Consultation

Services focus on guiding individuals, families, and organizations through the complexities of serious illness, end-of-life care, and community-based support systems. Drawing on advanced nursing expertise and public and population health perspectives, consultation includes care planning, navigating healthcare systems, aligning care with values and goals, and supporting decision-making across the continuum of care. A central component is strengthening self-advocacy and advocacy for others—helping individuals prepare for clinical encounters, articulate questions, clarify preferences, and feel confident in their right to participate in decisions. This also includes supporting “neighbor-to-neighbor” advocacy, where trusted others are equipped to accompany, witness, and help anchor care in what matters most. Consultation is available in person or virtually.

Education

Offerings are designed to build knowledge, confidence, and capacity for individuals, caregivers, professionals, and communities. Grounded in public health principles and real-world practice, topics include advance care planning, death literacy, caregiving, grief and bereavement, and community approaches to end-of-life care. Education emphasizes practical tools for self-advocacy—such as preparing for appointments, understanding options, and communicating values—as well as advocacy for others, including how family members, friends, and neighbors can provide informed, compassionate support. Participants are invited to see advocacy not as confrontation, but as presence, preparation, and the ability to slow moments so that care remains aligned with the person. Consultation is available in person or virtually.

Coordination

Services provide practical and relational support to help navigate fragmented systems and ensure continuity of care. This includes connecting individuals and families to appropriate resources, facilitating communication across providers and settings, and helping organize care to reduce burden and enhance quality of life. Advocacy is embedded throughout—ensuring that preferences are communicated, questions are carried forward, and transitions do not result in loss of voice or clarity. Coordination also supports those in advocacy roles, including family and neighbors, by helping them understand systems, organize information, and confidently participate in care alongside the person they are supporting. Consultation is available in person or virtually.

Doula Practice within Holistic Nursing

End-of-life doula practice is an integral extension of holistic nursing, rooted in the same foundational commitment to whole-person care—attending to physical, emotional, social, and spiritual dimensions of experience. Through specialized training, doulas bring a non-medical, presence-based approach that complements clinical care, offering continuity, advocacy, education, and compassionate support before, during, and after death. This includes strengthening both self-advocacy and advocacy for others, often in quiet but powerful ways—bearing witness, helping articulate wishes, and supporting neighbors, friends, and family members to show up with clarity and confidence. When integrated with nursing practice, this approach deepens relational care, reinforces dignity, and bridges the space between healthcare systems and the lived experience of individuals and communities.

Find trained and/or certified End-of-Life Doulas: International End of Life Doula Association (INELDA), National End of Life Doula Alliance (NEDA), or The Oregon Network for Community-Based Serious Illness Support (ONSIS)

Respite

Resources are located on our resource page.

We are NOT all the same.

Our goal is to address the vital issue of diversity and equity in end-of-life care. Give voice to the unique challenges individuals and their chosen families face, and identify strategies to improve access, quality, and cultural sensitivity in palliative and hospice care. Our goal is to foster informed dialogue, empowering participants to become self-advocates for equitable and compassionate end-of-life care that respects the dignity and needs of all individuals, regardless of their background or abilities.