Image of a forest in partial silhouette with misty light

AGING,

Death

& dying

support

Adults with Aging Parents - Aging in Place - Medical System Navigation - End of Life Planning & Paperwork - Direct Support to the Dying - Home Vigils - Grief Support - Rights for the Body - Alternative Funerals - Celebrations of Life

  • We have learned that death is inherently a time of transformation and emotional richness. We have over thirty years of combined experience in medicine, palliative care, and hospice. We provide practical, systems-informed, and emotionally intelligent support for you and your loved ones.

before

Supporting YOU to have whatever experience you need and want to have.

Medical decision making
When to stop seeking curative care
When to consider hospice
What to ask your medical team (we are also available to accompany you to appointments as your advocate)
Assessing care needs and symptom management, including alternative therapies (ketamine, cannabis, plant medicines, nutritional support, breath work, reiki)
Formulating a death plan:
where, how, with whom, and post-death planning
Advanced care paperwork
Legacy work

during

The body knows how to die. The task of dying is allowing the process to occur.

Symptom management recommendations
Support for family and close community/caregiver support
Guidance about the death process
Supporting family to perform direct care of the dying person
Helping to create sacred space for dying to occur
Supporting the body's natural process of dying (creating dying space that honors one's values and beliefs)
Support to explore opportunities for transformation and catalyst for growth

after

Allowing for a meaningful goodbye on your own timeline.

Wash and prepare the body
Home vigil support
Guidance on local laws
Funeral planning
Alternative memorials and funerals:
aquamation, composting, green funerals, accommodating funeral homes
Grief support

  • Catherine Birdsall

    Catherine Birdsall RN, CRNP graduated from University of Pennsylvania with her NP and has expertise in geriatric medicine, hospice/palliative, long term care, and herbal medicine. She lives in Philadelphia with her husband, their hilarious eight-year-old daughter, and two cats in The Maas Building, a vibrant arts and music space they created out of a dilapidated factory building.

    catherinebirdsall@thresholdcollective.org

  • Rebecca Maury

    Rebecca Maury, MD, FACP is board certified in Internal Medicine and Hospice/Palliative Medicine. She is the founder of Herbal Care Rx, mom to one wonderful son, and lives near the Wissahickon wilderness, where she loves hiking with her dog, Elsie.

    rebeccamaury@thresholdcollective.org