The Impact of Telemedicine to Support Palliative Care Resident in Nursing Home

Inclusion Criteria: * Residents with palliative care needs: * Diagnosis of advanced or terminal disease: advanced cancer, advanced congestive Hearth Failure, end-stage pulmonary disease, end-stage hepatic disease, end-stage neurologic disease, other end-stage medical diagnosis. * ≥ A unplanned acute hospital episodes within the past 6 months * Activity of daily life ≤ 1 and/or bed/chair ridden residents for at least 30 days. * Weight loss ≥ 10% of body weight in the last 6 months. * The " surprise question " approach: " Would I be surprised if this patient died within the next 6-12 months? " * Informed and written consent by the patient or the legal representative or the reliable person when appropriate. * General Practitioner agreement. Exclusion Criteria: * No agreement of study participation of patients or legal representative or the reliable person when appropriate.