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Case 1: An 80-year-old woman; incompetent, with chronic irreversible (Alzheimer's) and acute (anterior myocardial infarction) conditions -- no medical directive.
Case 2: An 80-year-old woman; incompetent, with chronic irreversible (Alzheimer's) and acute (anterior myocardial infarction) conditions -- medical directive for acute care.
Case 3 : A 33-year-old woman with young children; competent, with terminal irreversible (metastatic breast and liver cancer) and acute reversible (septicaemia from urinary tract infection) conditions, insisting on intensive medical treatment.
Case 4: A 56-year-old man; competent, with a progressively debilitating, although not imminently terminal, condition (motor neurone disease with dysphagia), requesting physician-assisted death.