1. Any absolute contraindications to exercise (including acute MI within 2 days, symptomatic/severe aortic stenosis, decompensated heart failure, symptomatic/hemodynamically significant cardiac arrhythmias, unstable angina not previously stabilized by medical therapy, acute aortic dissection, acute myocarditis/pericarditis, acute pulmonary embolus/infarction) 2. Palliative Performance Status level of 30% or less[21] 3. Any patient who, in the opinion of the treating physician, is within the last days to hours of life Recruitment Patients diagnosed with advanced cancer (defined as progressive, incurable, locally recurrent or metastatic disease) will be recruited from the Cross Cancer Institute and the Capital Health Regional Palliative Home Care Program. Eligible patients will be identified by case managers in the Capital Health Regional Palliative Home Care Program, and study information will be included in the ethics-approved Pain and Symptom & Palliative Care Research Group studies brochure distributed to outpatients at the Cross Cancer Institute by the research nurse or study coordinator. Patient contact will be made by telephone outside of the Cross Cancer Institute thereafter. Patients who accept the invitation to participate will provide written consent prior to commencing the study.