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In this tutorial, Dr. Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document allowing individuals to express their treatment preferences when they cannot make decisions for themselves. Such situations can arise if patients are too ill or incapacitated. It emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' wishes. In the event patients cannot communicate, advance directives specify who should be consulted for decision-making—be it a spouse, sibling, or friend—highlighting the need for clarity about trusted decision-makers.