Over the course of at least three 90-minute sessions, we guide individuals and families in exploring and documenting their wishes for care. This offering is for people of any age and at any stage of life or health—not only those facing an immediate medical crisis or end-of-life transition.

Participants receive a 40-page workbook that serves as a practical guide for considering how they might care for a parent or loved one, as well as how they themselves would like to be cared for during a medical crisis, through the end of life, and after death.

This is both a practical and contemplative process, creating space to clarify what matters, begin important conversations, and approach living and dying more consciously.

We support individuals and families through the final phase of life, as care turns toward comfort, presence, and honoring the wishes of the person who is dying.

Working alongside hospice and medical teams, we offer non-medical care to the dying person and their circle of support. Through steady, compassionate presence, we help create an environment of connection, reverence, and rest. We support the communication of the person’s wishes and help loved ones understand and navigate what is unfolding.

When more extensive support is needed, we can help build and oversee caregiving teams, including hiring caregivers, managing schedules, and facilitating communication among family members, caregivers, hospice, and other care providers.

Our spiritual care does not require a particular faith, belief, or practice. We understand it as attending to the whole person and to the questions, relationships, uncertainties, and experiences that may arise around illness, grief, dying, and transition.

Our approach is rooted in the arts of companionship: listening deeply, remaining curious, and making room for what is present without needing to explain, fix, or resolve it. Depending on the person, this may include conversation, silence, ritual, contemplative practice, dreamwork, life review, or simply being present with what is unfolding.

We work one-on-one with the person who is transitioning and offer individual sessions for family members and caregivers. These sessions provide support through anticipatory and acute grief, as well as the emotional and practical complexities of caring for a loved one.

As death approaches, we can help coordinate after-death plans with funeral homes, cemeteries, and other providers. When desired, we can also connect families with clergy, spiritual leaders, or ceremonialists. We help bring the practical, relational, and ceremonial aspects of care into greater alignment with the wishes of the dying person and their family.

Bedside vigil takes place as a person is actively dying. It is a time of attentive, often devotional presence that may last hours, days, or longer. Loved ones may gather, build an altar, sing, pray, meditate, share stories, or simply sit together. We help create a calm and sacred space shaped by the wishes, traditions, and relationships of those gathered.

After death, there is still care to be given. We support families in tending to the body with reverence and calm, honoring cultural, spiritual, and personal practices. This may include gentle washing, anointing, dressing, arranging the body, and creating space for ritual or farewell—all at a pace that feels natural and honors the person who has died.

At the time of death, if we are not present, we may be available by phone to help loved ones determine whom to contact—such as hospice, the person’s medical provider, or the appropriate local authority—and guide them through the immediate next steps.

Once the death has been formally pronounced, we can provide reverent care of the body or support loved ones who wish to participate. We may also remain with the person who has died until the funeral home arrives, offering calm presence, creating meaningful ritual, and helping hold this tender time with care.

As home funeral guides, we educate and support families who wish to participate in caring for their loved one after death. A home funeral can offer time and intimacy for personal farewells, meaningful rituals, and the support of family and community.

We collaborate with families, hospice teams, and licensed funeral directors to help preserve the family’s agency while attending to practical needs and legal requirements. Whether supporting a bedside vigil, guiding after-death care, preparing for a home funeral, or coordinating with funeral professionals, we offer compassionate presence and practical guidance so this tender time may unfold with intention, dignity, and love.

Voluntarily Stopping Eating and Drinking (VSED) is an end-of-life choice in which a person with decision-making capacity intentionally stops eating and drinking to hasten death.

Members of our collective have accompanied individuals and families through VSED, offering non-medical support in preparing for and moving through the process. This may include discussing what to expect, organizing the circle of care, coordinating with hospice and medical providers, offering caregiver respite and bedside presence, supporting meaningful ritual or spiritual practices, and preparing for vigil and after-death care.

We also support individuals and families considering or choosing Medical Aid in Dying (MAID). Our non-medical accompaniment may include planning, family and caregiver support, coordination with hospice and the prescribing medical team, emotional and spiritual care, bedside presence, vigil, and after-death care.

We do not assess eligibility, prescribe medication, or replace hospice or medical care. We work alongside the person’s clinical team while tending to the practical, relational, emotional, and spiritual dimensions of the experience.

We support autonomy and informed choice at the end of life. As Medical Aid in Dying is now available in New York, we are continuing our education and building relationships with organizations and medical providers specializing in aid-in-dying care so that individuals and families in the Hudson Valley can access knowledgeable, compassionate support.

Grief does not always need to be treated or resolved. Sometimes what is most needed is companionship—a place to speak openly, be deeply listened to, and spend time with someone who understands loss and the many ways it can move through our lives.

We offer one-on-one peer grief support grounded in lived experience, deep listening, and the arts of companionship. Sessions may include conversation, silence, reflection, creative or contemplative practices, dreamwork, or simply making space for what is present.

This offering welcomes the many forms of grief that can arise through caregiving, illness, death, and other significant experiences of loss or transition. As part of our end-of-life accompaniment, we also offer individual sessions for family members and caregivers navigating anticipatory or acute grief and the complexities of caring for a loved one.

Peer grief support is not psychotherapy or clinical grief counseling, and we do not diagnose or treat grief. Instead, we offer a relational space in which grief can be witnessed and explored at its own pace. When helpful, we can also connect you with additional therapeutic, spiritual, or community resources.