To improve quality of life for participants with advanced cancer, support their families, and lower overall cost of care.
Participant is at least 18 years old presenting to the triage area of the MDACC ACCC for treatment
Participant has advanced lung or GI cancer. Advanced cancer patient defined as: locally recurrent or metastatic for which there is no curative treatment available.
Participant screens positive for at least 2 of 3 triple threat conditions (dyspnea, altered mental status, or poor performance status)
Participant has the ability to speak and write in English
Participant is already enrolled in hospice
Participant is comatose
Participant has severe intellectual disability
Participant has a history of dementia documented in the medical records