Delivering Compassionate End-of-Life Care to Pittsburgh’s Most Vulnerable Residents
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This past May, a group of direct care providers to the unhoused community came together in the East Liberty neighborhood of Pittsburgh to learn what it means to show up with a doula mindset in their work. The two-day training brought together social workers, nurses and medical assistants, outreach workers, end-of-life doulas, government employees, hospice volunteers, home health aides, and physicians, as well as individuals who have managed shelters, are pursuing grief education, or carry lived experience.
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Misha (she/he/they) is an Iranian-American death doula and grief tender whose work honors the sacredness of death and the political power of mourning. Their path into this calling began at the tender age of 20, when they were blessed with the gift of witnessing their mother’s death. Today, through Hafez Death Care, Misha offers culturally rooted, anti-imperialist support for dying people and their loved ones before, during, and after the dying process.
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When and why did you decided to become and end-of-life doula?
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The seed of my death doula work was planted back in 2012, after my mom died. I first came across the term on Twitter, and it felt like a clear calling. During my mom’s illness, her health care and hospice teams often commented on how naturally I connected with her and with the process of dying. But I knew the medical system wasn’t where I wanted to be.
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IN-PERSON END-OF-LIFE DOULA TRAINING
VANCOUVER, BC
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September 4, 2025 to September 7, 2025
THU 1pm – 5pm PT, FRI/SAT 9am – 6pm PT, SUN 9am – 1pm PT
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Location: Vancouver, BC
Host: Nicole Heidbreder
Price: $895 (covers training materials only; food/lodging not included)
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AUGUST 27, 2025 to OCTOBER 1, 2025
Wednesdays 7pm – 9pm ET
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Location: ZOOM
Host: Omni Kitts Ferrara
Price: $425 (5% discount for Tier 2 and 3 members)
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A film by Genia and Russell Stemper
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There are over 8 billion people in the world. Two people die every second. In the United States alone, over 8,000 people die every day. The time has come to bring death out of the shadows and break the cycle of fear and trauma. In this one-hour documentary, we talked to death doulas, grief counselors, doctors, and first responders to find out why people are afraid of this necessary part of life, and what we, as a culture, can do to improve our relationship with death.
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Listen to the Sounds of Silence: Building Our Capacity for Presence
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“In each thing there is an insinuation of death. Stillness, silence, serenity are all apprenticeships.”
–Federico Garcia Lorca
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Every end-of-life doula is taught that being able to hold silence is a crucial element of cultivating presence and nurturing relationships. Like a billboard, the acronym WAIT (Why Am I Talking) reminds us to slow down to listen, to wait, to allow. But the capacity to be silent is more than just not talking. It is a muscle, a skill that needs to be nourished, practiced, and understood. What is silence, really? Does silence come easily to you, or is it an uncomfortable experience? How has your history shaped your capacity for silence? Are we curious about the impact of silence on the people we serve? How would our EOLD practices change if silence were as much of our foundation as are words?
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Thinking About Certification?
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There’s still time. The deadline for submitting registration materials is Monday, September 1. INELDA’s certification program is a comprehensive one-year cohort-based skills training program designed to support you through mentorship, peer review, and continuing education. As an extension of INELDA’s community of practice founded and guided by INELDA’s core competencies, the certification program engages and applies the INELDA Doula Approach throughout the yearlong process, culminating in the design and practice of the doula’s field specialization of choice. Reach out with any questions to: [email protected].
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Gathering Circle: A Space for Community, Grief and Healing
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On September 8th from 7-9pm ET, INELDA is offering a gathering space for all members where community, grief, and healing can come together to sensitively hold the many crises on a global scale that we confront daily. As an organization committed to normalizing conversations around death, dying, loss, and grief; this gathering circle is created to provide space for these topics as we sit in company with one another. We hope to meet the issues of this time with a doula mindset. We will make space for feelings of sadness, rage, despair, anger, and inequities in a facilitated structure led by Amanda Faision, an INELDA-trained doula and co-founder of A&R Equity.
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The Last Ecstatic Days is on PBS
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We are honored to support the premiere of The Last Ecstatic Days documentary on PBS. Join us in witnessing Ethan Sisser’s extraordinary journey, a powerful narrative on embracing community at life’s end. The film premiered August 5 on PBS Plus and is now broadcasting nationwide on your regional PBS station. Visit here to find a showtime in your region.
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Japanese public TV network NHK is creating a documentary on the role that wind phones are playing as a tool for grief. If you have used or created a wind phone and want to be part of this documentary, reach out to Megan Devir.
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Some of you may have received a phishing email offering you the opportunity to purchase our member list. We are sorry you have had to deal with this scam attack. We want to assure you that INELDA neither sells nor shares our member contacts with other organizations. We are looking into all steps we can take to ensure your digital privacy and security. If you have further concerns, you can contact us directly at [email protected].
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Palliative Massage, Touch, and Consent for Doulas
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August 27 | WED 7 – 8:30pm ET
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This August’s webinar will feature Cal Cates as they discuss their work doing palliative care massage and training deathcare workers in emotional regulation and boundaries. As the founder and executive director of Healwell, an organization that teaches massage therapists how to provide care for those with serious illnesses, Cates’ work centers on revolutiionizing the role of touch and education for deathcare providers.
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Join us for a fascinating look at the ways in which healing touch and presence can play a role in providing equitable deathcare for all, as well as the ways in which end-of-life doulas can understand this approach to care. Doulas will learn how to connect and vet palliative care massage therapists to support their clients.
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Cost: Free with INELDA Tier 2 & 3 Membership | Tier 1 and Non-members $15
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One of my favourite rituals is to invite families to write a letter that they post on the door so that anyone entering their space steps in with specific intention. The doorway acts as an important threshold, and we can create a more ceremonial space by giving people clear directions and language to use (or not use) so that they can add to the sacredness of the space.
-Megan Sheldon, INELDA-trained doula
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Multicultural Death and Grief Care Academy
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The Multicultural Death and Grief Care Academy, founded by Jóel Simone Maldonado, aka The Grave Woman, offers innovative, heart-centered, and culturally inclusive courses designed to empower deathcare and grief professionals. Whether you’re an embalmer, funeral director, death doula, end-of-life medical provider, grief care provider, or member of an organization looking to expand your cultural competence, the academy’s courses provide the knowledge and tools to enhance professional and personal practices.
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This month’s question comes from our July Doula Support in Hospital webinar with social worker and certified doula Ginger Griffin.
How can you talk to your local hospice or hospitals on how doulas can contribute alongside social workers?
—Kristi Devers
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Guest Ginger Griffin: A lot of social workers have not been trained or are not familiar with the death and dying process, or they avoid it completely because they don’t feel comfortable with it. As doulas we have that comfort level of being around patients in the dying process that many other people don’t have during that vulnerable time of life. And so, you know, approach it that way. Say, I am available. This is what I have been trained to do. I can sit there and be present. I can allow the families to talk, and I am just a comforting presence. Presence is so important when other staff may be in a hurry. Just letting them know the availability as being a doula.
Educator Marady Duran: The majority of the programs give you little to no training on how to be with the dying or being with people at the end of life. I did a poll at my hospital of social workers: What do you guys think about when you think about being with a death or a dying person in the hospital? And many of them said, “That scares me. I don’t want to do it.” So doulas are such a key piece, because they are not shying away from it. They’re going in, and that’s a huge piece of the value that doulas bring.
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Tender Ties: How Friendship Sustains Us
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We met in 1997. I was taking an algebra course and struggling to grasp the material. She was in graduate school, majoring in mathematics, and offered to tutor me. That was the beginning of one of my closest friendships.
Over the years, my friends have become my companions, my confidantes, and my mirrors—sources of peace in a world that can often feel chaotic and tumultuous. Friendship, I’ve come to learn, is more than connection—it is a vital part of the road map of life and a profound form of self-care.
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Heart Attacks Less Deadly Today
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Heart disease among adults in the United States has plummeted by two thirds in the past 50 years, according to a large-scale study published in Journal of the American Heart Association. Heart attacks in particular have become less deadly: By analyzing government data on heart disease deaths from 1970 to 2022, researchers found that heart attacks went from being responsible for 54% of all cardiac-related deaths in 1970 to 29% in 2022.
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Megabill’s Impact on Health
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Tens of millions of Americans will face greater risks to their physical and financial health as a result of the domestic policy megabill that was passed in early July. Framed as a tax savings plan by the Trump administration, the bill will reduce federal support for Medicaid and Affordable Care Act initiatives. The Congressional Budget Office estimates this will trigger more than 12 million people to be uninsured by 2034.
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Physicians Want a Peaceful End to Their Own Lives
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Physicians are an integral part of end-of-life care for many people who are dying—and they, too, are going to die. Research published in Palliative Care and Social Practice finds that doctors are likely to have considered their own EOL preferences, and that physicians lean toward avoiding aggressive treatment at end of life and prioritize a peaceful environment for dying.
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Who made the world?
Who made the swan, and the black bear?
Who made the grasshopper?
This grasshopper, I mean—
the one who has flung herself out of the grass,
the one who is eating sugar out of my hand,
who is moving her jaws back and forth instead of up and down—
who is gazing around with her enormous and complicated eyes.
Now she lifts her pale forearms and thoroughly washes her face.
Now she snaps her wings open, and floats away.
I don’t know exactly what a prayer is.
I do know how to pay attention, how to fall down
into the grass, how to kneel down in the grass,
how to be idle and blessed, how to stroll through the fields,
which is what I have been doing all day.
Tell me, what else should I have done?
Doesn’t everything die at last, and too soon?
Tell me, what is it you plan to do
with your one wild and precious life?
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Support Accessible, Equitable, and Compassionate Deathcare
DONATE HERE
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© INELDA 2025 International End of Life Doula Association is a
501(c)(3) tax-exempt nonprofit organization that relies on public support to do it’s work.
Tax ID#: 47-3023741
Phone: 201-540-9049
[Account Login]
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