Home health care and evaluation services, namely, hospice care provided to patients in their residence, which can include a hospital, or a skilled nursing facility or assisted living facility, in order to provide emotional support to the terminally ill in a home or homelike setting so that quality of life is maintained and family members may be active participants in care; and palliative and "care of the sick" care provided to patients in their residences only, the hospice, palliative and "care of the sick" cares being provided to patients who are suffering with a chronic illness, terminal illness, undergoing surgical recovery, needing medication management, needing wound care, undergoing disease or illness treatment, and symptom management, patient teaching, patient education, medication management, including providing skilled nursing, speech therapy, physical therapy, occupational therapy, wound care, diabetes education/care, oncology care, cardiac rehab, medication monitoring, medical social work, flu clinics, blood pressure screenings, emergency preparedness, cholesterol screening, support groups such as caregiver support groups, bereavement camp for children, bereavement groups for anyone who has experienced the loss of a loved one, pastoral care, nutritional counseling, massage therapy and assistance or therapy dogs to visit the patients; as well as an adult health promotion and evaluation program in order to clinically evaluate "at-risk" patients to detect any declines in health or exacerbation of disease, report changes in status to a patient's physician in order to prevent the patient from being hospitalized and allow out-patients to remain in their homes for as long as possible