title: Advance directives and establishing the goals of care.
abstract: This article addresses advance directives and methods to establish the goals of care for remaining life in the decisional and nondecisional patient. Without these discussions, patient autonomy is negated, and the opportunity to provide patient-centered care using shared decision making is lost.
authors.affiliation: Division of Geriatrics, Department of Internal Medicine, University of South Florida College of Medicine, Tampa, Florida, USA.
authors.forename: J
authors.initials: J
authors.lastname: Leland
mesh_terms: D016223:Advance Directives; D003657:Decision Making; D018450:Disease Progression; D005190:Family / Q000523:psychology; D006801:Humans; D007362:Intensive Care Units; D009735:Nursing Homes; D009937:Organizational Objectives; D010344:Patient Advocacy; D010347:Patient Care Planning / Q000458:organization & administration*; D010358:Patient Participation; D018802:Patient-Centered Care / Q000458:organization & administration*; D010819:Physician's Role; D010817:Physician-Patient Relations; D011379:Prognosis; D012944:Social Support; D013727:Terminal Care / Q000458:organization & administration* / Q000523:psychology*