Hmong Americans have typically been unwilling to use biomedical palliative care for end-of-
life needs. This has resulted in confusion and frustration for Hmong patients, families, and
nurses. Hmongs' end-of-life care choices for family members usually involve in-home
caregiving provided by the family using a combination of biomedicine and traditional healing
methods. Health care decisions are made for the patient by the family and community in this
familistic culture. A qualitative approach was used to explore the beliefs that ultimately …