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Write down their wishes, preferences and instructions for future health care, end of life, living arrangements and personal matters and/or. appoint one or more Substitute Decision-Makers to make these decisions on their behalf when they are unable to do so themselves.

The major drawback to an advanced directive is that it is a piece of paper. A doctor might not know of its existence or it might not be produced in time to be of much use. There's also a possibility it won't be honored if it's from another state.

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Current thinking about advance care planning reveals it to be composed of behaviors including clarification of values; communication among patients, surrogates, and clinicians; and completion of written directives.

Some of the criticisms of advance care planning noted by the authors and oth- ers (Fagerlin and Schneider 2004), such as patients' limited factual understanding that informs a preference, the nar- row range of content accommodated in typical directive documents, the translation of document content into actual decisions

Advance directives are legal documents that allow you to plan and make your own end-of- life wishes known in the event that you are unable to communicate. Advance directives consist of (1) a living will and (2) a medical (healthcare) power of attorney. A living will describes your wishes regarding medical care.

An advance directive encompasses all legal orders which concern your wishes surrounding future medical care. The document will come into play in the case of severe medical situations in which you're not able to communicate your wishes or make decisions. These may include such conditions as a coma, stroke or dementia.