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In-person interviewer-administered studies of clients 70 many years and older with non-dialysis-dependent CKD stage four to five and their self-identified care partners. Descriptive analysis of patient and care companion studies. McNemar test evaluation to compare patient and care partner answers. Most patients had written advance directives (64%) and surrogate decisiged in ACP conversations that will make those desires known. Enhancing clinical ACP interaction may result in end-of-l