A Palliative aged care supportive Transitional Nurse Practitioner within Northern Sydney Local Health District, based at Royal North Shore and Ryde Hospital, covering the lower North Shore, Ryde and Hunters Hill region. I worked in the Drug & Alcohol service, community palliative care, Residential Aged Care Facility (RACF) outreach service in the Sydney Local Health District. I have provided care for palliative symptom management and support as well as a comprehensive assessment for residents in RACF in particular individuals with advanced dementia and frailty. I also actively participated in Advanced Care Planning review alongside family conferences in the residential aged care facility to discuss goals of care and preferred end-of-life care pathway.