Background : Admitted to the hospital seven days ago for changes in mental status, low-grade fever and nausea and vomiting. His medical diagnosis was determined to be cryptococcal meningitis secondary to AIDS. Definitive tests staged his encephalopathy as moderate (stage 2). The patient experiences episodes of disorientation, forgetfulness and confusion and is easily re-orientated to his surroundings. His gait is unsteady, and he exhibits periods of hand tremors when he attempts tasks that require fine motor skills. His healthcare provider recently spoke with him regarding a Living Will and placed an Advance Directive in his permanent file at the patient's request. The Advance Directive designates the patient's brother as his durable power of attorney for healthcare. The patient previously was able to manage all aspects of self-care including his medications. His prognosis is six months.