I admit I was ambivalent regarding a placement in a Hospice agency. I do not fear illness or death, my anxiety was caused by not believing that I could help a patient or their family with the end of life process. I am fortunate to be working with Ms. Ross, as the additional credentials behind her name, ACHP-SW mean Advanced Certified Hospice and Palliative Social Worker, a rigorous, time-consuming addition to one’s MSW credentials, indicating that one is culturally competent to practice the specialty of Hospice Social