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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to communicate their healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure that treatments align with patients' wishes. However, there are scenarios where patients may be unable to express their preferences, such as being too ill or unconscious. In such cases, it's essential to designate a trusted person, like a spouse, sibling, or friend, who can assist doctors in making decisions. Dr. Winger highlights that without clear advance directives, healthcare teams may not know whom to consult.