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An advanced directive is a legal document that outlines a patient's healthcare preferences in case they are unable to make decisions. It may also designate a proxy to make decisions on the patient's behalf. This tutorial covers when advanced directives apply, who should create them, and the four types available. Advanced directives are valid in any medical setting where they are on record, but healthcare providers can only disregard them under specific conditions, such as personal conscience, institutional policy, or legal standards. Laws regarding advanced directives differ by state; some states recognize others' directives, and patients can change or revoke their directives at any time.