Purposeful sampling will take place in an attempt to collect data from a range of ethnically and racially diverse participants.  INCLUSION CRITERIA:  Primary participant  Age >= 18 years English language fluency Palliative Care Consult Screening Tool (PCCS) scoring 9 or above If participant does not demonstrate capacity to consent, he/she must be able to assent to study procedures, be told of plan to approach surrogate and have a legally authorized representative available to provide consent  Family/friend caregivers:  Closest relative/next of kin/friend who is involved in the care of his/her loved one before and during the study period English fluency  EXCLUSION CRITERIA:  Primary participant:  Enrolled in hospice Unable to assent to study procedures Expresses resistance or dissent to participation or the use of surrogate consent  Family/friend caregiver:  Life expectancy < 1 year (e.g., metastatic cancer) Evidence of cognitive impairment or inability to consent to study procedures