My mother in law, 93, has had several ER visits, a hospitalization with surgery and a stint at rehab so far this year. Each time she is asked if she has Advance Directives and she always says she does not want to be resuscitated, but we don’t have a formal document. Once in the ER, when they kept her overnight, a geriatric NP brought in a DNR form which my mother in law signed. It traveled with her up to the hospital room but apparently was only good for that one admission. My MiL is adamant about not wanting to be resuscitated, but I know there are other medical interventions to weigh in on in Advance Directives, like antibiotics, IV fluids, feeding tubes. I mentioned it to her one time but she seemed overwhelmed and merely stuck to her one request for DNR. When she had an outpatient procedure recently, the admission nurse asked about Advance Directives and when my MiL claimed No Resuscitation, the nurse said it doesn’t count if you don’t have a legal document. So- we’ve been “meaning to get around to it”, but dear MiL only mentions such things when she is sick or in some sort of medical crisis, which is a terrible time to bring out forms and documents, then when she is feeling better, that also seems like a bad time to bring up end of life choices. I’m probably in some sort of avoidance mode. But I welcome advice from those who have already dealt with this. She has an appt with her PCP in a couple of weeks and that seems like a good time to address the issue. I just want to be prepared. Thanks in advance.