Palliative social work is an evolving specialty which continues to be enriched by practitioners globally. Social workers practise in diverse settings and have the opportunity to extend palliative care values and processes beyond hospitals and hospices to home care, nursing homes, prisons, and senior centres. This chapter discusses social work values and core principles as a foundation upon which to integrate palliative care, creating a rich opportunity to serve patients, families, teams, institutions, and communities. It begins with an introduction to the history of social work in palliative care and moves on to discuss the convergence and synergy of social work and palliative care, and the need to create models of care to meet global needs. Assessment and interventions are introduced with attention to confidentiality, culture, family meetings, and the roles and responsibilities within team work. Finally, a patient family narrative is presented.