This study consists to evaluate the feasibility of a case-management intervention of Advance Care Plan (ACP) placement for elderly patients at high risk of death at twelve months discharged alive from acute geriatric medicine.

Feasibility will include the following indicators: rate of patients included and randomized, rate of patients remaining in the study, ACP rates achieved at one month.

Inclusion Criteria:

• Patients aged 75 or over.
• Affiliated to a social security scheme.
• Hospitalized in an acute care geriatric department
• Discharged from hospital to home or residential facilities for dependent elderly people
• Targeted pathology or at least one incurable disease.
• At high risk of death in the twelve months following discharge according to the DAMAGE prognostic score (high-risk score group). A high risk of death is defined by a DAMAGE score > 50%.
• Rockwood Clinical frailty scale score greater than or equal to 7 at one month.

Exclusion Criteria:

• Refusal to participate in the study expressed by the patient or his/her legal representative, if applicable.
• Patients transferred to another Medicine-Surgery-Obstetrics department (only "medicine or surgery" in the elderly).
• Patients transferred to follow-up care and rehabilitation, palliative care, or returning home in palliative care.
• Patients who have already drawn up advance directives, chosen a trusted support person or discussed their end-of-life wishes with their doctor.
• Patients with proven severe neuro-cognitive disorders (in the medical record with a Mini-Mental State Examination (MMSE) score below 10 or in the absence of knowledge of the degree of severity and/or a recent previous MMSE score taken in a stable period, the referring practitioner, a geriatrician with expertise in this field, will assess whether the patient is unfit to state his or her advance directives at the time of inclusion.