Planning for Death: When to Start Working with an End-of-Life Doula?

We often spend months—or even years—planning for life’s milestones: weddings, graduations, family reunions, and the trips of a lifetime. We map out itineraries, book flights, compare hotels, and think carefully about who we want by our side. Careful planning ensures that when the day arrives, we can relax and fully enjoy the journey.

But when it comes to the one journey none of us can avoid—our own death—most people push the thought of planning for death aside. We imagine there will be “more time.” Yet time has a way of slipping past us, circling forward like the gears of a clock, whether or not we’re ready.

Avoiding these conversations often makes fear and uncertainty grow. But what if, instead of leaving things to chance, you could put thoughtful plans in place now? Just as you would for a major trip, you could make choices about how you want to be cared for, what legacy you’d like to leave, and how to ease the way for your loved ones.

Working with an end-of-life doula offers that chance. A doula helps you use your time wisely—planning for death and preparing for the future so you can live the present more fully.

Why Planning Ahead for your Death Matters

There’s no single “right” time to begin working with a doula. Some reach out when they receive a diagnosis or enter hospice. Others start earlier, while still healthy. Both are valid.

But starting sooner has clear benefits. Early planning gives you space to reflect on your wishes without the pressure of a crisis. It also gives your loved ones peace of mind. Instead of scrambling to make choices in grief, they’ll have a clear roadmap that honors your values.

The truth is, most people delay. In fact, only about one-third of U.S. adults have completed an advance directive (Health Affairs study). That means most families face end-of-life decisions without guidance when a loved one can no longer speak for themselves.

If you’d carefully plan a two-week trip, doesn’t it make sense to prepare for this most important journey too?

How an End-of-Life Doula Can Help You

A doula doesn’t replace doctors or attorneys, but provides compassionate support across practical, emotional, and spiritual needs. Together we might explore:

  • Advance care planning – documenting your wishes in an advance directive, and identifying medical and financial decision-makers.
  • Practical details – organizing important documents and ensuring loved ones know how to access what they’ll need.
  • Care preferences – clarifying where and how you want to be cared for in your final months.
  • Legacy projects – creating stories, letters, or keepsakes to leave behind.
  • Emotional and spiritual support – exploring your beliefs, fears, and hopes so you feel more at peace.

Just as a travel planner reminds you of overlooked details—like adaptors or connections—an end of life doula gently surfaces questions you may not have considered.

The sooner you begin working with an End-of-Life Doula, the freer you become!

A common misconception is that doulas are only for the final days. In truth, the earlier you begin, the lighter you may feel.

Putting affairs in order now frees mental and emotional space to savor the present. Many people discover that by facing death directly, they deepen their appreciation for life: enjoying ordinary days, cherishing loved ones, and pursuing long-deferred dreams.

And when the time comes, your loved ones can simply be with you—not bogged down by uncertainty or paperwork.

Signs It Might Be the Right Time to Hire an End-of-Life Doula

Wondering if it’s time to reach out? Consider if any of these resonate:

  • You’ve thought about an advance directive, but haven’t completed one.
  • You feel uneasy when death comes up, but long for more peace with the topic.
  • You want to ease the decision-making burden for your children or loved ones.
  • You have memories or wisdom you’d like preserved as a legacy.
  • You’re living with a chronic or life-limiting illness.

If so, you’re not alone. Among adults age 50–80, only 46% have completed any advance care planning document, and of those who haven’t, 62% said they simply hadn’t gotten around to it (National Poll on Healthy Aging). Procrastination is common—but so is the relief that comes once plans are in place.

A Final Thought on Planning for Death

Planning for death doesn’t mean giving up on life—it means making the most of the time you have. By tending to practical and emotional preparations now, you create space for ease, joy, and presence in the days ahead.

Just as you wouldn’t leave a once-in-a-lifetime trip to chance, you don’t have to leave your final journey to uncertainty. With the support of an end-of-life doula, you can shape an ending that reflects your values, honors your story, and offers peace to those you love.

The right time to begin? Before the clock runs down—sooner than you think.

Judith Iannaccone

Judy Iannaccone

CERTIFIED END-OF-LIFE PRACTITIONER

Judy is passionate about supporting her clients and their families as they journey towards life’s greatest mystery. She strives to create a sacred space in which difficult conversations and choices around death and dying can take place and a sense of inner clarity can be achieved. “We are all unique individuals who approach life and living on our own terms. Why should our approach to death and dying be any different?”