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An advanced directive is a legal document that outlines a patient's healthcare preferences when they are unable to make decisions. It can also designate a proxy to make decisions on their behalf. The video covers when advanced directives apply, who should create one, and the four types available. Advanced directives are valid in any medical setting where a healthcare provider has a record of it, but they may be disregarded if they conflict with the provider's conscience, institutional policies, or accepted healthcare standards. Laws on advanced directives vary by state, and while some states honor others' directives, not all. Patients can usually change or revoke their directives.