Supporting Families Through the Emotional and Practical Realities of Aging, Serious Illness, and End-of-Life
A partner for home care agencies supporting families from the early days of care through the final ones.
Most families navigating aging and changing health are carrying more than daily care alone can hold. The hard conversations go unspoken. Emotional overwhelm builds quietly. Plans and wishes often remain unexplored until a crisis forces them forward.
Your team sees this every day. What I offer is the time, presence, and specialized knowledge to address it before it becomes urgent.
I provide end-of-life guidance and companionship alongside home care teams, ideally from the early days of care, long before hospice or a terminal diagnosis enters the picture. And when decline deepens, I continue.
I offer families something most systems cannot: time, presence, and specialized knowledge for the conversations that matter most.
You Might Recognize These Moments
The Medical Crossroads “The doctor gave us a lot of options and we don’t really know what questions to ask.”
The Caregiver Who Can’t Stop “I feel terrible saying this, but sometimes I just want it to be over.”
Nothing Written Down “She always said she didn’t want to be kept alive by machines, but we never wrote anything down.”
The Patient Is Ready, The Family Isn’t “Promise me you won’t let them put me back in the hospital.”
Wondering About Medical Aid in Dying “He said he’s not afraid of dying, just of losing control of how.”
Sitting Vigil “We don’t know if we’re doing this right.”
These conversations happen in your clients' homes every day. Your team witnesses them, holds them, and often doesn't know where to turn. That's exactly what I'm here for. Now there’s someone you can call.
What I Offer Your Families
❋ Honest Presence & CompanionshipSteady emotional support for people navigating aging, illness, anticipatory grief, loss of independence, and end-of-life realities. Space for the conversations, fears, reflections, and truths that often go unspoken elsewhere.
❋ Caregiver SupportRegular support for the spouse, partner, or adult child who is carrying too much for too long. Space to name what they’re holding, normalize anticipatory grief, and receive care too. Tending to the tender.
❋ Planning AheadAdvance care planning grounded in your values. Education around end-of-life options including hospice and MAID. Vigil, funeral, and body disposition planning before crisis forces decisions.
❋ Life Review & Legacy WorkHelping clients reflect on what their life has meant, tell the stories that matter, and leave something tangible behind for the people they love like letters, recordings, ethical wills, memory projects, or simply the chance to be deeply witnessed.
❋ Vigil & End-of-Life SupportHelping families understand what to expect as the body approaches death. Coaching loved ones in how to remain present. Grounded companionship so no one moves through that threshold alone.
❋ I StayI come in early and I stay through whatever comes. There is no moment too soon or too late to reach out. The relationship itself has value, wherever it begins and however long it lasts.
Why this Matters for Your Organization
Families often need emotional, relational, and existential support that falls outside the scope of daily care visits especially during periods of transition, decline, uncertainty, and anticipatory grief.
Partnering with an end-of-life guide allows your team to offer families additional support without adding further pressure to caregivers already carrying so much.
Together, we help clients feel more fully seen, supported, and accompanied through the whole experience of aging and dying, not only the practical logistics of care.
How Referrals Work
You Share My Information | When a client or family could benefit from additional emotional or end-of-life support, you offer them my information as a trusted resource.
We Begin with a Complimentary Call | I connect directly with the family to learn more about what support may be helpful.
Support Continues Alongside Your Team | If it feels like a fit, I provide ongoing companionship and guidance while remaining collaborative with your care team and existing services.
I am Jessica Tomforde, founder of blue jae. I am a trained end-of-life guide and death doula with experience supporting individuals and families through aging, serious illness, active dying, and grief.
My background includes a year-long death doula residency at BeLoved Hospice in Oregon, where I worked directly with patients and families through the final chapter of life and helped develop BeLoved’s integrated doula program. I volunteer with End of Life Care Oregon, supporting families navigating the Oregon Death with Dignity Act, and have trained extensively in advance care planning, anticipatory grief, vigil support, and end-of-life options education.
I am not a medical provider, therapist, or chaplain. I am a knowledgeable companion who brings time, steadiness, and presence. I help families slow things down, understand what's happening, and feel less alone within it.
Read more About Jessica →