Care provided by Japanese Americans needs to be examined more specifically to help identify cultural norms and integrate them into the health care provided. Racial diversity will increase significantly by 2050. This means health care demands for racially diverse older adults will increase. “Japanese Americans are known to have one of the longest life expectancies among the American population” (Mokuau, 2010). Trends that are beginning to change healthcare delivery for Japanese Americans. Women in the Japanese family are expected to be the primary caregivers, especially the daughter-in-law. Certain trends are beginning to change this role. These changes include an increase in the number of women employed outside the home, a decrease in family size, and changing values ​​of caregiving norms. It is traditional for women to look after the elderly within their family and for care to be provided at home. Use of the American health system has therefore been underutilized. Health care providers need to help understand this and support the idea of ​​using home health care and, in some cases, the idea of ​​using formal services and not view this as shameful (Mokuau, 2010). When it comes to receiving health care from a Japanese - In the United States, certain social barriers appear that make it difficult to access good quality health care. Evidence shows that by using different ways of expressing what you're trying to go through, you may have more success. For example, Japanese Americans are generally pretty good at writing in English here in the United States. However, when it comes to verbal instructions, this can be confusing and therefore lead to more explanations (Castro, 2012)....... middle of document ......DOI: 10.1007 /s10903-009-9258-3.Christos, P., Chuang, E., Flam, A. (2012). Breast cancer subtypes among Asian Americans differ by Asian ethnic group. J Health of immigrant minorities. DOI: 10.1007/s10903-012-9577-7. Gee, G., Lowthrop, C., Robertson, J. et al. (2010). Racial discrimination and self-reported substance use among Asian Americans in Arizona. J Health of immigrant minorities. Springer Science and Business Media, LLC. DOI: 10.1007/s10903-009-9306-zMokuau, N., Tomioka, M. (2010). Care of the elderly and Japanese adults: lessons from the periodical literature. Journal of Gerontological Social Work, 53:2, 117-136, DOI:10.1080/01634370903202868 Purnell, L. (2009). People of Japanese heritage. Guide to culturally competent health care. United States of America: FA Davis Company. Retrieved from http://online.statref.com/Document.aspx?FxId=85&doc.Id=46