One of the most emotional and disruptive times in patients’ lives is when they are facing serious illness and mortality. Patients often lose function and develop pain and other symptoms. They may not know what to expect or the right questions to ask. Doing ‘whatever the family wants’ and ‘not being a burden’ become concerns. Cognitive issues may arise and often families are faced with financial needs, physical caregiving, and decision-making for their loved ones. This session will explore the role of palliative care and hospice in providing the four C’s – comfort, communication, choices, and control.