Teaching Caregivers of Hospice Patients to Administer Reiki

Inclusion Criteria: Patients will be eligible for the study if they are * ≥ 18 years old * receiving hospice at home. Caregivers will be eligible if they are * ≥ 18 years old, * willing to complete measures, and if they are randomized to the Reiki group * willing to learn Reiki therapy, provide at least two Reiki therapy sessions with the patient of at least 10 minutes twice per day with at least two hours between sessions and complete one 10-minute self-Reiki session per day. Two caregivers may participate in the study. Exclusion Criteria: Patients will be excluded if: * they have a diagnosis of atrial fibrillation * they have an active pacemaker, or * death is expected in less than two weeks. Caregivers will be excluded if they * cannot understand or speak English * have severe, uncorrected hearing loss * have self-reported uncontrolled atrial fibrillation * have a self-reported diagnosis of dementia * have a self-reported psychiatric disorder (bipolar disorder, schizophrenia) * are unwilling or unable to complete measures (both groups) or perform Reiki and self-Reiki (intervention cohort).