Programs that provide support services for patients and their families during hospitalization and upon discharge, for people receiving outpatient services, for previous patients and for other people not previously associated with the facility who need the service. Included are consultation and the coordination of available services for the patient's continuing care at home or in a short or long-term care facility; or whatever other support may be needed to help resolve the logistical, social and psychological problems related to the illness.

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Departments within hospitals, HMOs and other health care institutions that provide for the spiritual care of patients with severe, chronic or terminal conditions, their families and staff, regardless of their religious traditions. Pastoral care workers work cooperatively with the health care team; listen, elicit and respond to individual religious/spiritual needs; identify and clarify ethical issues related to end-of-life treatment and care; provide bereavement support for family members, significant others and professional staff; and ensure that treatment addresses the whole person, not just his or her medical needs. The service is provided by licensed clergy or trained, accredited spiritual care volunteers.

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Programs that grant wishes which will enrich the lives of people who are unable to fulfill them on their own, e.g., a visit to Disneyland, an opportunity to meet a film star or sports personality or a reunion with family members. Also included are programs that arrange trips or other experiences for individuals and groups. Most wish fulfillment programs serve children and adults who are terminally or gravely ill. Other populations may include seniors, veterans and individuals who are chronically or seriously ill, physically challenged or abused.

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