Palliative care patients were eligible if they: (1) were age 55 or older; (2) were living in the community or assisted living; (3) had an advanced illness or combination of chronic illnesses; (4) received a score of three or greater on the VES; (5) had no more than mild cognitive impairment as measured by a score of 17 or greater on the TICS-m; (6) received an average of four hours per week of care from a caregiver; and (7) read and spoke English.