There are instances that advance directives are well kept by the patient. The latter should inform surrogate decision maker and family members regarding the existing advance directives. In emergency cases, there are instances that these directives are nowhere to be found. The patient in an unconscious state cannot verbalize his wishes unless the family will show or express the patient’s last desires. There would be a conflict in management and a serious outcome might result in poor quality of life. In case number two, the patient can still tell what he wants and this should be respected by the health care providers and family members.
