RN-scope symptom support, family education, and authorized follow-through with treating providers for patients with serious illness.
When the focus shifts toward comfort, families need a nurse who understands what is happening and can act within scope. Andreen Robinson, MSN, RN provides palliative nursing support at home, by appointment, delivered in collaboration with the patient’s treating providers.
Families managing a serious illness who want RN-scope support focused on comfort
- Patients with a serious or life-limiting illness whose care has shifted toward comfort and quality of life
- Families managing symptoms like pain, nausea, or fatigue who want help understanding and tracking them between provider visits
- Patients not enrolled in hospice who still want RN support at home
- Families who want one RN providing authorized communication and clinical follow-through with the treating physician or specialist
What this is
- Symptom support and monitoring within RN scope, per the treating provider’s plan
- Education for the patient and family on what to expect and what changes warrant a call to the provider
- Authorized communication and clinical follow-through with the treating physician or specialist
- Helping the family prepare questions and understand options as the situation evolves
What you’ll leave with
RN-scope support focused on comfort, a clearer picture of what to expect, and authorized follow-through with the team already caring for you.
A defined episode of visits, scheduled by appointment and reassessed as the illness progresses, not continuous or open-ended coverage.
Symptoms understood and tracked, the family prepared for what comes next, and clear coordination with the treating team.
Care transitions promptly to hospice or an expanded palliative care program when the situation calls for it, with a referral and handoff summary provided.
Situations this program helps with
A woman with advanced COPD, not yet on hospice. Her family is managing worsening breathlessness at home without a clear plan for what to watch for or when to call the pulmonologist.
A patient with progressive heart failure whose cardiologist has recommended comfort-focused care. No hospice referral has been made yet and the family isn’t sure what RN support looks like outside of a hospice program.
What families ask before scheduling
What is the difference between palliative nursing support and hospice?
Hospice is a specific Medicare benefit requiring a physician to certify a life expectancy of six months or less. Palliative Nursing Support is available at any stage of a serious illness, regardless of prognosis, treatment status, or hospice enrollment.
Can I receive this support if I’m still pursuing treatment?
Yes. Palliative Nursing Support is not contingent on stopping treatment. It is delivered alongside your existing care team and treatment plan.
What symptoms can be supported?
Within RN scope and per your treating provider’s plan: monitoring and documenting symptoms such as pain, nausea, breathlessness, fatigue, or skin changes; educating the family on what to expect; and communicating findings to the treating team.
Do you prescribe or adjust pain medication?
No. Medication adjustments stay with your prescribing physician. We can help organize symptom observations and prepare specific questions for your provider about medication management.
What happens when hospice becomes the right step?
We transition care promptly, provide a handoff summary, and help the family understand what to expect from the hospice intake process. HVPN does not delay or discourage a hospice referral when it is appropriate.
Can family members be part of the visit?
Yes. Family members, especially those managing daily care, are always welcome; this consultation supports the whole family.
When another provider is the better fit
HVPN is not a hospice agency and does not provide hospice services or palliative care program enrollment or management. HVPN does not provide continuous nursing coverage, emergency or urgent intervention, or replace the treating physician or hospice team. See our Terms of Use for full service scope.
Request a consultation
A brief, no-obligation conversation to confirm fit and schedule your first visit.
Request a ConsultationRelated HVPN services: Advanced Illness Support Program or Caregiver Education Program.
RN-scope comfort support, alongside the team already caring for you.
A private RN consultation to talk through your family’s situation and goals.
Request a Consultation