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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to express their healthcare preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but highlights scenarios where patients may be unable to communicate, such as severe illness or unconsciousness. In such cases, it's crucial to designate someone—like a spouse, sibling, or trusted friend—to make decisions on their behalf. Dr. Winger stresses the need for advance directives to ensure that healthcare providers know whom to consult in these situations.