In Taiwan, children who have terminal disease seldom receive palliative care. Among these patients, few patients had ever admitted to hospice ward. We report a 16 months old child who had atypical teratoid/rhabdoid tumor with terminal stage and admitted to hospice ward and received complete palliative care in the rest of his life. We share the experience during caring this little patient, including the difficulty in bio-psycho-social and spiritual level, and also review some articles which can deal with our problems. We wish there will be more resources for the pediatric palliative care.