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An advance directive is a legal document that provides guidance on healthcare decisions for a patient who becomes unable to make their own choices. It can also designate a proxy to make decisions on their behalf. This video covers when advance directives apply, who should create one, and the four types available. Advance directives are valid in any medical setting with a provider record, but healthcare providers can only disregard them for reasons related to personal conscience, institutional policy, or violation of healthcare standards. Laws regarding advance directives differ by state, with some states recognizing others' directives, and they can be changed or revoked by the patient.