Betty's story Betty was referred to the specialist palliative community nurse by her hospital based Clinical Nurse Specialist for management of facial pain, psychological and spiritual distress from her changing body image. Initially, the SPCN visited Betty at home weekly, for pain assessment. As this resolved Betty’s social isolation was increasing as her body image changed. The SPCN suggested attending the drop in café to try and allay her fear of attending the hospice. This successful non-threatening visit led to a day services referral and Betty attended weekly benefiting from peer support, art group attendance and our Simply For You classes. As Betty’s condition changed and she was unable to attend day services, the respite and response service visited at home providing respite, pampering and psychological support. The SPCN resumed visits due to Betty’s deterioration and in conjunction with the primary care team arranged anticipatory prescribing. This allowed Betty to remain at home for end of life care which was her and her family’s wishes.