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end-of-life doula services

Dying is part of life, but most of us aren’t given the tools or space to be with it. As a death doula,  I offer compassionate, non-medical, holistic support to ease the logistical, emotional, and spiritual journey of dying. All services are personalized, tuned to your beliefs, culture, family, and what feels sacred to you. Together, we can create a gentler experience for everyone involved: the person who is dying and the loved ones who remain close by.

 

This work is rooted in presence, trust, and honoring the full range of what it means to be alive, right up until the final breath. I offer this support to anyone seeking a more intentional, compassionate approach to dying and grief.

why this support matters

  • Having clarity and choice brings peace.

  • You (and those you love) don’t have to manage everything alone.

  • Honoring the human, the sacred, the relational helps make the passage gentler.

  • Feeling seen and affirmed for who you are matters, especially at the end of life.

  • Creating space for both grief and love can transform the way we experience loss.

services offered

​end-of-life literacy

Helping you understand all your options, from hospice, home death, funeral choices, rituals, and after-death care, so that your end-of-life plan reflects your deepest values and your authentic self.

advance care planning

Co-creating conversations and documentation around your wishes: medical preferences, spiritual or religious needs, who you trust to make decisions, what matters most in your final days.

legacy & memory work

Supporting you in reflecting, collecting, and preserving stories, values, messages, and keepsakes. Whether it’s letter-writing, recording stories, compiling memoirs, audio/video memory work, or creating tangible legacy artifacts.

family guidance & caregiver respite

Offering education to loved ones about what to expect, how to communicate, and how to prepare practically and emotionally. Also giving caregivers moments of relief, respite, emotional support, and relief from feeling alone in the process.

reiki sessions

As part of holistic care, I offer both in-person Reiki sessions and remote Reiki sessions. This energy-healing work can enhance emotional balance, comfort, and deep presence for the dying person as well as for caregivers while they are supporting loved ones or navigating grief. 

vigil presence & planning

Holding space in the final days and hours: helping plan what the environment feels like (sights, sounds, smells), how you want people to be with you, how rituals or traditions will be honored. A vigil is when a person is actively dying in their last hours, so being present, physically and emotionally, as your witness, guide, and companion. Note: for vigils lasting more than 5-hours, I may coordinate with other doulas that I collaborate with.

virtual memorial services

For families and communities who can't gather in one room, whether by distance, timezone, health, or circumstance, I offer virtual memorial services that hold the same care and presence as an in-person gathering. We begin with a 60-minute pre-service conversation to understand who your person was, what mattered to them, and how you want this time to feel. The 60-minute service itself can weave together music, photographs, and readings alongside space for anyone present to share memories aloud, all guided gently so the technology stays in the background and the grief and love stay in the foreground. Wherever your people are scattered across the map or the clock, this is a way to gather them together, held with the same warmth and attention as if you were all in one room. Note: this is valued at $450 due to additional hours required to plan and prepare.

companion animal doula services

Helping guide you and your loved companion through the process of dying, which can include logistics support (ex. coordinating with a home euthanasia vet, discussing options, picking up ashes) as well as designing rituals and providing support for before, during, and after the dying process. 

how it works

This work begins with a conversation. There’s no commitment until you feel ready.

 

We start with a connection call to meet, share your story, and ask questions. If you decide to proceed, we'll hold a discovery session to explore your needs, hopes, and values, and to create a preliminary support map. From there we'll build a care plan that I’ll send you in writing outlining the services, timeline, and cost. We’ll adjust until it feels right.

 

With each care plan, you'll have ongoing support. I walk beside you as your doula, checking in regularly, staying flexible as things change, and holding space through the entire journey.

 

This approach gives you structure and softness: clear next steps, with plenty of room to breathe.

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Can I choose which services I'm interested in?

Yes. I have a transparent hourly rate with lots of flexibility built in. You can engage me for a one-time project (e.g., legacy work, planning, memorial service, or a ritual) or ongoing support. 

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​How is a death doula different from hospice?

Hospice provides medical care and pain management. A death doula offers non-medical emotional, logistical, and spiritual support. You do not have to be in hospice to work with a death doula. When someone is in hospice, I complement the hospice team by tending to the human side of dying: presence, ritual, meaning-making, and holding space.

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When should we reach out to a death doula?

Anytime. Some people invite doulas in to help work through a fear of death, explore existing feelings of grief from past loss, and to guide end of life planning long before anyone's death is imminent. Some people reach out when they're received a diagnosis and some during active dying. There’s no wrong time. The earlier we connect, the more space there is to build comfort and trust.

 

Do you provide medical care or make medical decisions?

No. I don’t provide medical treatment, medication, or clinical advice. I can help you understand your options and communicate with your care team, but all medical care remains with licensed professionals.

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Can you work with our existing hospice or care team?

Yes. I am also a hospice volunteer with The Community Hospice (part of St. Peters Health Partners) and I collaborate closely with hospice staff, social workers, chaplains, and other caregivers to create a seamless, supportive environment.

 

Do you offer virtual support?

Absolutely. Planning, legacy work, family education, and emotional support can all happen virtually. Vigil support is typically in-person, but I can also guide and support families remotely if needed. Reiki is offered in-person and remotely.

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Which spiritual and cultural traditions do you support?

Death is deeply personal and often rooted in family, cultural, and spiritual traditions. I welcome and affirm all identities, backgrounds, and belief systems. Whether you envision a secular environment, ancestral rituals, prayer, music, sacred texts, or simply silence, I will honor and uphold what is meaningful to you. If your traditions are unfamiliar to me, I can try to refer you to someone who is a better fit for you in the death doula community or, if you would prefer, I can learn from you and your community, seeking guidance to ensure they are respected. This is your threshold, and it will be tended in the way that feels right for you.

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What kinds of barter or trade do you accept?
I'm willing to barter for goods or services such as carpentry, masonry, tree services, landscaping, painting, plumbing, electrical services, small engine repair, veterinary services, tattooing, flooring/tiling work, and more. Please reach out so we can talk and you can describe your offering; I reserve the right to accept or decline. 

frequently asked questions

hourly rate & service packages

Because every journey is different, support can be tailored as lightly or as fully as you need. For transparency, I value my doula time at $150 hourly for all services. Some services have additional planning or preparation hours that are required of me outside of the time spent with clients (such as memorial services) and the value of those services reflects that time.

 

I've suggested a few ways you might want to engage with me below, but these are flexible starting points to mix and match from based on your circumstances. We’ll work together to create something sustainable for your family and circumstances.

 

I prefer bartering, but I accept cash, checks, credit card, and Venmo/PayPal. As noted, I’m open to creative exchange for goods or services in trade of equivalent value (see FAQ above). If you’d like to propose a barter arrangement, please reach out. We can discuss your idea and determine whether it feels fair to both of us. I am not in this work to profit and while I believe in honoring my time and experience, I also believe deeply that money should not be the reason someone walks this path alone. Let's find a way together.​

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flower

foundation

Two hour package
($300 value)

 

Those just beginning to think about end-of-life care could benefit from a 120-minute planning session supported with templates and guidance.

 

Those who are struggling with the idea of death and dying could benefit from two 60-minute conversations exploring dying, death and grief.

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Those who want to explore what working with me is like, perhaps through a 60-minute in-person Reiki session and a 60-minute vigil planning session.​​

flower

threshold care

Ten hour package
($1425 value that includes a 5% discount for purchasing this package of hours)

 

Those who need steady emotional and logistical support, whether that's well in advance of dying or through the full arc of dying, could benefit from leveraging these hours for conversations discussing options, advanced care planning, legacy project facilitation, respite time to give caregivers a break, transportation to doctor appointments, vigil planning, vigil presence, and additional flexible support.​​​​

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© 2026 Shawn Carney Coaching

People of all identities belong here.

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