The main purpose of this article is the focus on the comparison of end-of-life preferences between the United States and Japan elders to see insights of the cultural differences. For the japanese they have different views and beliefs of the end-of-life, they have adopted the practices of Shintoism and Buddhism. They believe that Buddhist rituals at funerals are a view of death as a natural process of life cycle for them. Also, it stated in the article that “death signifies the end of one’s current body, but it also signifies rebirth and reincarnation of the spirit.” Since biomedical technology have changed over time they also change their belief in death and dying in japan with the life-sustaining treatments that nurses came up with. They
