During the dying process, an end-of-life doula helps individuals who are approaching death and their loved ones with their transition. A doula may become involved after a terminal diagnosis, or at a later date when the person declines significantly. This could be at a point where the person's body is beginning to break down, or even after a death to support loved ones through the grief process. The doula provides a wide range of informational, emotional, spiritual, and physical support for everyone involved.

Doulas listen deeply to their concerns, fears, hopes, and life stories providing support and peace for dying individuals and their loved ones. Doulas facilitate a dying experience that honors the individual's life enabling them to live with a sense of purpose until the end.