I wish that it could be black and white. Too often people have expressed their desires regarding end of life but were not careful in choosing their MDPOAs...when the person becomes incapacitated and unable to speak for themself the MDPOA make the decisions. In too many case the DPOA is too sad, or afraid, or depressed, or selfish, or too something to follow through with hospice goals outlined by the patient. I am obligated to try to help the patient by helping the DPOA but ultimately, I am not "the decider".