We have national norms and standards for hospice and palliative care that were developed in 2002 and revised in 2012. They came up with nine domains of care that are important to deal with when the patient is getting near the end of life. Only one is medical care; only one refers to pain and symptom management. The other domains refer to spiritual care, psychological care, grief and bereavement, and.... I won't get into them all because I likely won't remember them all, but there's a lovely little chart.
They're all equally important. When somebody's in the last stages of life, it's not necessarily just pain and symptom management—the medical side of things—it is the spiritual care, and it's very important. I hadn't heard that about Alberta, but the model of specialist care includes physician, social worker, spiritual care adviser, maybe an occupational therapist. It needs to be whatever is needed, and it needs to be comprehensive.