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The Library/Long-Form/The Old WaysSeptember 1, 2026

The Library · Long-Form · 3 min read

Pull Up a Chair: How to Sit Vigil With Someone Who Is Dying

We've forgotten how to sit with the dying. A death doula on what a vigil actually asks of you, and how to hold space for someone in their final days.

By Elayne Sallemi · September 1, 2026

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Take a second and settle in. Unclench your jaw. Drop your shoulders. Take one slow breath in, and let it out.

We need to talk about something most people want to run from: we have forgotten how to sit with the dying.

We Forgot How to Sit With the Dying

Not that long ago, in the grand scheme of human history, death was an intimate, familiar presence. It happened in our homes. The parlor wasn't just for entertaining; it was where we laid our loved ones out, washed them, mourned them, and sat with them. Death was a communal, natural transition, not an event that happened somewhere else, to strangers, out of view.

Somewhere along the way, we sanitized it. We moved death out of the living room and into the hospital, and turned a natural completion into a failure to be fought at all costs. I've stood in enough brightly lit, chaotic rooms to know what that looks like: the focus shifts to protocols and monitors and extending time, often at the direct expense of peace.

Then, when medicine can do no more, the commercial system steps in. We outsource the end to industries and expensive packages because, honestly, we're terrified — of the silence, of our own grief, of sitting beside someone who is actively dying and facing our own absolute lack of control. So we let a sterile environment and a stack of professionals do the heavy lifting instead.

In all that rushing to sanitize the experience, we lose the one question that actually matters: what about the person who is leaving?

What a Vigil Actually Asks of You

Someone taking their final steps is doing some of the hardest work a human body will ever do. In that vulnerability, they don't need a sterile environment or the unchecked anxieties of the people around them. They need an anchor. They need someone willing to hold the space they're too tired to hold for themselves.

A death vigil, at its core, is exactly that: staying. Not fixing, not managing, not filling the silence — staying.

How to Hold a Vigil for Someone Who Is Dying

There's no single script for this, but there is a shape to it. If you're sitting vigil for someone, at home or in a hospital room, here is where to start.

  • Advocate fiercely for what they want. Advocacy doesn't stop just because someone is nearing the end — that's when their agency matters most. If they want to be home in their own bed, move mountains to get them there. If they want their dog curled at their feet or the window open for the autumn air, make it happen.
  • Build the environment around their wishes, not the room's habits. Favorite music playing softly. Familiar objects nearby. Light the way they'd want it. A hospital room and a family kitchen can hold the same vigil if you shape it around the person instead of the furniture.
  • Let silence be enough. You don't need the right words. Most of the time, the room isn't asking you to say something — it's asking you to stay.
  • Hold their hand and give permission. Sometimes the most important thing you can do is sit in the quiet and let them know, gently, that it's all right to let go.
You were never weird for feeling this. You were just early.

What to Say When You Don't Know What to Say

You mostly don't need to say anything. If you're reaching for words, simple and true beats profound: I'm here. You're not alone. I love you. It's okay to go. The silence in between is not a gap you have to fill — it's part of the vigil.

You Don't Have to Do This Alone

It is an immense, heavy privilege to walk beside someone to the door of completion. Yes, it will ask a lot of you. Yes, it is heartbreaking. It is also breathtakingly beautiful. Strip away the clinical detachment, the beeping machines, and the commercialized fear, and what's left is the most profoundly human act there is: making sure someone's final moments are wrapped in dignity, familiarity, and love.

This is one piece of a wider inheritance — see the full guide to nature-based and ancestral death care for green burial, deathbed herbalism, ancestor rites, and more.

If you're facing this and don't want to sit with it alone, that's exactly the work death doulas do. Read more about how I work with families, or if you're a caregiver or practitioner who wants to build this into your own practice, I teach a live course on holding space like this, rooted in nature-based and ancestral death care.

Otherside Life · The LibraryEnd

From this series

The Old Ways: Nature-Based & Ancestral Death Care

For nearly all of human history, death was tended by hand: by family, by ritual, by the earth itself. Somewhere in the last few generations we handed that over to institutions, and lost the thread of how to do it ourselves. Six pieces on the nature-based and ancestral death care most of us were never taught: holding a vigil, green burial, deathbed herbalism, Italian folk ancestor rites, bringing it into practice, and a conversation on what a green witch actually knows.

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Elayne Sallemi

Elayne Sallemi

Death Doula & Grief Companion

Elayne Sallemi is a death doula and grief companion who spent years working as an EMT and paramedic in New York City before moving her practice to end-of-life care. She clinically died at age ten and has since survived cancer, a plane accident, and physical assault - experience she brings directly into the room with dying people and the families around them. Her work draws on trauma-informed crisis training, a background in HR mediation for resolving family conflict during a death, and her practice as a green witch rooted in the pagan and Italian Strega traditions she was raised in, which she now teaches through nature-based ritual, green burial guidance, and ancestor work. She teaches a seasonal course on green witchcraft and nature-based death care, and writes for Otherside Life on vigil-holding, green burial, deathbed herbalism, and Italian folk death rites.

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