She co-chairs the End of Life Patient Care Team and assisted in building a palliative care program there. In 1978, she became a founding member of HospiceCare, Inc. with the purpose of improving the care given to dying persons and their families. She participated in the NCI-funded Cancer Pain Role Model Program and was a project associate for Institutionalizing Effective Pain Management Practices in Home Health Care. She is a cofounder for the Center for Life and Loss Integration, and consults in grief and bereavement.