Taneyama Clinic, located in the Daimon area of Shiojiri City, Nagano Prefecture, is an internal medicine clinic operated by the medical corporation Chishukai. The clinic's director, Dr. Chiakira Taneyama, has over 15 years of experience in home palliative care and has developed deep expertise in end-of-life care for cancer patients. His guiding philosophy is 'creating an environment where patients can decide for themselves how to spend their remaining time,' and the clinic's practice is rooted in supporting patients as they confront both their 'way of living' and 'way of dying.' The director has compiled his experience and insights into the book 'Saigo no Ryugi: Ikikata Yukikata' (The Way of the End: Living and Dying), published by Shinano Mainichi Shinbunsha, sharing with society the realities and hopes of home end-of-life palliative care. The clinic operates on a two-shift schedule with morning and afternoon sessions, and is equipped with parking facilities and barrier-free access, making it easily accessible to a wide range of patients. Combining community-based internal medicine with specialized palliative care expertise, the clinic plays an important role in regional healthcare in Shiojiri City.