When Hospice Isn’t Enough: Why Families Call an End-of-Life Doula

Hospice Care: What a Nurse Wishes Families Knew

I'd love to hear from you! Send me a text message. [https://www.buzzsprout.com/2259959/fan_mail/new] In this episode of Comforting Closure - Conversations with a Death Doula, Traci Arieli sits down with Peter Abraham, BSN, RN, to talk about the real experience of hospice care, beyond what most families are told.  They walk through what hospice nursing looks like today, including heavy caseloads, time pressure, burnout, and the limits nurses face at the bedside. Peter shares firsthand stories about where care breaks down, what families are often unprepared for, and why gaps in education and support still exist.   You’ll also hear about the growing role of end-of-life doulas, how they support families in ways hospice often cannot, and why collaboration between doulas and hospice teams is still evolving.  Key takeaways include:  • What hospice nurses wish families understood before starting care  • How staffing shortages and time constraints impact patient experience  • Why families must advocate for their loved ones  • The emotional toll on hospice professionals  • How doulas help fill critical gaps in time, education, and support  This conversation is direct, grounded, and important. If you’ve ever wondered how hospice really works, or how to better support someone at the end of life, this episode will give you a clearer picture.  Links/Resources  * Peter Abraham, BSN, RN: https://compassioncrossing.info [https://compassioncrossing.info/]   * Traci Arieli - https://www.comfortingclosure.com [https://www.comfortingclosure.com/]   * The Hospice Journey Handbook (by Peter Abraham, available on Amazon)   Don't forget to like, share, and subscribe to stay updated with our latest episodes!

How Shamanism Helps with Grief: A Different Way to Experience Loss

I'd love to hear from you! Send me a text message. [https://www.buzzsprout.com/2259959/fan_mail/new] What actuallhttps://www.hjertehagen.net [https://www.hjertehagen.net]y happens in a shamanic journey, and can it really shift the way we experience grief?  In this episode of Comforting Closure - Conversations with a Death Doula, Traci Arieli looks at the role of shamanism in grief, death, and the unknown. Joined by Lisa Cox, a death midwife and shamanic practitioner, this conversation looks at shamanism as a grounded, experiential practice rather than something abstract or performative.  Together, they discuss what a shamanic journey is, how it differs from meditation or visualization, and why direct experience can change the way we hold grief. The episode also explores the role of ancestry, anticipatory grief, and how engaging with non-ordinary reality can change our relationship with death.  If you are navigating grief, working in end-of-life care, or simply curious about how we relate to death and what may lie beyond it, this episode offers a grounded and thoughtful place to begin.  Links/Resources  * Guest: Lisa Cox – https://www.hjertehagen.net [https://www.hjertehagen.net/about]  * Host: Traci Arieli – https://www.comfortingclosure.com [https://www.comfortingclosure.com/]   Don’t forget to like, share, and subscribe to stay updated with our latest episodes!

Funeral Planning Before a Crisis: What Families Need to Know

I'd love to hear from you! Send me a text message. [https://www.buzzsprout.com/2259959/fan_mail/new] In this episode of Comforting Closure - Conversations with a Death Doula, Traci Arieli explores funeral planning and why it matters long before a death occurs.  She is joined by Dan Ford, President of Alderson-Ford Funeral Homes and President of the National Funeral Directors Association. Drawing from his experience working with families, Dan shares what happens when no plans are in place and how that affects loved ones during an already difficult moment.  Together, they talk about when families typically reach out to a funeral director, what people wish they had done earlier, and why leaving no guidance often leads to confusion, conflict, and rushed decisions. The conversation also touches on funeral costs and debt, the pressure families face when decisions are made in crisis, and the balance between honoring someone’s wishes and supporting those left behind.  They also discuss the role of ritual and cultural practices in grief, even for those who do not identify as religious, and discuss how funeral directors and end-of-life doulas can work together to better support families before, during, and after a death.  This episode is for anyone who wants to make things easier for the people they love and begin thinking about funeral planning before it becomes urgent.    Links/Resources  * Dan Ford - https://www.fordfh.com [https://www.fordfh.com/]   * Traci Arieli - https://www.comfortingclosure.com [https://www.comfortingclosure.com/]   * National Funeral Directors Association - https://nfda.org [https://nfda.org/]  * Resources: National Funeral Directors Association consumer resources - https://nfda.org/consumer-resources [https://nfda.org/consumer-resources]    If this conversation was helpful, please like, share, comment, and subscribe so more people can find it.

Homeless Palliative Care: Who Gets Left Behind?

I'd love to hear from you! Send me a text message. [https://www.buzzsprout.com/2259959/fan_mail/new] In this episode of Comforting Closure - Conversations with a Death Doula, Traci Arieli sits down with Michael A. Light, Clinical Social Worker at Harborview Medical Center, to talk about what happens when someone is seriously ill and has nowhere to go.  In the United States, many people assume care will be there when it’s needed. But that is not the reality for everyone. For people experiencing homelessness, serious illness often unfolds across the street, shelters, and hospital systems that are not built to support them. Many die decades earlier than the general population.  Michael shares what this looks like in practice. What happens when someone is discharged from the hospital without a home. And why we need to bring care to people, instead of expecting them to come to the system.  The conversation also explores how trust is built after repeated harm, how relationships become the care itself, and what it means to show up for someone in a way that honors their humanity.  Links/Resources  * Harborview Homeless Palliative Care Program – https://www.uwmedicine.org/specialties/palliative-care/homeless-care [https://www.uwmedicine.org/specialties/palliative-care/homeless-care]   * Palliative Care Training Center, University of Washington – https://pctc.uw.edu  [https://pctc.uw.edu] * Host: Traci Arieli – https://www.comfortingclosure.com [https://www.comfortingclosure.com/]     Like, share, and subscribe if you want to keep having conversations like this.

Psychomanteum for Grief: What Really Happens

I'd love to hear from you! Send me a text message. [https://www.buzzsprout.com/2259959/fan_mail/new] In this episode of Comforting Closure - Conversations with a Death Doula, Traci Arieli explores grief, connection, and a little-known practice called the psychomanteum. Joined by Dr. Irene Blinston, researcher, author, and grief practitioner, they talk about what this experience actually looks like, how it is used in grief work, and what people report during and after a session.  This conversation breaks down the structure of a psychomanteum, including the controlled environment, altered state of consciousness, and guided process. Dr. Blinston discusses her research, including measurable reductions in grief symptoms and the importance of preparation, screening, and debriefing.   Key takeaways include:  * What a psychomanteum is and how it works   * What people experience, beyond expectations of “contact”   * Why healing can occur even without seeing or hearing a loved one   * The role of environment, ritual, and altered awareness in grief processing   * Who this work is and is not appropriate for   Whether you approach this topic from a psychological, spiritual, or curious perspective, this episode offers a grounded look at how people process grief and maintain connection after loss. It opens the door to conversations that are often avoided, while keeping safety, ethics, and personal meaning at the center.    Links/Resources  * Dr. Irene Blinston: https://portaltohealinggrief.com [https://portaltohealinggrief.com/]   * Traci Arieli - https://www.comfortingclosure.com [https://www.comfortingclosure.com/]  * Get a free copy of Dr. Blinston’s eBook, “Gazing into the Afterlife" at https://freebook.portaltohealinggrief.com [https://freebook.portaltohealinggrief.com]   Don’t forget to like, share, and subscribe to stay updated with our latest episodes.