Doula for the Dying

 

Frequently Asked Questions

The following questions assume that your doula is also a nurse.

Q. Is there a certification process and training to be a nurse doula or midwife?
 
     A.
No. The best training ground for a doula who is also a nurse is training in the very specialized field of hospice and palliative nursing. There, a nurse is trained in all the faces of dying a natural death in the home setting, regardless from which disease a person is dying. Death is very different at home than in the hospital; high tech interventions tend to create cascading events, whereby one thing leads to another. When you interview your doula, you will find out if she has the medical experience you desire.

Q. Why would we want a doula who is also a nurse?

     A. Even though the essence of the midwife and doula is emotional, practical and spiritual support, there may be times when you will want her to be medically trained as well. The disease process your loved one is facing may be difficult and you may find comfort in additional medical support, guidance and education. She is also there to make sure you understand the disease process and what is happening and what can be done as your loved one is dying.

Q. Does the nurse doula take the place of the hospice nurse?

    A. No. They fulfill two different roles. The doula is your personal nurse for your family, your personal advocate. She works with your hospice team; she doesn't take the place of it. The hospice nurse has time constraints and service boundaries that must be adhered to due to agency policy. The nurse doula does not have these constraints and is able to spend the time and serve your family how you want and need. The boundaries that are in place for the hospice nurse are non-existent for the nurse doula. Your nurse doula can assist you with complicated bedside care and in general educate and guide you throughout the process medically as well.She is reinforcing the information and teaching you are receiving from your hospice team.

Q. At what point during our loved ones illness do we contact a doula?

    A. 
Whenever you realize that you would like more support and are feeling confused or overwhelmed. A good time to call is when you are not fully understanding the medical information you are receiving. Also, if you are having conversations about choosing hospice and you need an impartial party to help make sense of what is going on. Some people bring in the doula in during the last days when death is fast approaching. An experienced doula is a knowledgeable, stabilizing and nurturing presence and you can bring her in at any point in the process when your loved one has a terminal diagnosis. It simply depends on how much support you would like.

Q.
Is there a certification for midwives and doulas who are not nurses?
 
     A. No. The way most doulas make their way into this field is through volunteering at a local hospice or finding their natural gifts for assisting the dying through personal circumstances.


        Basically a doula gives you very personalized assistance during the dying of a loved one. The amount
   of time spent with you and the type of service are dependent on your needs, not on anything or anyone else.