I am nurse practitioner working in palliative care. My specialization is primary health care (family) so I can treat all ages, though the majority of my patients are adults. Of those, the vast majority are end of life cancer patients, but there are also patients with MS, end stage COPD, ALS, dementia, etc. My primary role is making home visits as a consultant. I go in, collect an in-depth history, do a complete head to toe physical assessment, and a complete medication review. I specialize in pain and symptom management. In my jurisdiction, I cannot prescribe controlled substances, but I make detailed pain control recommendations to the the most responsible physician, be it, family doc, or or oncologist. I also work closely with various pain specialist and hospice physicians in the community, and facilitate referrals to them if it is necessary. I also provide leadership and training to the agency visiting nurses in my community for this palliative program. My training is extensive though not from a "palliative program" per se. There are numerous recognized certifications and workshops I attend regularly. As well, before I became an NP, I was a visiting nurse for a local home health care agency where I learned much of the fundamentals needed for palliative care. If anyone cares to PM me, I will be happy to provide more details.