, or that a doll can bring out joyful moments of mothering for someone with advanced dementia. I can step in so exhausted caregivers can re-enter their routines for a while, or take on planning tasks so they can spend the final days with the person who's dying.
Finally, my end-of-life doula certificate from the University of Vermont and hospice volunteer training through Kaiser Permanente have given me knowledge, resources, and a network of experienced professionals to draw on when needed.