Compassionate End-of-Life Planning & Family Guidance
Supporting individuals and families in San Diego and beyond with advanced care planning, legacy work, and end-of-life support.
I work with people all over the world to focus on the loving connections that are the underpinning of our relationships. Whether your loved one has two legs or four, I can help navigate the dying process for all concerned.
Client Testimonials
Hello, I am Roseana, and I have terminal cancer. After throwing chemo and radiation at it for a year, the treatments are making me feel sicker and sicker to the point I couldn’t do it anymore. Besides, the cancer I have isn’t curable anyway. A couple of months ago, a friend put me in touch with Melissa, who has been with me for every step since. I am being honest when I say that I really don’t know how I can consider dying in peace without her presence, as there are SO many things to consider when one knows they are dying soon. I’ve come to know Melissa as a family member of mine. She’s been there for me when my biological family couldn’t. Melissa knows “her stuff” and has guided me in the best direction for my personal choices. I feel confident going forward with my death plan. You can say that I trust Melissa with not only what remains of my life, but just as important, my death. I trust her to be there for my family after I’m gone. Simply put, I love Melissa as a sister.
-Roseana (Written July 2025. Roseana died August 31, 2025. You can read about her journey here.)
I can’t thank Mel enough for the gift she gave me in being able to have that last beautiful experience with my aunt. I will never forget the connection and deep love I felt being able to share memories and feelings with her. I’m incredibly grateful to Mel for giving me peace and acceptance of my aunt’s journey to the other side.
-Joyce
I would like to express my deepest gratitude to Mel’s expertise, compassion, and dedication to ensuring a peaceful and dignified transition of my loved ones. Mel has left an indelible mark on my heart. I recommend Mel to anyone seeking support during the dying process.
-Julie
I'm Mel, your advocate for compassionate care at the end-of-life.
As your death doula, I work with you to give you and your loved ones the death, memorial, and legacy that best reflects acts of loving connection.
I also help families who are experiencing an “unexpected death” navigate their choices of body disposition, memorial planning, and lasting legacies of love.
Upcoming Events
O.C. Virtual Death Cafe
First Tuesday of every month
4:30 – 6 p.m. (Pacific Time)
RSVP: melissa@lastactsoflove.com for zoom link
Virtual Terminal Talk
Twice Monthly | Second Wednesday of every month plus one flexible date
October 14 and 26, November 11 and 23, December 9 and 28
11:30 a.m. – 1 p.m. (Pacific Time)
RSVP: melissa@lastactsoflove.com for Zoom link
San Diego Virtual Death Cafe
Fourth Wednesday of every month | October 28, November 25, December 23
6:30 – 8 p.m. (Pacific Time)
Join me for my original Death Cafe, started in June 2020, and held every month since.
RSVP: melissa@lastactsoflove.com for Zoom link
Solana Beach Death Cafe
Wednesday, October 28
1-2:30 PM
Join me for a light lunch and deep conversation every other month in Solana Beach, CA. The venue is private, so RSVP to melissa@lastactsoflove.com to reserve your seat.
San Diego Coalition for Compassionate Care (SDCCC) 8th Annual Palliative Care Professional Conference
Friday, November 6, 8 AM- 3 PM
Join us for this one-day event on the campus of CSU San Marcos. Our keynote speaker is Nathan Kottkamp, the founder of “National Healthcare Decisions Day.” This is an intimate space with a limited number of tickets available. Use the link below to reserve your seat now. RSVP: https://www.eventbrite.com/e/planning-for-future-care-promises-and-predicaments-tickets-2001093991998?aff=oddtdtcreator
CEUs and CMUs are available.
What Happens At The End Of Life? A Death Doula Explains
Friday, November 13, 1-2:30 PM
Join me for a 90-minute lecture and discussion that focuses on the physical and emotional changes that are a natural part of dying and death. RSVP:https://san-diego.oasiseverywhere.org/product/what-happens-at-the-end-of-life-a-death-doula-explains/
"We all have to find our own ways to say goodbye."
- Sherman Alexie
Featured Articles
People Exclusive - Three part Series
This Calif. Woman Is Dying of Pancreatic Cancer: ‘Why I’m Choosing to End My Life in 2 Days’
Roseana Spangler-Sims, 72, will use California’s medical aid in dying (MAID) law to end her life on Sunday. She’s sharing her story to raise awareness about the option.
Calif. Woman, 72, Reveals How She’s Spending Her Final Hours Before Ending Her Life to Escape Pancreatic Cancer
Roseana Spangler-Sims will use California’s Medical Aid In Dying (MAID) law to end her life on Sunday, Aug. 31.
https://people.com/woman-who-chose-medical-aid-in-dying-photos-final-moments-exclusive-11803307
Roseana Spangler-Sims, 72, had stage 4 pancreatic cancer and ended her life on Aug. 31 through Medical Aid in Dying — with her family by her side.
You Don't Have To Navigate this Alone
If you’re facing this chapter—whether now or in the future—I’m here to support you.
