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foreign [Music] Peters a risk management regional manager at proassurance Advanced directives are one area where patients rights and Health Care operations intersect the first step usually occurs during or prior to admission intake staff discuss the types of advanced directives available to patients to ensure a clear understanding and documentation of the patients wishes advance directives are legal documents created by a patient prior to Health Care treatment to record preferences regarding their care including certain Medical Treatments resuscitation efforts and life-sustaining efforts this may include directions regarding the use of mechanical ventilation or feeding tubes as well as certain surgeries and medications Advanced directives may be used when a patient is incapacitated due to conditions such as coma Serious injury terminal illness or severe dementia one example of an advance directive is a living will which is a document recording a patients consent or refusal to consen