Shared Decision Making to Improve Goals of Care in the ED

Inclusion: 1. Patients presenting to Mayo Clinic Rochester, Saint Marys' Emergency Department, 2. Patients at high risk for critical illness as determined by an Elderly Risk Assessment (ERA) score ≥ 16 or as determined by provider discretion, 3. ≥ 60 years of age, 4. Ability to provide informed consent, 5. Medically stable at the time of enrollment, 6. Able to participate without causing a delay in care. Exclusion: 1. GCS scores \< 15, 2. Signs of altered mental status, 3. Known to be pregnant, 4. Incarcerated or in Police Custody, 5. Communication barriers such as visual or hearing impairment that may preclude use of the decision aid.