What does it mean to have spiritual agency during a time of illness or diminishment? How can you ensure your values and priorities are honored when you have a medical crisis, so you are a participant in your care, rather than only the recipient of it? Rev. Dr. Katie Rimer will describe her work as a palliative care chaplain in an academic medical center, and draw on lessons learned in her work with patients who have navigated illness and sometimes death, on their own terms and in respectful dialogue with their medical team, family, and community.