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One way end-of-life doula work can begin End-of-life doula work is not uniform, and there is no single way it must be practiced. Some doulas focus primarily on presence near death, others on practical planning, family support, ritual, or caregiving education. Life assessment is not included in every approach. What follows describes one way end-of-life support can begin: by pausing to understand where a person is now, before looking backward or ahead. This approach centers the