Scope of Practice

Scope of Practice

Scope of Practice

As an End-of-Life Doula, I provide non-medical, holistic support to individuals and families as they navigate the dying process. My role complements the work of hospice and palliative care providers by offering emotional, spiritual, and practical care before, during, and shortly after death.

1. Emotional and Spiritual Support

  • Offer a calming and compassionate presence to those facing the end of life.
  • Hold space for grief, fear, reflection, and meaning-making.
  • Respect all cultural, spiritual, and religious beliefs without imposing my own views.

2. Practical Guidance and Education

  • Assist with advance care planning, legacy work, vigil planning, and other end-of-life preparations.
  • Educate individuals and families about the natural dying process, signs of active dying, and available options.
  • Support informed decision-making through non-directive guidance.

3. Vigil Support

  • Create and hold a peaceful environment for the dying person and their loved ones.
  • Offer continuous presence during active dying, when requested.
  • Collaborate with the care team and family to honor the dying person's wishes.

4. Post-Death Support

  • Provide early grief support, space for ritual, and help with immediate next steps after death.
  • Offer referrals to bereavement counselors, funeral homes, and community resources as needed.

5. Advocacy and Communication

  • Encourage open dialogue between the dying person, their loved ones, and care providers.
  • Advocate for the individual's goals and wishes to be honored and upheld.

6. Ethical Standards and Boundaries

  • Maintain clear boundaries and avoid performing medical or clinical tasks.
  • Respect client confidentiality and uphold privacy at all times.
  • Operate within the limits of my training and experience, seeking additional support or referrals when appropriate.

This scope of practice is intended to support a compassionate, person-centered approach to dying. It may be adapted to reflect the unique needs of the individual, the doula’s specific training, and any applicable local or state guidelines.