End of Life Doula
For Whom Is This Service?
Individuals who are interested in doing illness or end of life preparedness work and planning
Benefits Of This Service
The individual, the loved ones and caregivers feel well resourced, supported and as prepared as possible during the end of life journey.
Advance Directive Facilitation
This work supports an individual in the exploration of their goals, values and beliefs so they are comfortable filling out an Advance Directive and documenting future medical care options. This ideally happens with their health care agent present. If indicated, discussions related to the POLST (Portable Orders for Life Sustaining Treatment) form are also an option.
End of Life and Vigil Planning Services
This involves assistance with consciously planning for the final days of life, choosing the setting and being present at the bedside during the final hours of an individual’s life.
Life Review and Legacy work
Legacy work involves projects or activities to honor the life of an individual. This includes support with ideas and inspiration.
Companionship, listening and emotional support for the individual, their loved ones and caregivers.
Respite care shifts, up to 4 hours, to relieve the loved ones and caregivers.
“We were lucky to have Carola care for our mom. Her compassion, patience and commitment were amazing. She was present, caring and listened to mom and us. She was able to connect with mom, having difficult conversations, even using humor, to understand her wishes. She provided valuable information at the right time as well as practical guidance and emotional support.”
Carola Stepper is a multi credentialed End of Life Doula and offers blended services as an End of Life Doula, Advance Directive Facilitator, Registered Nurse, Licensed Acupuncturist and Grief Recovery Method Specialist.
Frequently Asked Questions
What is an End of Life Doula?
Services are provided both within the home, or virtually. The End of Life Doula collaborates with all other care providers and complements the involvement of the individual’s loved ones and caregivers.
Please see: National End of Life Doula Association (=NEDA): The Doula model of care and Scope of Practice.
How are your services offered?
How often do people usually need to receive those services?
Is this service covered by insurance? How much does it cost?
Please see Fee Schedule
End of Life Doula services may also be combined with Advance Directive Facilitation, Acupuncture/Acupressure and/or Nursing services.
What kind of End of Life Doula Services are not offered?
When a person dies, the hands-on care from an End of Life Doula ends. This is due to FTC (Federal Trade Commission) regulations connected to the practice of funeral directing. The End of Life Doula services after death may include consultation, education and emotional support, as well as providing resource information, but not hands-on care.
No on-call or after hours services are provided or shifts longer than four hours.
Carola doesn’t transport clients or provide pet-sitting or childcare services.
We are already receiving palliative or hospice care. Why should we hire an End of Life Doula?
Ideally Carola’s clients receive medical, emotional and spiritual support from palliative or hospice care teams.
Hospice services are covered under Medicare and are subject to rules and regulations and require medical orders. Typical hospice team member visits are usually around 1 hour.
End of Life Doula services offer non-medical, holistic, logistical and emotional and resource support. These services are not covered by insurance companies. They provide an extra layer of support. As a former hospice nurse, Carola integrates End of Life Doula services which are intended to complement what is typically offered by hospice team members. Her visits can extend up to 4 hours, if requested. She can become involved while the individual is still feeling well and to help plan for future needs.
Additional Caregiving and Doula Resources
Bobbi’s Way In-Home Health Care is licensed in OR and WA.
Please see information about local Care Giving and In-home care agencies under Gorge Local Resources.
Carola is recommending and collaborating with these Columbia Gorge End of Life Doulas:
- Lora Munn, End Of Life Doula, NEDA proficient, ERYT 200
- Maggie Converse, End Of Life Doula
- Tamara Thiel, End Of Life Doula, Home Funeral Guide