Most cancer treatments are delivered in ambulatory centers with symptoms managed by clients at home. 1-3 Support from home care nurses guides clients to safely manage symptoms at home and triages potentially life-threatening symptoms. 2,4 Home care in Canada is the fastest growing segment of the health care system 5 ; yet, symptom management in home care has focused on palliative care, 6,7 telephone support, 8-12 or web-based interventions. 13,14 Previous home care nursing studies emphasize the need for improved symptom management to promote independence, maintain quality of life, and decrease use of health care services. 15,16 Although home care nurses have the opportunity to improve the cancer experience, the isolated nature of care