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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies a person's preferences for medical treatment in situations where they are unable to make decisions for themselves. Ideally, doctors and patients engage in shared decision-making to ensure that treatment aligns with patient wishes. However, there may be circumstances—such as severe illness or unconsciousness—where patients cannot communicate their desires. In such cases, it is important to designate a trusted individual, like a spouse, sibling, or friend, to guide medical decisions. Advance directives help ensure that healthcare providers know whom to consult for direction.
