Learn about the importance and process of advance care planning in this physician grand rounds presentation. Explore the impact of advance care planning on end-of-life care for elderly patients, including findings from a randomized controlled trial. Discover how to select a health care agent, consider personal priorities and spiritual values, and navigate difficult conversations about end-of-life decisions. Gain insights into identifying values based on past experiences and quality of life, choosing surrogates wisely, and informing family and friends about one's wishes to prevent conflicts. Understand the key components of effective advance care planning and how to implement them in clinical practice.