The Compass You Need for the Path Ahead

When a life-limiting diagnosis enters a family, the world can feel like it’s spinning. You have doctors for the body, but you need a guide for the journey. My name is Rachael Paje, and I provide the steady presence, clinical wisdom, and emotional navigation families need to find peace in life’s final chapters.

Schedule a Free Introductory Consultation

  • 20 Years of Clinical Expertise:

    Two decades as a Palliative RN means I bring "professional eyes" into the home to ensure comfort and safety.

    Lived Experience:

    Having nursed my own husband through his end-of-life journey, I don’t just understand the medical side—I understand the heart of a caregiver.

    A Holistic Approach:

    I believe that "living your best life until the end" happens best in the fresh air. I bridge the gap between clinical care and the healing power of nature.

  • Clinical Navigator:

    Acting as a "Medical Translator" to help you understand care plans and diagnoses.

    Advocacy during doctor appointments and hospital transitions.

    Home safety audits and symptom management education.

    Legacy Coaching:

    Facilitating "Unfinished Business" conversations and legacy projects.

    Creating "Vigil Plans" to ensure the final days are peaceful and personal.

    Emotional support for spouses, children, and grandchildren.

    Nature & Movement:

    Leading "Grief in Motion" walks on local trails to process emotions.

    Tailored outdoor sessions to reduce caregiver burnout and isolation.

    Bringing the "outdoors in" for those with limited mobility.

  • Working Alongside Your Medical Team

    At Changing Tides, I believe the best care happens as a team, not a silo. My role is to act as a clinical bridge, working alongside your Family Physician, Palliative Specialists, and Health Authority Nurses—not instead of them. While I bring 20 years of RN expertise to our sessions, I do not prescribe medication or alter medical orders. Instead, I provide the dedicated time, advocacy, and coaching that allows your existing care plan to be navigated with peace and clarity.

    Navigation for All End-of-Life Options

    Part of my commitment to your family is ensuring you have clear, non-judgmental information about all legal pathways in British Columbia. This includes providing education and emotional coaching regarding Medical Assistance in Dying (MAiD).

    Please note that as a Consultant and Doula, I do not perform formal MAiD assessments or administrations; however, I am here to help you understand the provincial process, coordinate with your medical providers, and provide a steady, supportive presence for your family throughout the entire journey.