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An advance directive is a legal document that outlines a patient's healthcare preferences when they are unable to make decisions themselves. It can appoint a proxy to make decisions on their behalf. This video discusses when advance directives apply, who should create one, and the four types of advance directives. They are valid in any medical setting where the healthcare provider has a record of it, but can be disregarded if they conflict with the provider's conscience, the institution's policy, or accepted standards of care. Laws on advance directives differ by state, with some recognizing the directives from other states. Patients can modify or revoke their advance directives.