
I have written before about my experience with hospice care when my mom was in her last days. It was a tremendously moving time for me, and I wouldn’t have missed it for anything. I basically moved into her room for 6 days, and we got to spend every one of those days together. I will never forget how precious to me that time was, but apparently, not everyone has a family member with the time and the bandwidth to be with them to the last. Today, I’m writing about an incredible group of people who have dedicated themselves to making sure no one in hospice dies alone.
In 1986, Oregon nurse Sandra Clarke had a patient ask her to stay with him. She was busy, so she had to put him off a bit. But when she went back to check on him, the man had died. Her inability to satisfy such a simple, human request eventually led her to help found the No One Dies Alone Foundation (NODA) in 2001. She and others in the healthcare industry noticed that many of their patients in hospice care were passing without family and friends around them, so the organization uses volunteers (called compassionate companions) to stay with these lonely souls so they don’t have to feel alone.
The NODA program now operates in hospitals from all across the country and in a few other countries as well. Sandra Clarke wrote a No One Dies Alone manual and has distributed it to hundreds of hospitals, hospices, and AIDS end-of-life facilities across the globe.
NODA partners with local hospice and palliative care organizations. The hospice workers assess each patient’s needs, and let NODA know when there is a gap to be filled.
There is no centralized website for the volunteer organizations the espouse the NODA mission, but a Google search of (in quotation marks) “No one dies alone” and your city or state should turn up your local chapter. And you can read the Johns Hopkins University version of the manual here.

January 23, 2024 at 6:47 am
What a lovely idea… ❤
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January 23, 2024 at 9:58 am
Absolutely
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January 23, 2024 at 12:25 pm
It truly is! And I love that she deliberately did NOT monetize it. Good for her!
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January 23, 2024 at 7:34 am
Wonderful! I have read about “death doulas” but it’s great that volunteers have stepped up.
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January 23, 2024 at 12:26 pm
Agreed. I hadn’t heard of death doulas, but I guess it makes sense.
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January 23, 2024 at 11:55 am
A noble decision that bore fruit. A touching post.
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January 23, 2024 at 12:27 pm
I am constantly heartened by the kindness that people put out into the world. And we could all use a little kindness.
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January 23, 2024 at 12:08 pm
There are caring people every where we just need them to come out in the open.
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January 28, 2024 at 2:09 pm
I agree. The problem isn’t that there’s a lack of caring people. The problem is that they’re not the attention-seekers, so we don’t hear as much from them.
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January 23, 2024 at 2:07 pm
What a wonderful idea.
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January 28, 2024 at 2:06 pm
It’s a shame it’s necessary, but I get it. Not everyone has the freedom to take off like I did.
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January 23, 2024 at 3:09 pm
What a beautiful idea. Thank you. I visited my Dad every day in hospital before he died, but I was not there when he died. He was in hospital and there was no option to stay there 24/7.
Dad was not conscious for the last two days of his life, but I kept on talking to him and reading to him in the hope that something got through. I wish I could have been there at the end. 😦
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January 25, 2024 at 10:31 am
The place where my mother was was attached to the retirement community in which they lived, so we had a lot more leeway. It must have been so sad hearing he’d passed without you, but I’m sure he felt you there those last few days.
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January 25, 2024 at 7:45 pm
Dad was in the hospital for six weeks, gradually deteriorating. By the time the doctors said there was nothing they could do, it was too late to move him to hospice. They just moved him to a private room and did all they could to make him comfortable. Two days later he passed away in the early morning. I was asleep when I got the call.
You and your mother were fortunate to have that time together. -hugs-
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January 26, 2024 at 10:27 am
We really were. Hugs back at you!
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January 23, 2024 at 3:14 pm
What a beautiful thing to establish and what wonderfully compassionate people the volunteers are.
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January 25, 2024 at 10:32 am
I think it’s just the loveliest idea. I’m halfway ready to quit my job and go volunteer now, even though I know it will wreck me.
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