Conceptual Barriers to Palliative Care and Enlightenment From Chuang-tze's Thoughts

Camb Q Healthc Ethics. 2020 Jul;29(3):386-394. doi: 10.1017/S0963180120000110.

Abstract

This paper claims that palliative care (PC) is a suitable approach for offering comprehensive support to patients with life-threatening illness and unavoidable asthenia, to enhance their quality of life in aging and chronic illness. There are however some conceptual barriers to accessing that care on the Chinese Mainland: (1) Death-denying culture and society; (2) Misguidance and malpractice derived from the biomedical model; (3) Prejudice against PC and certain deviant understandings of filial piety culture. To counter these obstacles, the study introduces the philosophy of Chinese Taoist Chuang-tze to enlighten the public from ignorance and remove some illusions about death and dying; inspire people to face and accept illness and death calmly, and keep harmony and inner peace of mind to alleviate suffering, with the aim of providing wisdom and a shift of attitude toward life and death. Chuang-tze's thoughts are consistent with the provision of palliative care, and to a certain degree, can promote its acceptability and delivery, and the conception of good death in practice.

Keywords: Chuang-tze; Conceptual barriers; Death; Life; Palliative care; ‘Tao’.

MeSH terms

  • Aging
  • Humans
  • Palliative Care*
  • Quality of Life*