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In this video, Dr. Neil Winger explains advance directives, which are legal documents that allow individuals to specify their treatment preferences in case they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but notes that certain situations, like severe illness or unconsciousness, may prevent this communication. In such cases, it’s crucial to designate a trusted individual, such as a spouse, sibling, or friend, to make decisions on their behalf. The video highlights the necessity for clear advance directives to guide healthcare providers in respecting the patient’s wishes when they cannot advocate for themselves.