Are end of life doulas regulated?

In Australia, end of life work is not regulated and no certification is required, however, an end of life doula may become a practitioner member of Holistic End of Life and Death Care Australia (HELD) which ensures appropriate training has taken place and ongoing professional development continues.

Are end of life doulas medical professionals?

No, end of life doulas are non-medical and non-clinical, although some end of life doulas are, or where, medical professionals.  It is important to note end of life doulas do not provide nursing or medical care, instead they work with the dying person, and their loved ones, to provide emotional, spiritual and practical support.

Are end of life doulas permitted into hospitals or palliative care wards?

End of life doulas go into hospital or palliative care settings when their clients are admitted into care and continue to want their doula’s support. The doula provides support to their client and client’s family, and does not form part of the recognised health care team.

What does a good death mean?

A 'good death' is a concept that varies based on personal, cultural, and societal values. However, it generally includes several common elements:

Pain and Symptom Management:  Ensuring that the person is free from pain and other distressing
symptoms.
Autonomy and Control:  Allowing the person to make decisions about their own care and
end-of-life preferences.
Preparation for Death:  Helping the person and their loved ones prepare for death, both practically
and emotionally.
Location:  Many people prefer to die in a familiar, comfortable environment, often at home rather
than in a hospital.
Support:  Providing emotional and spiritual support to the person and their loved ones.
Closure:  Giving the person a chance to complete unfinished business, say goodbye, and find peace
with their situation.
Dignity and Respect:  Ensuring that the person is treated with dignity and respect throughout the
dying process.
Family Involvement:  Involving family members in the care process and supporting them during
and after the death.

Ultimately, a 'good death' is one that aligns with the individual's values, wishes, and needs, providing comfort and dignity in their final moments.

How do end of life doulas get paid?

End of life doulas are paid privately by the client or their family.

Do end of life doulas attend the death?

An end of life doula may be asked to vigil or be present at the time of death, depending upon the needs of the dying person and their family.

What is after-death care?

Some doulas provide support for after death home care including private vigilling, preparing the body, and arranging transport for the person’s onward journey.  Some end of life doulas are also funeral celebrants.