When signing, and agreeing to important documents, such as an Advance Directive, a patient should be aware of what is going on. They should be able to comprehend and understand what the form is requiring of them. In Jennie’s case, she had “little contact with reality,” and did not recognize that she was consenting to moving into a nursing home. Moreover, Jennie may have felt pressure from either her neighbor or her daughter to sign the Advance Directive. If it was not what Jennie wanted, then she should have not felt burdened to sign the form. I agree with the administrator that the feeding tube should not be inserted, even though the patient’s daughter felt it would be best. Due to the court not deeming Jennie as incompetent, she is still