Medicare-certified hospices typically provide nursing care; social services; physician services; counseling services (including spiritual and dietary); home care aide; bereavement services; physical and occupational therapies; and speech-language pathology services. Short term, in-patient care (for respite, pain control, and symptom management), continuous care in the home, and medical equipment and supplies (including drugs and biologicals) are also available. Additional services can be offered. Therefore, the range of hospice services may vary from program to program. Care is structured to keep families together in the least restrictive environment possible.