What is the difference between a hospice nurse and and End-of-Life Doula?

An end-of-life doula can do everything EXCEPT give medications, that includes over the counter as well. The hospice volunteer needs to follow Medicare regulations. They are also limited to maximum weekly bedside hours and the average weekly bedside hours and visit is 1-2 hours in length. This does not adequately provide the support that patients and families need at this stressful time. The doula is there to fill in the gaps with helpful hands and no judgment.

Does insurance cover End-of-Life Doula services?

No. End-of-life doulas are private pay. All ‘companion’ services such as Home Instead, Visiting Angels, & Comfort Keepers are private pay. I do offer a sliding scale payment option for blocks of time.

What can an End-of-Life Doula do that a Home Hospice Health Aide cannot do?

In a word, time. Most hospices provide home health services up to a maximum of 2 hours per day up to 5 days a week. This is based on the health and stage the patient is in and only available if the hospice has an available aide. The role fo the doula does not necessarily include personal care, however, they may choose to assist the patient at their own discretion. This service would be discussed between the doula and the caretaker and/or family.

Is there licensure for the End-of-Life Doula?

No. End-of-Life Doulas are non-medical professionals by trade. Just as the establishment of the birth doula 45 years ago, this is not regulated by the government license. If a doula has other certifications, it would be listed within their credentials and offerings. I personally have had training and certifications granted from Doula Givers, The Institute for the Study of Birth, Breath, and Death, and NEDA (National End-of-Life Alliance).

Does a family member have to be on hospice to receive doula services?

No. If fact, the doula may encourage the family and/or caretaker to have their loved one placed upon hospice soon rather than later allowing for a better quality of life of the patient at the end of their journey. So many people equate hospice with the “last resort” and “imminent death” and it does not have to be seen as such. Hospice care can ease the pain and suffering for both the patient and the family/caretaker alleviating a negative response or a rushed experience. The doula can assist facilitating a positive family meeting about what hospice care includes alleviating fear and bringing about peace of mind.