Althouth most adults have had discussions about end-of-life care preferences with at least one family memder, few patients have had such discussion with their physicians ( o'Brien, Grisso,& Maislin, 1995; Emanuel, Barry,& Stoeckle, 1991). Althouth, patients are willing and eager to engage in such a discussion, they believe it is not their role to initiate the discussion (Emanuel et al., 1991). Thus, they wait for their physician to start the conversation; unfortunately, the physician usually does not.