“End-of-life doulas provide practical, emotional and spiritual support for those facing terminal illnesses, and those who love and care for them,” says Christy Moe Marek, an end-of-life doula and founder of Tending Life at the Threshold in Minnesota who is also an instructor and the program development manager for the International End of Life Doula Association (INELDA), a non-profit organization providing trainings and certification.