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hi mr. Smith thank you very much for coming in today I know that your mom is going to be admitted to the facility tomorrow so I just wanted to have you come in so we could sit down and we can talk about advance directives for your mom and things of that nature okay yeah thank you I really appreciate having the opportunity to speak with you youre very very welcome so what I really wanted to establish today is whether your mom has any advanced directives already in place um does she have health care proxy does she have a living will does she have a non-hospital DNR form does she have a most form does she have any of those in place well you know Im her proxy so and she did have a living will and we did talk about this before you know her dementia progressed it was very clear when when she was in the hospital that in the event of you know cardiac arrests she did not want to be resuscitated and she basically wanted to allow natural death to occur when and if that was going to be the issue