Compassionate Transitions
Compassionate Transitions
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    • Home
    • End-of-Life Doula
    • Doula Care Consultant
    • Elder Care Doula
    • Death Cafes
    • Contact Us
    • FAQ
    • Reviews & Testamonials
    • Blog
  • Home
  • End-of-Life Doula
  • Doula Care Consultant
  • Elder Care Doula
  • Death Cafes
  • Contact Us
  • FAQ
  • Reviews & Testamonials
  • Blog

Welcome

Life is full of transitions, and some of them can feel overwhelming - but you don't have to face them alone.   Compassionate Transitions is here to guide individuals and families through the aging process, advance care planning, and life's final chapter with compassion, dignity, and respect.


We are a non- medical practice dedicated to supporting the whole person - body, mind, and spirit, through three ares of care:

  • Compassionate End-of-Life Support
  • Planning Ahead for Peace of Mind
  • Elder Care Doula Support


Whatever stage you or your loved one are in, we are here to help you navigate these important transitions with clarity, confidence, and compassion. 


Caring for dying, loved ones

Overview of Services

End-of-Life Doula: When the Time is Near

Doula Care Consultant: Planning Ahead for Peace of Mind

Doula Care Consultant: Planning Ahead for Peace of Mind

Compassionate Support at Life's End

Offering calm, knowledgeable guidance and emotional support for individuals and families as life's final chapter approaches, creating space for comfort, connection, and love.



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Advance directives
Health care proxy
Healthcare POA
Living well plan

Doula Care Consultant: Planning Ahead for Peace of Mind

Doula Care Consultant: Planning Ahead for Peace of Mind

Doula Care Consultant: Planning Ahead for Peace of Mind

Thoughtful Planning for Peace of Mind

Helping you reflect on what matters most and document your wishes through advance directives, medical decision-maker selection, and family conversations - so your loved ones can honor you with confidence and love.


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Elder Care Doula Support

Doula Care Consultant: Planning Ahead for Peace of Mind

Elder Care Doula Support

Restoring respect, dignity, and compassion for our elders by understanding what brings value to each individual.  We build trust and meaningful connections, create personalized aging-in-place and living well plans, and provide advocacy and companionship at medical appointments.

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About Nancy Macke

Nancy Macke
End of Life Doula
Compassionate Transitions

After a career in healthcare, I found my true calling in building meaningful relationships to help people navigate some of life’s most challenging transitions.


I am a Certified End-of-Life Doula, Elder Care Doula, and Doula Care Consultant. I'm also a proud member of the International Doulagivers Membership Association and the National End-of-Life Doula Association. I currently serve as a hospice volunteer doula and was honored to be the 2024 recipient of the Donna West Memorial Award (North Region).


I am devoted to guiding individuals and families through life’s most tender transitions. With compassion and deep listening, I support those facing life-limiting illness in finding peace, closure, and dignity. I also help with Advance Care Planning to ensure your wishes are known, respected, and honored.


It would be my privilege to walk alongside you and your loved ones during life’s most meaningful moments.

Schedule a Free Consultation

Certifications & Professional Membership Associations

NEDA Proficiency Badge

Upcoming Events & Planning Support

Ensuring a Good End-of-Life: The Role of an End-of-Life Doula

Navigating End-of-Life Decisions: Legal, Medical & Emotional Perspectives

Navigating End-of-Life Decisions: Legal, Medical & Emotional Perspectives

Part of Cincinnati Senior Connections Foundation 4-Week Series

OLLI | Adeth Israel Campus

  As part of Cincinnati Senior Connections Foundation’s educational series, this session, Ensuring a Good End of Life introduces the role of an end-of-life doula and how doulas work alongside hospice to ensure care that reflects each person’s values and wishes.


The class also includes Senior Living 101, presented by Angie Cotteral, which offers practical guidance on evaluating and choosing senior living options.


Together, these sessions invite reflection and understanding—helping individuals and families prepare for life’s later chapters with clarity, dignity, and peace of mind.


Mondays 10/20/2025 - 11/10/2025 

11:00am-12:15pm


Register Now

Navigating End-of-Life Decisions: Legal, Medical & Emotional Perspectives

Navigating End-of-Life Decisions: Legal, Medical & Emotional Perspectives

Navigating End-of-Life Decisions: Legal, Medical & Emotional Perspectives

Planning is underway for this 4-week OLLI course

  This thoughtful and practical multiweek course provides essential knowledge and tools for making informed decisions about end-of-life care while addressing the emotional landscape of loss. Through expert-led sessions, participants will gain clarity on critical legal documents, understand their healthcare options, and learn healthy approaches to grief.


Check back soon for dates and registration details

Join us for a Death Cafe

Join us for a Death Cafe

Join us for a Death Cafe


We don’t have any Death Café gatherings scheduled at this time — but more are on the way!
Check back soon for upcoming dates, or join our mailing list to be the first to know when new conversations are planned.


Quality of Life Planning

Join us for a Death Cafe

Join us for a Death Cafe

Prepare for the Future with Confidence

This guided session helps you navigate essential end-of-life decisions with clarity and ease.  Over two 90-minutes sessions, you'll receive expert support in answering the top three questions about your quality of life and medical preferences.  

Take control of you future today!


I want to take control
Find Other Events & WorkshopsSign Up for Our Mailing List

Valuable Resources

Helpful Links - Death, Dying & Grieving (pdf)

Download

Copyright © 2024 Compassionate Transitions - All Rights Reserved.

 Disclaimer: Compassionate Transitions is an educational consulting organization and is in no way considered a funeral establishment. Any contributions received by Compassionate Transitions are for requested consulting services and private or public education.


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