Description

Provides case management support and services to individuals with serious, chronic, and progressive illness. Services can improve the patient's quality of life through symptom management and through assistance in navigating the health care system. Support will help reduce the need for emergency room visits and hospitalizations, while keeping individuals comfortable in their home. Services from experts in the palliative care field provide relief from distressing symptoms and can also help patients deal with serious side effects of medical treatments. Services include open and supportive discussions about treatment choices and symptom management; coordination of care with all health care providers; emotional support for the patient and family; 24/7 telephone access to a registered nurse; social work visits to help complete advance directives and connect with community resources; spiritual care support; routine visits and regular phone contact to monitor the patient's condition and answer questions by the palliative care case manager.

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