anticipate every situation that could possibly arise. Emergency circumstances can be another barrier to the implementation of advance directives. The emergency room physician treating an accident victim is not really in a position to halt things immediately when a nurse, looking through the persons wallet for people to contact, finds a living will card. If heroic measures are applied in an emergency situation, placing the client on life-support systems, it is sometimes very difficult to remove them (King, p. 91). ConclusionThis paper offers insight into many different reasons why the Advanced Directives are not always followed. It is sad but it is often true that the wishes, made known in advanced are still not followed at the time they are needed. There is much work still needing to be done to have advanced directives work the way they are intended. I feel much of the responsibility lies with the clients themselves to educate their families as to their wishes when the time comes. The subject should also be discussed with the primary Physician. There should be copies on file with both the primary Physician, and the hospitals the client uses. I still have mixed emotions on the role of the family to overturn the line of the advanced directive. I do think the family, who presumably knew the client best should have the ability to say what the client most likely would have wanted in the case of an unexpected event not specifically stated in the advanced directive. I do not feel that making more laws will help the situation unless you are willing to put people in jail for not following the contract of Advanced directives. No, more laws will not help except to perhaps make a universal format for advanced directives. That may help in the cases of but, that was written in another state. I feel the key to success is continued understanding and teamw...