Faull et al. (1998) position an occupational therapist as a health care professional that plays a vital role in the maximization of “patient’s potential for safe independent living” (p. 21). However, the patients of palliative care form a specific category of “patients with end-stage disease” (Twycross, 2003, p. 7). This specificity accounts for the necessity of a complex approach to patient rehabilitation where a team of healthcare professionals is involved, occupational therapists among them. Thus, one of the primary skills necessary for a newly graduated occupational therapist is the skill of communication and cooperation with other health care professionals, such as physiatrists, physical therapists, rehabilitation psychologists, social workers, etc. (Morrison et al., 2003, p. 143). Supporting team approach to rehabilitation of palliative care patients, Watson et al. (2005) stress the necessity of an occupational therapist’s ability to set realistic goals for the patient, which will be “feasible and structured” (p. 644). Thus, a newly graduated occupational therapist should possess the skill of realistic goal-setting and planning. Cooper and Littlefield (2004) performed a study of occupational therapy interventions in oncology and palliative care and, focusing on patient contact activities performed by occupational specialists, they also stress the importance of goal setting (p. 330). McIntyre and Atwal (2005), p.70, suggest the use of the SMART framework in arriving at realistic goals for patients in palliative care. The SMART framework for goal setting in palliative care involves the goals set are specific, measurable, achievable, realistic, and timely regarding occupational performance. A key element here is a collaboration with the patients in arriving at goal setting. However, before the goal-setting exercise, a measurement of the baseline has to be made, which acts as the foundation of where the patient is and where the patient can be expected to be after the planned intervention. This makes assessment skills and planning skills important to an occupational therapist. In addition communicative skills to build rapport with the patient and collaborative skills to arrive at a mutually agreeable intervention plan to improve performance essential to an occupational therapist. Finally, in connection with goal setting monitoring skills are also needed to evaluate the progress of the planned intervention (McIntyre and Atwal, 2005, p.70). Along with goal setting, the researchers stress the overall ability of an occupational therapist to perform an assessment, such as the one done during initial interviews, besides, home assessments and perceptual assessments are included (Cooper & Littlefield, 2004, p. 330). An occupational specialist should have theoretical knowledge and practical skills of symptom control provision, such as relaxation, fatigue, anxiety, breathlessness management (Cooper & Littlefield, 2004, p. 330). In addition to the provision of symptom control in these areas, a key area of symptom control is pain alleviation. Symptom control of pain from the disease processes and side effects of the treatments like chemotherapy, medication, and radio