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An advanced directive is a legal document that guides healthcare decisions for patients unable to decide for themselves and can appoint a proxy to make decisions on their behalf. This video tutorial covers when advanced directives apply, who should create one, and the four types of advanced directives. Advanced directives are valid in any medical setting where providers have a record of them, but can be ignored if they contradict a healthcare provider's conscience, the institution's policy, or accepted healthcare standards. Laws regarding advanced directives differ by state, with some states recognizing directives from others. Patients can change or revoke their advanced directives.