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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's wishes regarding medical decisions when they are unable to communicate. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatment aligns with the patient's desires. However, in situations where patients cannot communicate—due to serious illness or incapacitation—it's crucial to designate someone, such as a spouse, sibling, or friend, to make decisions on their behalf. Dr. Winger highlights that without formal documentation, healthcare providers may not know who to consult for these critical decisions, underscoring the necessity of advance directives.