Abstract
...This particular case raises questions about advance directives and the problems that may arise when patients have documented their wishes. Even when there is a clearly designated proxy, and even when there is a living will, decision making is still a complex process. The case also highlights the problems occasioned by the execution of multiple documents with handwritten notations. With the increased availability and use of advance directives, this situation may be increasingly common. Most important, the case illustrates how situations involving advance directives may vary at different times in the patient's course of treatment....
