The final step in the development of an end-of-life plan should involve interdisciplinary development of a plan. The meeting should involve at least the patient viders if the patient so desires and appropriate. At this meeting, the patient and family can clarify any question they might have about a written directive. Hopefully, the final plan would include the extent to which the patient desires to be involved in the decision making, the role she/ he wishes / his family or physician to play, the patient’s goals or values for end-of-life care, any specific desires the patient has for specific intervention to be utilized or withheld at end of life, as well as a choice of healthcare proxy, if appropriate. The more physicians and other healthcare providers are involved in developing a plan for end-of-life care a patient, the more likely the plan is to be followed when the patient becomes ill and a decision need to be made.