A 87 year old male from the nursing home has been hospitalized with pneumonia. He had nasal nutrition with dementia. The guardian came with him as having no relatives. When I heard the story, in fact both his daughter and his wife lived outside the prefecture, and they have been estranged from him over about 50 years. The patient had gone somewhere with his lover when his daughter was small, and he did not return long times. When the guardian contacted his daughter about the case that the patient became end stage, she answered that she was not concerned about him, he was only a stranger. The blood connection was no use in this case.