Palliative Chronic Care

Anyone with a serious illness or chronic condition can receive palliative care.

The focus of palliative care is to improve a patient’s quality of life by managing symptoms, easing pain and relieving suffering. Palliative care is different than hospice because a patient can be seeking curative treatments at the same time as he or she receives palliative treatment. There is no time limit for palliative care. Patients can have this support from the time of diagnosis and continue receiving treatment for symptoms over the course of several years. 

Contact Lake Regional Palliative Chronic Care at (573) 302-2281.


Our Role as your Palliative Care Team includes:

Guiding you through the disease process

Allowing you to talk about life-changing issues and/or end-of-life decision-making

Explaining your treatment options

Addressing pain relief and symptoms related to illness and emotional health

Providing physical, emotional and spiritual support


Lake Regional offers Palliative Care in two ways. Palliative Chronic Care Management and palliative care geared toward hospitalized patients and Lake Regional Cancer Center patients.

Palliative Chronic Care Management (PCCM)

PCCM is offered for patients who have two or more chronic conditions who want a little extra support from our specialty trained nurses. They receive a minimum of one phone call per month to see how the patient is doing and to help them coordinate their care with their multiple providers. To enroll in PCCM talk to your Lake Regional Primary Care Provider at your next appointment.

PCCM case managers will:

  • Create a care plan     
  • Review medications          
  • Address symptoms          
  • Document in the chart for all providers to understand what is helping and not helping the patient       
  • Provide education on diseases and treatment options 
  • Be there for support  

Hospitalized patients and Cancer Center patients can receive palliative care through a consult.

Specially trained nurses will meet with the patient and family to discuss disease-related issues, including symptom management. This could include shortness of breath, pain, nausea, loss of appetite or fatigue. The nurses work with a team of palliative providers, including physicians, social workers, pharmacists, dietitians and chaplaincy, to help manage the symptoms and assist you in meeting your health care goals. Ask your nurse or doctor about a consult.

Integrative Therapy

  • Physical therapists assess strength and mobility needs, including in bed, on foot or by wheelchair.They also educate family how to move the patient and position them in the bed or chair.
  • Occupational therapists assess each person's needs and offer advice or equipment to help the patient with independence.
  • Respiratory therapists treat patients who have breathing problems. They provide education on using oxygen, suctioning and medications to help with breathing.
  • Speech therapists assess and make recommendations for people with swallowing difficulties.

Palliative Chronic Care Management Program Director

As the director of our Palliative Chronic Care Management program, Jill Wilke works tirelessly to develop and implement programs that help patients stay out of the hospital and improve their quality of life by assisting them with symptom management and coordinating care among providers.

Wilke previously worked with the Palliative Care nurses and in the Cancer Center at LRHS as a master’s student. Her nursing experience includes serving as a NICU nurse at Evanston Northwestern Hospital in Evanston, Ill., and as a NICU/PICU and ER nurse at Gundersen Health System in La Crosse, Wis. She also served as Gundersen’s hospital bereavement coordinator and organ and tissue donation liaison.

The last five years, Wilke was the lead educator for Resolve Through Sharing®, a nationally recognized bereavement training program for medical professionals that was started at Gundersen. She has traveled nationally and internationally training medical professionals in perinatal, pediatric and adult death and bereavement.

Wilke moved to Missouri after inheriting her grandparents’ lake home, which is adjacent to Wonderland Camp in Rocky Mount. Her grandfather founded the camp for people with disabilities, and Wilke serves as vice president of the board of directors. She and her husband have four adult children and six grandchildren, who love coming to the lake.