How Strangers Offer Solace to Patients Facing Death Alone

A unique volunteer programme ensures that patients in their final moments do not face them alone. Called No One Dies Alone, it pairs compassionate individuals with those nearing the end of life when family or friends cannot be present. One such volunteer, Tammy Skubal, finds deep meaning in sitting with patients, holding their hand, and honouring their last hours.

The idea began with Sandra Clarke, who started the initiative after a patient asked her to stay—and later passed away without anyone by their side.

Sandra Clarke created the programme following a moving experience. A patient, with no loved ones nearby, had pleaded for her to remain at their side. When the patient died alone shortly after, Clarke decided to take action. She developed No One Dies Alone to prevent others from facing the same fate.

Volunteers like Tammy Skubal now offer companionship during these final moments. Skubal describes the role as a privilege, providing comfort by simply being there—holding a hand, speaking softly, or sitting quietly. The programme also trains volunteers to recognise signs of approaching death, ensuring patients remain as comfortable as possible.

While No One Dies Alone operates in places like Hillcrest Hospice and PeaceHealth's Oregon Home and Community Hospice, its reach extends beyond these locations. The core mission remains unchanged: to fill the silence and loneliness that can surround death when no one else is there.

The programme continues to grow, offering both patients and volunteers a sense of peace. Those who participate often speak of the quiet but profound impact of their presence. For patients with no family nearby, it means one less fear in their final hours—that of dying alone.