Ensuring that no one dies alone

By Deacon Cliff Donnelly

Several times each month, a “No One Dies Alone” (NODA) alert reaches approximately 35 compassionate volunteers across the Pikes Peak region. Typically initiated by a perceptive nurse who recognizes that a patient will soon die without family or friends present, the alert prompts contact with the hospital chaplain and sets in motion a coordinated vigil. Led by a NODA coordinator, this vigil attempts a continuous volunteer presence, offering a caring human connection as a life transitions.

Catholic understanding views death not merely as a biological event, but as a significant spiritual passage, a transition from earthly life to eternal life with God. Just as individuals are accompanied through other important sacraments and life events, those nearing death have a profound need for care and compassion. The NODA ministry recognizes this spiritual dimension, providing a supportive presence that can foster peace and a sense of connection in a time of profound vulnerability. By ensuring no one dies alone, the program acknowledges the sacredness of this final journey and offers a tangible expression of hope in the resurrection and the promise of eternal life.

Moreover, at the heart of Catholic theology lies the profound truth that every human being is created “Imago Dei” — in the image and likeness of God (Gn 1:27). This fundamental principle imbues each individual with an inherent dignity and worth that transcends their physical condition, social standing, or stage of life. Even in the vulnerability of approaching death, this divine spark remains undimmed. To allow someone to face this ultimate transition in utter solitude risks overlooking this intrinsic dignity, potentially leaving them feeling abandoned and devoid of the human connection that mirrors God’s own relational nature. The NODA ministry, therefore, stands as a tangible manifestation of belief in this sacred truth, a commitment to honoring the God-given dignity of each person by ensuring they are not alone in their final hours.

The guiding principle of the “No One Dies Alone” ministry is deeply rooted in respect for the individual and their inherent autonomy, particularly as they approach the end of life. While the mission centers on offering compassionate presence to those at risk of dying in solitude, NODA steadfastly honors the wishes of any patient who explicitly desires to be alone. The aim of NODA is to be a silent, comforting presence for those who would otherwise face death without any human connection, never to impose presence where it is not welcomed.

NODA serves all individuals while recognizing the diverse tapestry of faith backgrounds and spiritual beliefs held by the patients it serves, whether Buddhist, Jewish, Muslim, or any other tradition. Volunteers undergo training to offer a purely compassionate and supportive presence, entirely free from any agenda to convert, evangelize, or perform religious rites such as baptism. The program offers comfort and companionship, respecting the sacred and personal nature of each individual’s journey, both in life and in death.

To receive the support of a NODA volunteer, specific criteria must typically be met. Firstly, a Do Not Resuscitate (DNR) order must be in place, indicating the patient’s decision against life-sustaining measures in case of cardiac or respiratory arrest. This ensures the volunteer’s focus is on comfort and emotional support, not medical intervention. Secondly, a medical assessment estimating the number of hours to live is generally required, prioritizing cases with the most immediate need for end-of-life companionship. Finally, the care plan must emphasize comfort care, prioritizing pain management and symptom relief for a peaceful and dignified final period. These requirements help ensure NODA volunteers provide the most appropriate and supportive presence during a patient’s final hours.

The ministry’s capacity is limited by the availability of volunteers during the early morning hours of 1-5 a.m. These quiet hours can be particularly poignant for those dying alone.

To foster community, offer support, and continue their education, gatherings are held a few times each year to honor and pray for the individuals who have passed away under their care. These gatherings serve as a vital reminder of the sacred trust placed in the volunteers and an opportunity to strengthen their ability to serve.

Consider the call to become a “No One Dies Alone” volunteer and be, as the late Pope Francis urged, “a tangible sign of hope” for those facing their final moments. This deeply meaningful service requires being an approved volunteer at Penrose-St. Francis Health Services, ensuring a framework of support and training for this vital ministry. If you are interested in joining this ministry, contact Deacon Cliff Donnelly at cdonnelly@diocs.org.