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An advanced directive is a legal document that outlines a patient's healthcare preferences when they are unable to make their own decisions. It can also designate a proxy to make decisions on their behalf. This video tutorial discusses when advanced directives apply, who should create them, and the four types available. Advanced directives are valid in any medical setting with a provider's record, but they can be disregarded if they conflict with a provider's conscience, institutional policy, or accepted healthcare standards. Laws regarding advanced directives differ by state, with some states recognizing others, and patients can change or revoke their directives.