A woman, 50 years old suffering from cervical cancer, adenosquamous cell
carcinoma stage IIIb + rectovaginal fistula + Severe chronic nociceptive visceral and somatic non bone and peripheral neuropathic pain. At the first time she visited outpatient of palliative care and pain free department Soetomo General Hospital, her condition was so frail, irritable, moderate anxiety, sad, and frustration