Inclusion Criteria:  Patients with unresectable (Union for International Cancer Control, UICC stage III or IV) or recurrent cancer. Patients who are judged by the attending physician to meet the Surprise Question tool (Bernacki et al., 2019; Moss et al., 2010). Age 20 years or older.  PS: ECOG Performance status 0-2.  (0) Fully active, able to carry on all pre-disease performance without restriction. (1) Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house or office work. (2) Ambulatory and capable of all self-care but unable to carry out any work activities; up and about more than 50% of waking hours. (3) Capable of only limited self-care; confined to a bed or chair for more than 50% of waking hours. (4) Completely disabled; cannot carry on any selfcare; totally confined to a bed or chair  Written consent to participate in the study must be obtained from the patient. Able to read, write, and understand Japanese.  Exclusion Criteria:  Patients who have been judged by the attending physician to have a serious cognitive decline such as delirium or dementia Patients with an estimated prognosis of three or fewer months Patients who are otherwise judged by the attending physician to be unsuitable for this study Patients who are in the middle of other psychological or communication support protocol interventions at the time of enrollment