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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients in determining treatment. However, in certain situations where patients can't communicate—such as illness or unconsciousness—it's crucial to designate someone (like a spouse, sibling, or friend) to make decisions on their behalf. The challenge arises if the chosen person is a friend, as medical professionals may not know to contact them without clear documentation. This highlights the need for advance directives to ensure that healthcare decisions align with patients' wishes.