NATIONAL END-OF-LIFE DOULA ALLIANCE (NEDA)
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NEDA Scope of Practice

The Role of the End-of-Life Doula
  • The essence of doula care is to provide non-medical, non-judgmental support and guidance to individuals and families through times of critical, transformative life change.
  • EOL doulas nurture, inform, support, guide, empower and comfort.
  • EOL 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 served.
 
Limitations to Practice
  • As non-medical care providers, end-of-life doulas do not perform clinical tasks (e.g., monitor vital signs, administer medication).
  • 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 his/her own values and beliefs on the client.
  • Doulas do not undermine their clients’ 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.
 
Considerations Regarding Multi-Credentialed Doulas
  • While understanding that doulas will draw from their full range of knowledge, skills and life experience, it is important to realize that offering enhanced or blended services may send a mixed message to the consumer regarding the role of the doula. The doula cannot, for example, be a non-clinical care provider and simultaneously “prescribe” an herbal regimen or assume responsibility for wound care.
  • If a doula wears more than one professional hat and is seeking to leverage a blended skill set (e.g., nurse, social worker, pastor, herbalist, massage therapist) in the course of providing doula services, then they are obligated to make those additional roles and credentials transparent to the client.
Gratitude to Patty Brennan of LifeSpan Doulas, LLC for sharing the basis for this Scope of Practice
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NATIONAL END-OF-LIFE DOULA ALLIANCE (NEDA)
2423 SOUTH ORANGE AVE #115

ORLANDO, FL 32806

NEDA is a nonprofit 501c6 membership organization dedicated to supporting end-of-life doulas and the families they serve. Content on this website is for informational purposes only and is not offered as legal advice.
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Ferns are traditional symbols of humility and sincerity, both chief qualities of end-of-life doulas

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  • Home
  • About
    • Who We Are >
      • Our Mission
      • Scope of Practice
      • Code of Ethics >
        • Research Best Practices
      • The Doula Model of Care
    • Board of Directors
    • Annual Reports
    • 2021 - 2024 Strategic Plan
    • Anti-Racism and Inclusivity Statements
    • Q&A
  • Directories
    • Members by Name
    • Doulas by State A - M
    • Doulas by State N - Z
    • Doulas International
    • Trainer Directory
    • Friends of NEDA Directory
    • Corporations & Organizations Directory
    • Tips for Choosing an EOLD
    • Suggestions for Selecting an EOLD Training
  • Membership
    • Membership Applications
    • Refund Policy
    • Who Are Our Members?
    • Get Involved
  • Credentials
    • Certification
    • EOL Doula Core Competencies >
      • EOL Doula Proficiency Badge
      • NEDA EOLD Study Guide Outline
      • Selected Medicare CoPs
      • Sample Patient Bill of Rights
    • After-Death Care Educator Core Competencies >
      • NEDA ADCE Proficiency Badge
      • NEDA ADCE Study Guide Outline
      • NEDA ADCE Code of Ethics
  • Resources
    • Learn More About EOLDs
    • Doulas and After Death Care
    • Newsletters
    • Doulas in the News
    • EOLD Books
    • Children's Books
    • NEDA Tips and Guidelines >
      • Suggestions for Choosing an EOLD Training
      • Tips for Choosing an EOLD
      • Marketing EOLD 101
      • Embodied End-of-Life- Care
    • Tools of the Trade
  • Events
    • All Events
    • Doulapalooza 2025
    • Webinars
  • Contact