Progressive MS is always at the Palliative Stage, for palliative care addresses the needs of people with illnesses that cannot be cured, that cause daily symptoms, complications, frustrations, extensive care and pain and a plan for treating any of these problems. Treating, not curing. It is a team approach, with doctors, nurses, home care aides, and family members who are caregivers, finding a plan to keep the person with MS comfortable, healthy, and even happy and at peace.   Palliative care is all about making the person comfortable as possible..   Hospice care is end of life care...specialized nurses and volunteers come inot the home or hospital or nursing home to attend to the physical, emotional and spiritual needs of the dying person...so while it is a form of palliative care too, it is different....