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many terminal patients exercise their right to participate in end-of-life care decisions an effective way for a patient to do this is with an advanced care plan although the legal framework for the creation of a plan varies from place to place be aware that advanced care planning does not have to be a legalized formal process advanced care planning is basically a documentation of the patients own wishes that may be in conjunction with family it may be something theyve done individually by themselves it doesnt have to be signed by a solicitor or any sort of legal body its really a documentation of what they would wish in in certain circumstances an advanced care plan guides the health care teams decisions when the patient may be unable to participate in making decisions it helps the patient to maintain control over their lives and can relieve the burden of tough decision making for family and loved ones its therefore important that the plan adequately outlines the patients goals a