BOLSTER: Building Out Lifelines for Safety, Trust, Empowerment and Renewal

Patient inclusion criteria

* Adults (≥18 years old);
* GYN or GI cancers receiving anti-neoplastic therapy;
* Hospitalized, recently hospitalized (i.e. within the first 2 visits after a hospitalization), or recent outpatient placement of tube, line, or drain (e.g. PleurX catheter);
* Plan to receive ongoing care at DFCI;
* Willingness to be audio taped for the study (for monitoring of study fidelity).
* Have complex care needs (e.g. an ostomy, ileostomy, a gastric tube, percutaneous nephrostomy tubes, a PleurX catheter, or need for total parenteral nutrition)

Patient exclusion criteria

* Unable to read and respond to questions in English;
* Cognitive impairment;
* Unable to complete the baseline interview;
* Plan for immediate hospice referral

Caregiver inclusion criteria

* Adults (≥18 years old);
* Family member or friend of an eligible patient;
* Willingness to be audio taped for the study (for monitoring of study fidelity);
* Willingness to participate in study visits

Caregiver exclusion criteria:

* Unable to read and respond to questions in English,
* Cognitive impairment
* Unable to complete the baseline interview