This service provides comprehensive interprofessional palliative care services to adult patients and families who are living with a progressive life limiting illness or are nearing end of life. This services include:

• comprehensive nurse case management to provide ongoing assessment, monitoring collaboration with the health care team, support guidance and education regarding physical symptoms, psychosocial and spiritual concerns that may arise as a result of life limiting or end stage illness
• interprofessional care to support holistic care needs for the patients and families including psychosocial and spiritual supports
• coordination for in home support services (i.e. assistance with personal care, caregiver respite, volunteer support)
• assessment, coordination and education for equipment needs and care to support patients to remain safely at home
• facilitation for transitions to alternate care settings, i.e. hospice
• facilitate discussions regarding advance care planning (i.e. goals of care) and end of life decision making
• guidance and support to facilitate a patient's desire for home death
• provide support and guidance for anticipatory grieve and bereavement