Palliative Care in the Greater Omaha Region

Innovative Palliative Care from Hillcrest

Hillcrest’s Palliative Care program provides an innovative approach to pain and symptom management of a chronic or life-threatening disease. Palliative care refers to patient (and family) centered care that optimizes quality of life by anticipating, preventing, and treating suffering.

Palliative care at home is a wonderful option for those who are not yet ready for hospice care. Our medical team works closely with our care team of in-home geriatricians, nurses, social workers and therapists, along with the patient’s family, to provide compassion, comfort and control.

Palliative health care throughout the continuum of illness involves addressing physical, intellectual, emotional, social and spiritual needs, while facilitating patient autonomy, access to information, and choice. Unlike hospice care, which is only offered when curative treatments have stopped, palliative care is administered to patients who are still hopeful of a recovery through curative treatment.

The goals of palliative care include:

  • Decreasing pain and other distressing symptoms
  • Improving patient-physician communication and decision-making
  • Easing patient transitions between care settings
  • Increasing patient and family satisfaction

Our Care Team

Natalie Manley, MD, MPH

Natalie Manley, MD, MPH, is an assistant professor in the Division of Geriatrics and Gerontology, Department of Internal Medicine, University of Nebraska Medical Center. Dr. Manley holds a certification in geriatric medicine and medical direction in post-acute and long-term care.

She is excited to join Hillcrest as medical director of Palliative Care Services as well as associate medical director for Hillcrest Hospice Care. Dr. Manley’s academic interests include palliative care and hospice, nursing home care, caregiver strain and support, veterans as caregivers and education in community and nursing home care for medical students and residents.

Dr. Manley is a co-investigator on a grant testing a dementia care program that aims to improve the quality of life for persons with dementia and their caregivers. She has published computer-based educational materials and participated in educational video publications. Dr. Manley is a member of the American College of Physicians, American Medical Directors Association and the American Geriatrics Society.

She received her MD and MPH from the University of Nebraska Medical Center. Dr. Manley completed residency training and geriatric fellowship at the University of Utah, Salt Lake City. She completed an advanced geriatric fellowship at the VA Medical Center, Salt Lake City.


To learn more about Palliative Care offered by Hillcrest Home Care, call (402) 682-4808 or contact us.