Creating Honoring Spaces
The dying process is a profound rite of passage, rich with emotion, transformation, and the potential for healing. As an End-of-Life Doula, Guide, and Consumer Advocate, I work alongside individuals, their loved ones, and hospice teams to create an intentional and meaningful journey. My role is to illuminate what’s possible, offering options many people don’t realize they have, so each person can shape their final chapter in a way that reflects their values and wishes. Grounded in experience and presence, I provide steady companionship and clear, compassionate guidance every step of the way.
Receiving a life-limiting diagnosis can feel overwhelming and isolating, but it does not mean you have to follow a default path. There are choices, including options that allow for greater autonomy over how and when you die. I help you understand these possibilities and navigate them with care, so your ending can be as intentional and gentle as possible. Whether you are planning ahead or facing an immediate need, you do not have to do this alone.
Trina Wacasey, Ph.D., End-of-Life Guide
Healthcare Transition Navigator
End-of-Life Doula &
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When ongoing medical treatment becomes more onerous than the possibility for a cure, you have within your control the ability to discontinue revolving trips to the ER, to discontinue antibiotics that clear up repeated infections, or to discontinue food and water in order to hasten your death and mitigate prolonged suffering, I can help you find resources including a hospice that will support you in that process. And, I can help to bridge any gaps in hospice care because their time on site with each of their clients is limited to a few hours a week.
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I can help you to determine whether or not you are eligible for Medical Aid in Dying (MAID). Even if you live in a state where it is not yet legal, there are states that offer MAID support for non-residents who are eligible who are able to travel to one of those states.
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If you are not eligible for MAID, I can explain and guide you through the process of terminal fasting to mitigate prolonged suffering. This process is called Voluntarily Stopping Eating and Drinking (VSED). Unlike MAID, VSED is legal in all 50 states and can be a relatively easy way to slip away (usually within 8-14 days) when it is implemented with care and support. I’ve guided families through both paths and can help you determine if either will work for you.
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If the previous options don’t feel like the right fit, there are additional — though lesser known — voluntary assisted dying (VAD) pathways to consider. Several organizations in Switzerland provide services to qualified non-residents from around the world. While costs and eligibility requirements vary, for some individuals this can offer a meaningful alternative. In the U.S., groups like the Final Exit Network offer education and support around certain legal end-of-life options. Internationally, organizations such as Exit International provide information on a range of choices that may be available depending on location and circumstances. I am a member of both organizations and I'm familiar with their offerings and can help you explore whether these resources would work for you.
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After death, families have more choice than they may realize. I offer support for Family Involved Death Care, helping you care for your loved one’s body at home, either independently or with professional guidance. You are not required to use a funeral home, though I can help you find one that is open to this honoring model of care.
Supporting individuals and families through complex end-of-life decisions with clarity, compassion, and respect for personal choice.
Lessons from the Field
Most people don’t realize how many gaps exist in end-of-life care until they’re in it.
Families are often left trying to make sense of complex decisions, unclear options, and systems that weren’t designed to support what their loved one truly wants.
Lessons from the Field offers a window into real experiences of navigating end-of-life choices, told with honesty, clarity, and care. Through client stories and reflections from Trina, this space brings to light the nuanced decisions, emotional landscapes, and deeply personal moments that shape the final chapter of life.
These stories are not only informative, but grounding—illustrating what it can look like to move through dying with support, intention, and a sense of agency. They serve as both education and invitation, helping others see what’s possible when thoughtful guidance and compassionate care are present.
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My services are for those who…
Those who seek my services tend to be “out of the box” thinkers who are fiercely independent. They desire the opportunity to create an end-of-life experience on their own terms. They often feel a pull to do things differently and to forge their own path.
Many are quietly asking important questions: What does quality of life mean to me? What feels like too much? What would a more natural path look like? They are open to weighing the benefits and burdens of medical treatment and, at times, considering what it might mean to allow things to unfold with less intervention.
This isn’t about rejecting care—it’s about making intentional, informed choices. My clients value having space to think, ask questions, and create a plan that feels grounded, supported, and right for them.
If this resonates with you, please reach out to discuss your options with me.
Phone/Text: 737-316-6412