In many families, there’s often one person everyone turns to—the one who remains grounded during times of crisis. This individual is seen as capable, dependable, and able to "handle things" when others cannot. As death doulas, we are sometimes called to embody that role—not as a replacement for family, but as a steady, compassionate presence. We can become the calm in the storm, offering guidance and anchoring others through uncertainty. When loved ones cannot be present—for emotional, physical, or logistical reasons—we may also serve as a trusted liaison.

There are also those who face the end of life without nearby family or friends. These are our Solo Agers—sometimes called “elder orphans”—individuals or couples with no children or close relatives to support them.

Programs like NODA (No One Dies Alone) and NOSDA (No One Should Die Alone) exist to meet this need. These initiatives match trained volunteers with dying individuals who would otherwise face death in solitude. While some hospitals across the country participate, the demand still outpaces availability. More awareness and expansion of such programs are essential to ensure that no one walks their final path alone.