• The patient is diagnosed with a terminal illness.
  • Treatment to cure the disease is no longer effective, or is causing uncomfortable or life-threatening side effects.
  • There is an increase in pain, nausea, shortness of breath, or other symptoms.
  • Hospital or emergency room visits are more frequent, due to the life-limiting illness.
  • It is increasingly difficult for the patient to rebound after medical emergencies related to the illness.
  • The patient requires assistance in caring for his or her physical needs.
  • The patient seems withdrawn, is constantly tired, or sleeps a great deal.
  • Caregivers find it increasingly difficult to provide the care necessary; or they require assistance, emotional support, or additional information about what to expect.
  • Finances are a growing concern and/or financial assistance is needed to help pay for medications or supplies related to the life-limiting illness.
  • Family members feel overwhelmed and stressed.