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An advanced directive is a legal document guiding healthcare decisions for patients unable to decide for themselves, and it can appoint a proxy to make choices on their behalf. This video tutorial covers when advanced directives are applicable, who should create one, and the four types available. Advanced directives are valid in any medical situation where a healthcare provider has access to them, but a provider may refuse to follow the directive if it conflicts with their conscience, the institution's policy, or accepted standards of care. Laws regarding advanced directives differ by state, with some states recognizing directives from others. Patients also have the option to change or revoke their advanced directives.