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In this tutorial, Dr. Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their medical preferences in situations where they cannot make decisions for themselves. Such scenarios may arise if patients are too ill or incapacitated. The ideal is that patients and doctors engage in shared decision-making; however, when communication is not possible, it’s crucial to designate someone, such as a spouse, sibling, or trusted friend, to make healthcare decisions on one's behalf. Establishing clear directives ensures that healthcare providers know whom to consult during critical times.