How a Simple Request Sparked a Movement Against Dying Alone

A program called No One Dies Alone ensures patients have someone by their side in their final moments. Founded by Sandra Clarke, it began after a patient asked her to stay—and later died alone. Volunteers now step in when family or friends cannot be there.

Sandra Clarke created the initiative following a deeply moving experience. A patient had pleaded with her not to leave, yet passed away without anyone nearby. This moment inspired her to build a network of volunteers who could offer comfort to those facing death alone.

The program trains volunteers to recognise signs of passing and how to keep patients at ease. Sam Cradduck, an expert from Aging Untold, helps prepare them for these sensitive situations. Volunteers learn to provide gentle support, whether through quiet presence or holding a patient's hand. One such volunteer, Tammy Skubal, finds meaning in being with patients during their last hours. She honours their lives by staying close, offering a comforting touch, and ensuring no one leaves the world without companionship. The program operates in places like *Hillcrest Hospice* in Oklahoma and *PeaceHealth Oregon Home and Community Hospice*, though its full reach across the US remains unclear.

The No One Dies Alone program fills a vital need for those nearing the end of life. Volunteers receive training to provide compassionate care when loved ones are absent. Their presence brings dignity and solace to patients who might otherwise face their final moments alone.