The CASA intervention included ( 1 ) nurse phone visits involving structured symptom assessments and guidelines to alleviate breathlessness , fatigue , pain , or depression ; ( 2 ) structured phone counseling targeting adjustment to illness and depression if present ; and ( 3 ) weekly team meetings with a palliative care specialist , cardiologist , and primary care physician focused on medical recommendations to primary care providers ( PCPs , physician or nurse practioners ) to improve symptoms .