Concierge Palliative Care

Our Services: A Guide Through Illness

The Lunaria Client Pathway

Phase 1: Navigating the Diagnosis & Initial Planning

  • Feeling stuck or overwhelmed? We are your GUIDE—your first anchor in the storm.

    What We Will Do:

    • Meet with you regularly or at a cadence that feels right to you.

    • Provide emotional support as you process your diagnosis. 

    • Provide Education about Your Illness & Prognosis: Demystify medical jargon, translate complex prognostic data, and bring all information together from specialists to create a cohesive understanding.

    • Medication Review: Proactively identify polypharmacy and potential drug-drug interactions.

    • Help you identify and reach out to your support system/community and identify your core medical team.

    • Initial Spiritual Screening to understand your personal sources of strength: Are there any spiritual or religious practices that are important to your care?

  • Feeling like your feet are back under you and you’re ready to move forward? We are your GUIDE in building your path.

    What We Will Do:

    • Medical System Navigation: Help determine what medical appointments you need, how to keep them organized, and strategize scheduling.

    • Advance Care Planning: Facilitate deep discussions about what matters most and begin planning ahead for the future and create your Lunaria Narrative. 

    • Aligning Care with Beliefs: Ensure your medical decisions and Advance Care Planning documents align with your spiritual and cultural values.

    • Coordinate directly with your medical team as needed.

    • Map your support system: We help you identify your circle of support, define their specific roles (e.g., logistical, emotional, medical), plan easy ways to update them, and identify any crucial gaps that may exist.

    • Serve as a landing pad as you continue to process and adapt to a “new normal.”

Phase 2: Integrating Illness Into Life

  • Feeling like you’ve got a plan and you want to get back to living your life? We are your GUIDE in balancing priorities.

    What We Will Do:

    • Help you identify your values and your new medical responsibilities, guiding you to know when to focus on each—no more overwhelm.

    • Symptom Burden Assessment: Conduct routine, proactive screening for common symptoms (pain, fatigue, anxiety) and recommend interventions.

    • Functional Status Optimization: Assess and create plans (including recommendations for referrals) to maintain mobility, nutrition, and cognitive function.

    • Plan and prioritize health & wellness maintenance, including identifying and supporting necessary habit changes.

    • Help define a minimum acceptable quality of life and facilitate prioritization of meaningful activities and abilities. 

    • Referral to spiritual counselors, chaplains, or your own faith/spiritual community when requested.

  • Ready to organize your future to ensure clarity for yourself and your loved ones? We are your GUIDE to practical completion.

    What We Will Do:

    • Warm hand-off/referral to estate planning lawyers and financial planners.

    • POLST Discussion & Completion: Facilitate and complete state-specific medical forms based on your values and preferences outlined in your Lunaria Narrative (Washington State only). 

    • Help with funeral and after-death arrangements, including beginning Vigil Planning.

    • Offer a Practical Affairs Toolkit to organize passwords, key documents, and personal final wishes.

  • Ready to reflect on your impact and intentionally plan what you want to leave the world? We are your GUIDE in celebrating your story.

    What We Will Do:

    • Plan and create memory work through: writing, video, and/or visual art.

    • Help you tell your story and articulate your values.

    • Facilitate the creation of a Legacy Letter  (values, lessons, and hopes for future generations).

    • Guide the creation of letters to your loved ones for milestones after death.

    • Plan for your Virtual/Digital Legacy.

Phase 3: Transitions & End-of-Life

  • Feeling uncertain about health, illness, or treatment changes? We are your GUIDE to recalibration.

    What We Will Do:

    • Help identify triggers to know when you need to readdress aspects of your pathway.

    • Coordinate with your medical team and loved ones.

    • Readdress the Lunaria Narrative and advance care planning as needed.

    • Create Crisis Prevention Planning to manage decline and avoid unnecessary hospital visits.

  • When living as long as possible is no longer the primary goal, we are your GUIDE to maximized quality of life and comfort.

    What We Will Do:

    • Support you to decide when to stop disease-directed treatment(s).

    • Ensure you have the medical care you need at the end of your life—this may include hospice as well as other complementary modalities.

    • Help you live life to the fullest with comfort and adequate symptom management to optimize quality of life.

    • Provide you and your support system with education about your illness trajectory, signs/symptoms of end of life, and what to expect.

  • In your final hours, days, and weeks, we are your GUIDE in creating a space of comfort and meaning.

    What We Will Do:

    • Expert  Symptom Management : Provide recommendations to the hospice/medical team regarding refractory symptoms (pain, delirium).

    • Witness and hold space for bodily changes and ease the uncertainty through education.

    • Implement the Vigil Plan (creating the desired environment with music, readings, scent, etc.).

    • Guide loved ones through Rituals and Ceremony for closure.

    • Offer respite resources and practical caregiver support.

  • We are still your GUIDE in loss, offering support and structure in the immediate and long-term aftermath.

    What We Will Do:

    • Provide ongoing support for your loved ones in their grief.

    • Help identify funeral and after-care needs.

    • Immediate Post-Death Support: Guide the family through the necessary practical steps (contacting the funeral home, documentation).

    • Complicated Grief Screening: Provide education on normal grief and screen for indicators requiring referral to specialized support.

    • Support loved ones in Grief Integration, helping them find meaningful ways to incorporate the loss into their lives.

Ready to get started on your pathway?

Book Your Discovery Call

“Perhaps, the most important thing to me was being able to communicate to my family that they had permission to make these hard decisions – that it was truly what I wanted – and there was no reason for guilt on their part. I trust that it was as freeing for them as it was for me.”

— Client, Barbara W.