The patient’s preferences and values are part of the important information that informs their care. The team and the patient mutually discuss the patient’s health goals, with the patient making the final determination, and the team in the role of counseling the patient to choose easily achievable goals that will not add unreasonably to the burden already imposed by their chronic illnesses and current treatments.  Creating a Patient-Centered Care Plan can elicit the patient’s preferences and values.  Collaboratively creating the agenda for the visit, and Shared Decision Making can be important ways the partnership is enacted in care.