top of page



Specialized medical care for people living with a serious illness; provided in-home.


Focused on providing relief from the symptoms and stress of a serious illness. Care can be offered for months to years for patients desiring support while seeking curative treatments such as chemotherapy, dialysis, radiation or surgery.


Debbie Kenui & 'Ohana

What is the Difference Between Palliative and Hospice Care?
  • Specialized care that offers an extra layer of support for those living with a serious illness.

  • Focuses on relief of symptoms and quality of life for patient & family.

  • Care can begin at diagnosis (early is best) or at the discretion of the physician.

  • Palliative care, is paid for by Medicaid, Medicare, and private insurance. Depending on the insurance, there could be a co-pay covered by the patient.

Offered by Both
  • Pain and Symptom Relief

  • Focuses on Quality of Life for patient & family

  • Both have specialized teams to support patient and family with physical, emotional and spiritual pain.

  • Care is provided wherever patient calls home.

  • Patient is living with advanced illness without curative treatments

  • Patient is certified by two physicians to have 6-months to live, if the disease follows its natural course

  • Hospice at home is Paid 100 percent by Medicare, Medicaid and private insurance.

Content reproduced from

Are you experiencing the following?
  • Frequent Emergency Room or Urgent Care visits

  • Increased need to call or visit the doctor

  • Diminished activity, such as difficulty managing finances, driving,grocery shopping, preparing meals, managing medication, and doing light housework?

Would you like help with?
  • Comprehensive care coordination, emotional support and symptom management

  • Education on proper medication use and monitoring of patient's condition

  • Referrals to helpful services in the community

  • Support with Advanced Care Planning  – Making your wishes known.

"Before, I was going to the ER at least once a month.  It has been four months with Hawai‘i Care Choices' palliative program and I haven't visited the ER yet." 

Currently Accepting Patients with: 
  • Cancer
  • Advanced Heart Disease (Congestive Heart Failure, Severe Cardiomyopathy, those with an implantable defibrillator)
  • Advanced Renal Disease (Kidney Failure)
  • Advanced Liver Disease
  • Chronic Lung Disease (Chronic obstructive pulomnary disease)
Palliative Care Support Can:
  • Improve Quality of Life

  • Relieve pain and physical/emotional stress

  • Reduce Health Care Crisis

  • Avoid Hospitalizations

bottom of page