Offers coordinated services to terminally ill patients and their families in their chosen environment. Provides a personalized care plan that is based on patient/family goals, needs and desires. Physical, psychological, social, and spiritual care is available from a medically directed interdisciplinary team consisting of physicians, nurses, therapists, home health aides, social workers, pastors, volunteers, music therapist, massage therapist, or chaplain. Care plans may include medical care, pain and symptom management.