Inclusion Criteria:  Participants aged 20 years or older admitted to the hospice care unit at Taipei Medical University Hospital Participants diagnosed with at least one end-stage solid tumor diseases Participants consented to receive hospice care  Exclusion Criteria:  Participants aged below 20 years of age Participants diagnosed with leukemia or carcinoma of unknown primary Participants with evident signs of approaching death upon admission Participants with no vital signs upon admission Participants who continued to receive aggressive treatment despite admission to the hospice care unit