Hospice & Palliative Coordination
When the goal becomes comfort.
There comes a season where the work of care becomes the work of presence. We walk that road quietly, alongside hospice teams and the family — and we know how to be in a home where the air has changed.
A quiet check-in
Are you in this season — or close to it?
It often arrives before anyone says the word out loud:
- Repeated hospitalizations that recover less each time
- A doctor mentioning palliative care, gently
- A loved one who has said, in their own words, 'no more hospitals'
- Family meetings that keep circling the same hard questions
- Hospice already involved, but the family stretched too thin to be present
2-Minute Care Assessment
Not sure what level of care your family needs?
Eight honest questions, two minutes, a personalized recommendation. No obligation, no pressure — just clarity.
Used by 200+ Oakland, Macomb & Wayne County families
Why this work needs experienced hands
These weeks and months ask something specific of caregivers — calm presence, no agenda, comfort with silence, knowing when to stay close and when to leave the room.
It also asks something of families: permission to be the daughter, the spouse, the son again — instead of the one in charge of the schedule.
Ready to talk through hospice & palliative?
A free in-home assessment takes about an hour. No pressure, no contracts — just a clear plan you can keep or set aside.
What changes
How we coordinate with hospice and palliative teams
We hold the day-to-day care so hospice can focus on what hospice does — and so the family can focus on each other.
A specific care role, defined with hospice
We coordinate directly with the hospice nurse and social worker so there's no overlap, no gaps, no confused communication.
Measurable comfort focus
Pain, restlessness, hydration, skin integrity, breathing — observed every shift, communicated to the hospice team.
Achievable presence at every hour that matters
Nights, weekends, holidays. Whenever the family needs to step away — or step closer.
Relevant emotional support for the family
We're a calm, knowledgeable presence in the home. We don't intrude on the family's grief — we make space for it.
A clear path for after
When the time comes, we know the next calls, the next steps, and we stay through what's needed. We don't disappear.
Day to day
What end-of-life support looks like in our hands
Quiet, attentive, and reverent of the family's space.
- Personal care delivered with comfort as the only goal
- Repositioning, mouth care, gentle hydration
- Music, soft light, and the small rituals the family asks for
- Companionship for the patient — and for whoever is sitting with them
- Coordinated handoffs with the hospice nurse and chaplain
What families ask
What families ask first
We have hospice already. Why would we add this?
Hospice typically visits a few times a week. The hours in between are where families burn out. We hold those hours so hospice can do its specialized work.
Have your caregivers done this before?
Yes. End-of-life care is among the most sacred parts of our work. We choose carefully who to send for it.
Practical questions
The things families actually ask about hospice & palliative
Logistics, cost, scheduling, training — the day-to-day worries, answered the way we'd answer them at your kitchen table.
We already have hospice. How is this different?
Hospice provides clinical and spiritual care a few hours a week. We provide the daily presence in between — meals, gentle care, family relief, and a calm, familiar face during long afternoons.
Have your caregivers actually done end-of-life care before?
Yes. Hospice-coordination shifts are staffed by caregivers who have specifically asked to do this work and have experience with the final weeks. We do not assign someone for whom this would be a first.
What's the right amount of care at this stage?
It varies, but most families benefit from 6–12 hours a day so the family caregiver can sleep, eat, and be present without being depleted. We'll help you think it through.
How do you communicate with the hospice team?
Daily handoff notes, direct phone contact with the hospice nurse, and a shared care plan. Nothing falls through the cracks between visits.
What happens after, when care is no longer needed?
We close gently — a final visit, support with the practical pieces, and a follow-up call from our office a few weeks later. There's no contract to cancel.
Related services
Memory Care
Our specialty. The same dementia-trained caregiver every visit, calm routines, behavior support, and engagement that meets your loved one where they are.
Companion Care
Conversation, walks, hobbies, light meal prep, and the simple presence that keeps an older adult from spending the whole day alone — often the first kind of help a family brings in.
Personal Care
Bathing, dressing, grooming, toileting, incontinence care, mobility assistance, transfers, and standby help — all delivered with patience and respect for dignity.
Overnight Care
A trained caregiver in the home from evening to morning — awake and watchful — so the family can finally sleep through the night.
If this is the road you're on, please call.
Even if it's just to talk through what's coming. There's no pressure to decide anything in the first conversation.