What does Hopeful Journey include?

• In home nursing, social work, spiritual counselor, personal care, restorative therapy, physical or occupational therapy
• Formal assessment and treatment of physical, psychosocial, and spiritual symptoms

• Registered Nurse on call 24 hours a day
• Advance care planning and patient centered decision making consistent with the patient's values and preferences
• Ongoing communication with the referring physician or nurse practitioner
• Care coordination to streamline access to services and to monitor quality of care
• Guidance to help patients and families cope with progressing illness and issues of life closure
• Crisis prevention and early crisis management
• Bereavement care