What is the main goal of documenting advance directives?

• A. To increase hospital length of stay.
• B. To limit patient autonomy.
• C. To clarify patient preferences and goals of care.
• D. To replace clinician judgment.

Answer: (C)

Documenting advance directives aims to clarify patient preferences and goals of care so their values guide medical decisions when they cannot speak for themselves. It outlines which treatments a patient would want or refuse, such as resuscitation, ventilation, artificial nutrition or hydration, or comfort-focused care. This respect for autonomy helps ensure that medical decisions align with the patient’s beliefs and priorities, and it reduces uncertainty for families and clinicians during difficult moments.

It's not about increasing hospital stay or limiting patient autonomy, and it doesn't replace clinician judgment. Rather, it provides clear direction that clinicians use alongside their professional assessment to tailor care to what the patient values. Ongoing conversations and updates are important, as preferences can change with new health information or life circumstances.