HOLISTIC CARE YOU CAN TRUST

We are honored to walk alongside individuals and their loved ones during life’s final chapter. As end-of-life specialists, we offer non-medical, non-judgmental support to those planning for death.


We bring comfort, clarity, and compassionate presence—opening space for meaningful conversations and helping ensure the wishes and dignity of the dying are honored. Presence will collaborate with your existing support system and help bridge any gaps in care.

Hi, I’m Kristy and it’s an honor to have you here! I’m an end-of-life doula dedicated to offering comfort, dignity, and presence to individuals and families as they navigate the final chapter of life. With 30+ years of both professional and personal experience in caregiving, I understand the value in community and the importance of sharing the load by walking alongside those experiencing major life transitions. 

End-of-life care is a passion of mine and especially led me to become an End-of-Life Doula as I saw the need first-hand, when providing care for my Father and Father-in-Law as they each took their last breath. It is a raw time and I believe every family should be well supported and cared for.   

Before stepping into this role, I worked as a Certified Nursing Assistant in a retirement home, as well as, provided care to the Elderly in their homes. Additionally I have been a Pastor’s wife and led various ministries that provided care to those in the Community. I’ve always had a natural sensitivity to the needs of others, and it is my goal to respond with compassion, calm, and practical support.

As part of my holistic approach, I incorporate the use of essential oils to help create a peaceful and soothing environment to those who welcome it. Whether it’s easing anxiety, promoting rest, or offering comfort through scent, aromatherapy can be a powerful companion in end-of-life care. 

On a personal note, I have been married for 32 years to my husband Jeff. We have lived in Mount Joy for the last 30 years where we raised our two sons. Both of which are married and we’re delighted to have had girls join the family! I love practicing hospitality, gardening, decorating, antiquing and creating spaces that reflect order & peace and a sense of respite from the stressors of life.

My Doula work is more than a job, it’s a calling. I feel honored to walk alongside individuals and families during this sacred time, holding space with heartfelt presence and care.

"I value community and understand the importance of sharing the load by walking alongside those experiencing major life transitions."

I am a certified End of LIfe Doula with 25 years of experience as a Registered nurse, the majority of those in hospice nursing. As a hospice nurse I cared for those with terminal illness as they moved from the goal to be healed to the place of decision to continue to live life as fully as possible despite a terminal diagnosis.

I have provided a calming presence—holding space for emotional, spiritual, and practical needs for countless patients as they took their last breath. These experiences as well as being a helpful presence at the death of my own parents and loved ones has made me aware of how much death is unknown and feared and how uncomfortable and unwilling many are to talk about it. I desire to bring loved ones together in death rather than be isolated and alone.  

For me there is nothing more sacred than engaging with the terminally ill and empowering those they love to care for them. It is my calling and privilege to walk alongside you in this tender time—so you are not alone, and your story is held with gentleness, respect, and honor..

I am wife to Chuck, mother of four adult sons, and grandmother to seven. I have lived in the Lancaster, Pennsylvania area for 25 years. As a follower of Christ, my work is grounded in compassion, humility, and reverence for each person’s journey—regardless of faith or background.

"I desire to bring loved ones together in death rather than be isolated and alone. "

Presence was born from a conversation between two friends who discovered a shared calling: to walk alongside individuals and families at the end of life. United by experience and faith, we felt called to offer something meaningful and unique—trusting that with God's help, we could be a source of comfort and peace during life’s most sacred transition.

We offer our presence while relying on The Presence to guide us with wisdom and love.

ABOUT PRESENCE

OUR VALUES

Presence

Dignity

Timely Support

Honesty

Integrity

Confidentiality

We offer steady, compassionate presence for individuals and families during life’s most vulnerable moments. Being fully present—emotionally, spiritually, and physically—is at the heart of everything we do.

We honor the wishes, beliefs, and values of the dying with deep respect and without judgment. Every person deserves to be seen, heard, and supported in a way that upholds their dignity and autonomy.

We understand that time is precious. Prompt, responsive visits ensure that needs are met with attentiveness and care, especially when moments matter most.

We communicate openly and truthfully, providing clear, compassionate guidance throughout the dying process.

We serve with consistency, reliability, and a strong ethical foundation—always doing what is right, even when it’s not easy.

We deeply respect your privacy. All personal, medical, and emotional information is held in strict confidence, ensuring a safe and trusted space for you and your loved ones.

LIFE AFFIRMING

Grounded in Christian faith, we believe that life is a gift from God and that each moment—from birth to natural death—holds purpose and meaning.  Therefore, we do not support or participate in the hastening of death.

ABOUT KRISTY

ABOUT TWILA

Subheading

FAQ'S

OUR SERVICES

All services are available in person, by phone or virtually.

This service is designed for individuals who want to thoughtfully plan and prepare for the end of life—whether for themselves or a loved one. It provides the space and support needed to explore what matters most and make informed, compassionate decisions.

  • Honest, guided conversations with you and your loved ones.

  • Assistance with advance directives and care planning.

  • Life review and legacy reflection

  • Evaluation of caregiver capacity and support needs.

  • Vigil planning for the final days.

Optional ongoing check-ins and consultation as end of life approaches.

This service is for individuals with a terminal diagnosis who are entering their final days. Our focus is to provide calm, steady support—ensuring no one dies alone and that the environment reflects the wishes, comfort, and dignity of the dying.

  • Bedside presence and companionship during the final days.

  • Phone/text access to your doula for ongoing support.

  • Assistance with completing or reviewing advance directives.

  • “Nesting” – intentional preparation of the space for comfort, peace, and meaning

  • Evaluation of caregiver capacity and additional support needs.

  • Life review and legacy reflection.

  • Use of aromatherapy. (optional)

  • Development and implementation of a personalized vigil plan.

Initial Consultation: $250

 This includes a 90-minute session focused on understanding your unique situation, identifying needs, and offering personalized recommendations.

 Ongoing services are available at an hourly rate of $65.

Initial Consultation: $250

 This includes a 90-minute session focused on understanding your unique situation, identifying needs, and offering personalized recommendations.

 Ongoing services are available at an hourly rate of $65.

We offer a one-time closure session following the death of a loved one to check in with the primary caregiver and supporting persons. This one-hour session provides a space to process the experience, reflect on the dying process, and explore the emotions that arise with grief. Our goal is to hold space with compassion and presence as you take steps toward healing.

Fee for closure session: $100

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$500

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$800

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$1100

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to explore your needs and see if we’re the right fit to support you through this tender time.

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