 Based on theories regarding decision-making and patient education the investigators have developed Patient-Centered Advance Care Planning PC-ACP. This intervention is designed to improve patient and surrogate knowledge of ACP, increase the congruence between patient and surrogate in treatment decisions, decrease the patients and surrogates conflict in making such decisions, and increase the consistency between patient preferences and the actual care they receive. The ACP intervention is conducted with the patient in the presence of the surrogate. 