Family medicine has been recently perceived as a mechanism that regulates access to specialists, despite the vital role in the patient's life. This is especially true when requires pain management or emotional support for patients with therapeutic limitations.A 91-year-old man, poorly differentiated squamous cell carcinoma in 2024 , treated with radiotherapy and controlled until its progression. Among other comorbidities, he has Parkinson and cognitive decline. After being examined by maxillofacial surgeons, dermatologists, oncologists… he reached the terminal stage without significant improvement. He did not present other risk factors for imminent death and initial pain was controlled (not even a paliative candidate). This summer, he progressed with nighttime pain and rapidly growth and the biggest challenge we had was supporting the patient depression and the despair of his daughters (also primary caregivers).Its important collaborative work with nursery, also pain management and follow primary caregiver. This case raises awareness of the importance of not droping out on terminally ill patients and families. Perhaps this experience differs because of the involvement of the nursing team, as they proposed increasing the number of visits given that, due to their workload, the physician cannot always do. We have learned that terminally ill patients require holistic approaches, focusing on comfort and their emotional well-being.This fosters the social aproach on every patient and how practices based on this knowledge might be helpfull not necessary terminals. As family physicians, we must consider the environment of our patients, especially when dealing with their caregivers. Although society still demands to refer them to specialists, we should sometimes be willing to collaborate with nurses and provide the  attentive listening and counseling needed. Last but not least, primary care may be perfectly equipped to manage pain control, even providing palliative care.How gratefull patient and family were, support the practical aproach. Could be limitated as a very singular case of pain management and care give, but also we believe that the big point is to make doctors aware of this situations.We reinforced primary care as the basis for monitoring the most vulnerable patients who equally deserve best care