Bearing witness in home hospice: Ethical reflections on caring for Asian American patients

Bearing witness in home hospice: Ethical reflections on caring for Asian American patients 
American Journal of Hospice and Palliative Medicine; by Tuzhen Xu, PhD, APRN, FNP-C and Dan Song, PhD, RN 
This narrative aims to examine the ethical and cultural challenges faced by home hospice nurses when caring for Asian American patients in culturally diverse home-based environments. Drawing on personal experiences as a hospice nurse case manager and director, it explores how cultural practices such as avoiding direct discussions about death, prioritizing family-centered decision-making, and hesitating to use professional interpreters can conflict with hospice principles of patient autonomy and informed consent.