Now the global incidence and death of malignant tumors are increasing year by year. It is expected that in 2020, the global incidence of malignant tumors will be 15 million (China accounts for 1/5), death will be 10 million (China accounts for 1/4), and the existing cases will be about 30 million. Most of the tumor patients are already in the middle and late stages when they are found, and elderly patients account for more than half of them. According to statistics, in 2002, the proportion of cancer incidence rate in Beijing over 65 years old was 52.4%. Among them, stomach cancer accounted for 66.7%, esophageal cancer 65.9%, lung cancer 65% and colon cancer 62.5%. The emphasis on palliative (palliative) treatment of tumors is an important trend in clinical oncology today. Due to the aging of the population, the incidence of cancer will double: 24 million new cancers will occur in 2050. The demand for palliative (palliative) care for their tumors will increase dramatically over the next 50 years. This includes pain and other symptom control, with a focus on addressing psychological, sociological and spiritual aspects. To improve the quality of life of oncology patients: the patient’s physical condition (pain level, nutritional status, psychological status) should be correctly assessed and treated accordingly, so that patients with advanced tumors and terminal illness can be relieved of disease pain and live peacefully through the end of their lives with a limited survival period. Palliative care should be used as early as possible in the early stage of the disease and combined with radiotherapy. Palliative treatment for advanced tumor Control of somatic symptoms Overall care and symptom control for patients with incurable tumor, including the management of acute and critical tumor diseases: malignant pleural ascites, malignant pericardial effusion, intracranial hypertension, superior vena cava syndrome, acute intestinal obstruction, bone metastasis and related bone events; comprehensive treatment of tumor patients with various modalities of nutritional support therapy, Chinese herbal medicine and immune support. Control of cancer pain Drug therapy: According to the principle of three-step drug administration: “on-demand drug administration” to eliminate the pain of cancer patients. Different routes of drug administration are adopted according to the specific conditions of patients. Gastrointestinal administration: oral administration, rectal administration, sublingual administration. Dermal administration: When a large amount of oral pain medication cannot control the pain, or when there are serious gastrointestinal reactions such as nausea and vomiting and other side effects, we use continuous subcutaneous or intravenous input of anesthetics. A single fentanyl patch can provide pain relief for up to 72 hours. Pain pump (intravenous input of anesthetics): A drug injection pump is given to the patient. It provides the dose of anesthetic, the range of dose increases and decreases, and the minimum time between estimated 2 doses, as well as providing a stable cycle between injections. It can achieve better pain control, reduce the amount of anesthetic agent and reduce side effects. It not only prevents patients from overdose, but also controls the concentration of pain medication in continuous infusion by computer program to maintain a stable pain control effect and prevent patients from severe pain. Anesthesia technique to control cancer pain: Nerve block has been used for many years in patients with advanced cancer pain, and in recent years, it is advocated to be used in patients with early stage cancer pain. Drugs are continuously or intermittently administered into the epidural or intrathecal through a catheter or pump. This method avoids the side effects of oral drug delivery and other methods of drug delivery, and also reduces the application of adjuvant drugs. Neurosurgical techniques to control cancer pain: The aim of surgical treatment is to cut off the pain-producing pathway at a point between the peripheral and central nerves. Hospice Care Foreign studies have confirmed that hospice care can bring significant survival benefits to patients, and this extended time allows patients and families to spend more time together, which is very significant for them. In the end-of-life stage, in addition to the physical pain, cancer patients are also in fear of death. According to a hospice expert in the United States, it is important to control and reduce the physical pain of the patient while providing good psychological care for the dying patient. When a patient enters the dying stage, the psychological denial period begins. At this time, the patient often denies the seriousness of his or her condition, denies that he or she is terminally ill, and always hopes for a miracle of treatment to save him or her from death. When the patient learns that death is inevitable and will come in an instant, the patient instead waits calmly for the arrival of death and enters the acceptance phase. When death is unavoidable, the patient’s greatest demands are peace, avoidance of harassment, easy company of relatives, and spiritual comfort and support. The need for beauty (e.g., flowers, music, etc.) or certain special needs, such as writing medical orders, seeing the people they want to see most, etc. The patient’s family should try to give the patient these spiritual comfort and care, so that they can live their last moments without pain. The concept of hospice service is care-oriented, treating death as a part of life, respecting life, respecting the patient’s right to die, and the quality of life over quantity. We provide a full range of care and attention to patients and families from the perspective of physiology, psychology and bioethics. Through accurate assessment of the patient, we find the main psychological and somatic problems affecting the patient, communicate more with the patient and the family, understand the patient’s wishes and requirements before the end of life, and help the patient to free himself from the complex state of mind. We strengthen the care of patients’ clinical symptoms, such as: pain control, handling of urine and stool, alleviating nausea and vomiting reactions brought about by drugs, skin cleaning, etc., so that patients can obtain somatic and psychological comfort, which helps to bring a sense of satisfaction, security and respect to patients, in order to improve the quality of life of dying patients, to be able to minimize pain before leaving the world, and to establish a peaceful path to death for patients.