Abstract: Objective To conduct Heart to Heart® Café to understand the end-of-life wishes of patients with lung cancer, enhance patients' cognition on death, and provide support for them to enjoy their remaining life. Methods Lung cancer patients were chosen with the method of purposive sampling. One host and three leading persons who were trained by Heart to Heart® card designed by the Chinese American Coalition for Compassionate Care held the Heart to Heart® Café. Patients completed Heart to Heart® card. Results Seven Heart to Heart® Café were launched including 38 patients, 33 of which participated in the whole activity and 5 left in the middle. All the participants believed such activities were meaningful and helpful and was worth to be popularized. A total of 99 Heart to Heart® card were collected. Among them, there were 30 cards of body needs of lung cancer patients at the end of life (30%), 30 of interpersonal needs (30%), 22 of spiritual needs (22%), 12 of financial needs (12%), and 5 of special wishes (5%). The most frequently seen wish was I do not want to become the family burden; I want a trusted doctor and a caring nurse, and I hope my family can get along well. Conclusion Heart to Heart® Café is conducive to understanding the concerns of lung cancer patients at the end of their life, to helping them face death positively. It is a easy but practical tool of death education for cancer patients and a good tool for soothing care to provide comprehensive care for cancer patients.

Key words: lung cancer patient, end of life, demand