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An advanced directive is a legal document that provides instructions on healthcare preferences for patients who are unable to make decisions. It can also designate a proxy to make decisions on the patient’s behalf. This video covers the applicability of advanced directives, who should create one, and the four types of advanced directives. Advanced directives are valid in any medical setting where they are recorded, but healthcare providers may refuse to follow them if they conflict with personal conscience, institutional policies, or accepted standards. Laws regarding advanced directives vary by state, and while some states recognize directives from others, patients can change or revoke their directives.