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An advanced directive is a legal document that outlines a patient's healthcare preferences if they become unable to make decisions. It may also designate a proxy to make these decisions. This video tutorial covers when an advanced directive is applicable, who should create one, and the four types of advanced directives. It explains that advanced directives are valid in any medical setting where a healthcare provider has a record of it. Providers may disregard these directives in cases of personal conscience, institutional policy, or violation of healthcare laws. Additionally, laws regarding advanced directives vary by state; while some states recognize directives from other states, not all do. Patients can change or revoke their advance directives.