Our Pediatric Palliative Care Team

Our goal at the Stepping Stones Pediatric Palliative Care Program is to provide comprehensive care for you and your family using a team approach. Your care may involve a number of our team members working seamlessly to ensure you are supported and cared for throughout your journey.

Our team includes the following physicians and nurse practitioners:

In addition, our team includes nurses, social workers and spiritual care providers who are experts in symptom control, coordination of care and helping with discussions of goals. Our team includes:


Rachel Brownson, MDiv

Staff chaplain offering spiritual care, supportive listening and religious resources to patients and their families. Ordained in the Reformed Church in America.


Maureen Giacomazza, MA, RN

Clinical Nurse Consultant with more than 30 years of experience as a pediatric nurse. Special interest in health care ethics.

Elizabeth Goudie

Elizabeth Goudie, LMSW, APHSW-C

Social Worker who has a special interest in supporting patients and families through chronic or life-limiting illnesses. Supportive in decision-making, crisis, social and emotional support, with experience in hospital based social work and transition to hospice care.


Beth Pasternak, MS-PREP, BSN, RN

Clinical Nurse who worked in Pediatric Hematology Oncology Bone Marrow Transplant before joining the Stepping Stones Pediatric Palliative Care program. Passionate about educating and mentoring patients and care providers on today’s most urgent public health issues involving pain and pain treatment, while trying to place pain management in the context of quality of life and function.  

Fawn the therapy dog


Fawn joined the Stepping Stones Palliative Care Program team in March 2019. Our dedicated therapy dog helps bring comfort to our patients and their families. She enjoys belly rubs and holding hands. In her down time, you can catch her playing with her other Paws4Patients friends: Bindi, Denver and Anna.

Contact Us

To contact us for clinic or patient-related questions, please call 734-232-9593 or fax 734-232-1872.