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