As far as the current medical condition in China is concerned, most elderly tumor patients are both in advanced stage when they are found. The concept of advanced tumor roughly includes the following: the tumor develops to a large extent and has extensive metastasis; ( 2) the tumor recurs or metastasizes locally after treatment, and the pathological type of the tumor is not suitable for radiotherapy or chemotherapy, nor for surgery; ( 3) the tumor has recurrence or metastasis, but after intense chemotherapy or radiotherapy, the body condition is weakened, the white blood cell or platelet is low for a long time, emaciated and anemic, or accompanied by infection and long-term The tumor can not be controlled by antibiotics for a long time, and even cachexia, low immune function, and low function of several organs;( 4) There are also patients who, once the tumor is found, the tumor has a serious impact on the body, with fever, loss of appetite, and loss of function of multiple organs, or the tumor grows in a special place, causing a series of infiltration and compression, which affects the use of active and effective treatment methods;(5) The tumor and the surrounding normal important organs are widely adhesions, and the condition of the organism itself is poor [1]. Zhao Wei, Department of Oncology, Guang’anmen Hospital, Chinese Academy of Traditional Chinese Medicine For patients with advanced cancer, the current radical treatments do not have definite efficacy in prolonging life, so the treatment goal should focus on caring for the quality of life. The clinical treatment principle for patients with no hope of cure for malignant tumors should be: to reduce pain and improve the quality of life of patients. The ethical principle of “doing good and minimizing harm” should be observed, and each therapeutic measure should be weighed against the advantages and disadvantages to patients. The significance of this is to respect life, allocate and use medical resources rationally, and reflect the principle of social justice. However, unfortunately, due to the influence of traditional ethics in China and the long term neglect of the medical profession to pay attention to and respect the “human being” itself, over-treatment and ineffective treatment are common in advanced cancer treatment. The excessive concern for tumor and the mentality of “preferring left to right” in tumor treatment are the basis for the existence of overtreatment. The main manifestations of overtreatment are: (1) expanding the scope of surgery; (2) relaxing the standard of chemotherapy and radiotherapy; (3) blindly giving biological treatment; (4) blindly giving local treatment to patients with extensive metastasis. Judgment criteria of ineffective treatment: In oncology specialties, when a certain treatment is applied to medical activities, no matter how many times it is repeated and how long it lasts, it still cannot achieve the intended goal or obtain the expected effect within a reasonable range of possibilities [2]. For a long time, the disposal principle adopted by people for patients suffering from incurable diseases and in extreme mental and physical pain, who are eager to end their lives as soon as possible, is that as long as the patient is still breathing, they will be resuscitated at all costs to the end. The continued maintenance treatment of these medically irredeemable and painful patients with advanced cancer occupies not only beds but also medical equipment and a large number of medical personnel, which actually deprives (or at least affects) other patients’ right to use beds and medical equipment, resulting in unfair allocation and waste of health resources. Moreover, patients’ families need to have corresponding expenses in all aspects of human, material and financial resources. Physical and mental also suffered serious impact, the family’s economy has been in a state of collapse. The “2006 Harbin 5.5 million sky-high medical expenses” deserves our deep thinking. In contrast to excessive and ineffective treatment, the disregard and abandonment of terminal patients is another major drawback of current tumor treatment. There is no clear concept of end-stage, but in China, it usually means in the end stage of disease, and death will occur in a short period of time (about 1-3 months). Patients in terminal stage are often accompanied by complications such as cachexia, infection, cancerous fever, thoraco-abdominal fluid, and loss of vital organ function, which are very painful and have very poor quality of survival. Routine home care by family members does not alleviate the above pain. At present, the division of labor between hospitals at all levels is not clear, community or secondary hospitals are reluctant to treat patients, tertiary hospitals are unable to treat patients due to bed limitations, and the existing medical insurance system does not pay for hospice care hospital fees. Even patients who are hospitalized are often neglected and ignored by medical staff because they have no therapeutic value. For elderly patients with advanced cancer, hospice care and palliative care are important means to improve the quality of survival and reflect humanistic care. Hospice care is to provide comprehensive physical and psychological care and support for patients and their families who are nearing the end of their lives [3]. It aims to reduce the pain of the dying patient, increase the comfort level of the patient, improve the quality of life of the patient, and maintain the dignity of the dying patient, while hoping to give spiritual support to the patient’s family and give them the strength to bear all the facts and thus accept all the problems they are about to face openly. Hospice care fully reflects the concern for human dignity, and is the progress of social civilization from the focus on eugenics to the concern for “eugenic death”. Hospice was initiated and promoted by Dr Dame Cicelv Saunders in the 1960s and 1970s and was pioneered by the establishment of St Christopher’s Hospice in London in 1967. In 1988, the Tianjin Medical Hospice Research Center was established, and in 1998, Mr. Li Ka-shing donated money to the First Affiliated Hospital of Shantou University Hospital to set up a hospice. According to the data, by May 2002, there were more than 5000 cases of hospice care in China. A randomized controlled study by Chen Zhenfen [4] on 71 cases of advanced tumor patients showed that hospice care technology enabled patients with advanced malignant tumors to pass through their terminal state smoothly and improved their quality of life. In recent years, the concept of palliative care has been proposed on the basis of hospice care, which is defined by WHO as “active holistic care for patients who do not respond to curative treatment, including pain and other symptom control and addressing the psychological, social and spiritual aspects of the patient, with the aim of enabling the patient and family to achieve the best quality of life during the disease. Many components of early palliative care can be provided in parallel with anticancer treatment [5].” Its purpose and most of its components are the same as hospice care, but its stages and tasks are somewhat different from the latter. In terms of stages, hospice care is more focused on the management of terminal patients, while palliative care is throughout the whole treatment process; in general, hospice care no longer includes conventional anti-cancer treatment, while palliative care often includes conventional anti-cancer treatment such as palliative surgery, palliative radiotherapy, chemotherapy, Chinese medicine treatment, etc.; dying is a negative concept, as if everything is going to end, and it also has a negative impact on the patient’s mental state. Palliative care is a more positive concept. Therefore, it can be said that palliative care is a more modern and scientific branch of medicine developed on the basis of hospice care [6]. For China, palliative care is more acceptable to patients, families and society.