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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their medical treatment preferences when they are unable to communicate their wishes. He emphasizes the importance of shared decision-making between patients and doctors in optimal care. However, unforeseen circumstances may arise where a patient cannot discuss their preferences, such as being too sick or unconscious. In such cases, having a designated person to make decisions on behalf of the patient is crucial. This may be a spouse, sibling, or friend, but it is important that doctors can easily identify this person, highlighting the need for advance directives to ensure patient wishes are honored.