Your 91-year-old great-aunt has terminal cancer. you and she have had many conversations regarding what she would want done if she were incapacitated and could not make choices about any additional medical interventions. because she knew in advance what she wanted to have happen, she created __

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Because she knew this, she created Advance directive.
An Advance directive is a document that specify what actions should be taken regarding that person in case that he/she no longer medically capable to create his/her own decision.
In most circumtances, the rights to make  decision will be transferred to close relative such as parents, spuse, or children.