Each patient and their family are assigned a social worker to provide support during their time of need. The social worker conducts an initial assessment to create a personalized care plan, identifying any obstacles that may hinder the client’s goals for their end-of-life transition. Services include assistance with the admission process, organizing care plan meetings, connecting clients with resources, and helping with end-of-life planning. Social workers also coordinate medical care, prepare necessary legal documents, and assist with funeral arrangements.