Primary Palliative Care for Patients With Advanced Hematologic Malignancies

Participants will be (1) patients with advanced hematologic malignancies receiving care at a participating clinic; (2) their caregivers; (3) participating clinicians. Patient: Inclusion Criteria: * adults (≥ 21 years old) * Refractory or Recurrent hematologic cancer: lymphoma, leukemia, myeloma, amyloidosis (secondary manifestation myeloma \& AL Amyloidosis), and CML (CML can only be accelerated or blast phase) * planning to receive ongoing care from a participating oncologist and willing to be seen at least monthly. Exclusion criteria: * chronic myeloid leukemia (CML) OTHER THAN accelerated or blast phase * unable to read and respond to questions in English * lacks decision-making capacity, as determined by the patient's oncologist * unable to complete baseline interview Caregiver Inclusion Criteria: * adults (≥ 21 years old) * family member or friend of an eligible patient Exclusion criteria: * unable to read and respond to questions in English * unable to complete the baseline interview (patients will be asked to select as caregiver the person who is most likely to accompany them to visits or help with their care should they need it) Eligible clinicians will be oncology nurses and oncologists practicing at participating clinics.