Services and Support for End of Life


Looking for Answers?

We help individuals who have a serious or life limiting illness and their loved ones, as well as individuals who are grieving.

We offer Holistice End of Life Guidance by phone or Zoom as well as in-home visits in the beautiful Columbia River Gorge.

Update: We are currently at capacity and are unable to accommodate new clients. We will post updates here. We hope you find helpful information on our website, including our Local Gorge Resources and End of Life Resources.

Understand how our services are complementary to medical care and hospice.

Consciously plan for the end of life journey and prepare your loved ones and caregivers.

Access to local Gorge and general end of life resources.

We help all adults with these services

Advanced Directive Facilitation
Grief Recovery Method classes offered individually or in small groups

My name is Carola Stepper

My purpose is to inspire and guide individuals and families to talk about and prepare for the end of life and death, similarly to the ways we prepare for birth.

I am the previous business owner of a local acupuncture clinic and a former Hospice Nurse. I have a wide range of experience, skills and additional certifications to guide you through the end of life journey. As a self-employed business owner I can personalize my services and time to your needs.

Sometimes getting the answers to end of life questions depends on finding the right person who listens and helps you explore your goals and wishes. I would be honored to be part of your journey.

My training and experience are Certified Hospice and Palliative Nurse, Licensed Acupuncturist, End of Life Doula, certified Advance Care Planning Facilitator and Advanced Grief Recovery Method Specialist, certified by the Grief Recovery Institute.

Serving You in an Overwhelming Season of Life


  • One or multiple services may be provided during the same visit.
  • One-time, as needed, or ongoing.

  • Visit length tailored to client requests and needs.

  • Offered virtually or in your home, 35 miles around Hood River, in OR and WA.



End of Life Doula

Advance Directive Facilitation

Grief Recovery Method

phone icon (541) 399-1919