Roles + Limitations

The Role of a Death Doula

Before we work together, please review the role of a death doula:

  • The essence of doula care is to provide non-medical, non-judgemental support and guidance to individuals and families through times of critical, transformative life change.

  • End of Life doulas nurture, inform, support, guide, empower, and comfort.

  • End of Life doulas work with other caregivers and members of the medical team.

  • Doulas foster self-determination in their clients by assisting them in gathering information and encouraging them to make informed choices that are right for them.

  • For client needs outside of the doula’s scope of practice, the doula makes referrals to appropriate professionals and community resources.

  • Doula support is focused on, and adapted to, the unique needs and requirements of each family member.

  • Even if the doula has medical training/licensure, determinations will be made on the scope the doula is working under. Unless explicitly discussed in the service agreement, in conjunction with medical teams, and under local and federal laws, the doula will only work under the scope of doulaship.

Limitations to Practice

  • As non-medical care providers, end of life doulas do not perform clinical tasks (e.g., monitor vital signs, administer medication, bathing patients, etc.)

  • The doula refrains from giving medical advice or from persuading clients to follow a specific course of action or treatment.

  • The doula refrains from imposing their own values and beliefs on the client.

  • Doulas do not undermine their client’s confidence in their caregiver(s). Instead, the doula uses good listening skills to support clients who initiate a discussion about dissatisfaction with a caregiver’s practice or attitudes.

  • Doulas do not usurp the role of other professionals and caregivers such as the hospice nurse, social worker, chaplain, home health aide, etc.

  • Doulas may be present at the request of the client, but doulas do not facilitate the medical aid-in-dying process.

Sourced from The National End of Life Doula Alliance.