Culture affects the day-to-day organization of care. Consider the idea of a partnership between families and nurses sought by home health care agencies. Agencies rightly recognize that optimal self-management of disease and a person’s return to function depends on a reasonable division of labor, shared information, and the willingness of family caregivers to learn rehabilitation and nursing protocols, medication administration, the use of assistive technologies, and the like (Wolff et al., 2009). But a family’s involvement may depend on how they define this partnership and, in particular, whether or not the home health care provider is considered part of the family (Knox and Thobaben, 1997; McGarry, 2009). Similar effects of culture may be evident in the willingness of families to accept telehealth technology, express their degree of burden or need for help, or seek hospice care at the end of life.