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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to specify their preferences for medical treatments if they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but highlights that there are situations, such as severe illness or unconsciousness, where patients cannot communicate their wishes. In these cases, it’s crucial to designate a trusted person—be it a spouse, sibling, or friend—who can make decisions on the patient's behalf. Dr. Winger underscores that without clear directives, doctors may not know whom to consult for guidance.