The Nurse Practitioner or Physician Assistant is a part of an interdisciplinary team which includes physicians, nurses, social services, pharmacy, chaplains all aligned to care for patients admitted to the hospital with primary symptom complaints related to serious/life-limiting illness such as pain, nausea, fatigue, agitation and other complications of their serious illness. The Primary palliative care team will be different from the existing palliative care consult services in that the primary palliative care service is designed to care for patients as a primary service, responsible for the patient's care during the hospitalization. This is new service will operate with 24/7 coverage and work collaboratively to ensure high quality patient care, caregiver support, and safe disposition. This service will be closely aligned with our existing HIM, Oncology and Hematology services at RMC providing a new subspecialized primary care management team.