This curriculum guide is designed to help teachers to provide advanced-level training for care providers who want to work with individuals who are chronically or terminally ill and require specialized care. The curriculum contains seven units. Each of the instructional units includes some or all of these basic components: performance objectives, suggested activities for the instructor, information sheets, student supplements, transparency masters, instructional supplements, activity sheets, job sheets, practical tests, written test, and answers to assignment sheets and written test. All of the units focus on measurable and observable learning outcomes and are designed for use in more than one lesson or class period of instruction. Topics covered in the guide include the following: (1) providing care for medically challenged clients; (2) providing catheterization and ostomy care; (3) providing respiratory care; (4) assisting with cardiovascular care; (5) assisting with neurologic care; (6) maintaining food and fluid requirements; and (7) providing care for the terminally ill client. (KC)