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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify an individual's preferences for medical treatment in situations where they cannot make their own decisions. He highlights the importance of shared decision-making between doctors and patients. However, in certain circumstances—such as severe illness or unconsciousness—patients may be unable to communicate their wishes to healthcare providers. Dr. Winger emphasizes the need for an appointed person, such as a spouse, sibling, or friend, to make decisions on the patient's behalf in these situations. It is crucial to ensure that healthcare professionals are aware of this designated individual to facilitate proper communication and decision-making.