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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their medical treatment preferences if they are unable to make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients, but notes that there are circumstances where patients may not be able to communicate their wishes, such as severe illness or unconsciousness. In such cases, it’s crucial to designate someone, like a spouse, sibling, or friend, to make decisions on their behalf. Dr. Winger emphasizes that without clear directives, doctors may not know whom to consult, underscoring the necessity of having these documents in place.