When people face the end stage of a terminal illness they often feel alone, even when surrounded by family and friends. In quiet moments they wonder if their life has had any meaning. All of this as they struggle with worsening physical symptoms, periods of emotional turmoil, anxiety about how the actual dying process will unfold, and worries about how their loved ones will cope after they die.

The family of the dying suffers in their own ways. The months or years of caregiving result in physical and emotional exhaustion. Their world narrows to the basic acts of providing medication and assisting with the tasks of daily life. In their moments of reflection they can become overwhelmed with sadness, longing, and fear. As the last days arrive family often feel ill prepared.

Addressing all of these needs of the dying and their families takes intense and continuous guidance and support. Hospices, hospitals, communities, and other settings where people die don’t have the organizational structure or the resources to provide that kind of guidance and support. An End of Life Doula not only fills this gap in services, it also introduces best practices that offer the dying deeper meaning and provides greater comfort to family.

Dr. Laura is presently volunteering with VSNY.

She follows the protocol and teaching modalities of Inelda.org.