Compassionate Communication and Advance Care Planning to Improve End of Life Care in Treatment of Hematological Disease (ACT)

Inclusion Criteria: Patients must: * Be at least 18 years of age * Have a diagnosis of one of the following: * High-risk myelodysplastic syndrome (MDS) or MDS with overlap of myeloproliferative neoplasms (high-risk MDS/MPN), * Acute myeloid leukemia(AML): Age≥80 or in palliative treatment or relapse * Lymphoma: Age≥80 or relapse or refractory or palliative treatment * Multiple myeloma(MM): Age≥80 or relapsed or refractory Have limited treatment options. Provide informed consent. Have sufficient Danish skills to complete intervention sessions and data collection An informal caregiver is identified by the patient as the primary provider of informal physical, practical or emotional support and must: * Be at least 18 years of age * Be able to accompany patients to intervention appointments * Provide informed consent * Have sufficient Danish skills to complete intervention sessions and data collection Physicians: * specialized in hematology * treating patients with High risk myelodysplastic syndrome, acute myeloid leukemia, lymphoma, or multiple myeloma * work at the same department for the entire time of intervention. Nurses: * treating patients with High-risk myelodysplastic syndrome, acute myeloid leukemia, lymphoma, or multiple myeloma * work at the same department for the entire time of intervention. Exclusion Criteria: Patient and caregiver are excluded if one of them is: \- Suffering from a severe psychiatric disorder Physicians and nurses: \- If they do not meet the inclusion criterion.