CASE VIGNETTE
Anne is a 59-year-old woman who is weighing her future and wondering whether she'll see her granddaughter grow up. She has breast cancer, and so far her treatments haven't beaten the disease or prevented its spread. She completed an advance directive when she was 50 years old, after her parents' unexpected deaths from lung cancer and a stroke and years before her diagnosis of breast cancer. Her mother spent a short time in hospice and her father's stroke was fatal within 24 hours.