Lifestyles of Asians may differ in that as one ages the family becomes the caring unit for the patient and includes many blended households. Talaie (2018) shares the Japanese healthcare system utilizes females as head of households and are responsible for caring for family members. He further shares this belief will cost Japan to have a shortage of caregivers of 370,000 workers as they do little to support the incoming of foreign care workers, and have stringent criteria these workers must pass testing wise to be caregivers that leave many without prospects in Japan. So Mr. JC understands the burden placed on his daughter with his comment of “do not want to be a burden to my daughter”. Many of these families do not put their loved ones in nursing homes. This author’s spouse is Japanese/American and his mother lived with his sister after the fathers death until she also passed. She acquired dementia and oxygen but his sister continued to care for her at home.