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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare wishes in situations where they cannot make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients in reflecting patients' treatment preferences. However, unexpected circumstances can arise where patients are unable to communicate their desires, prompting the need for designated decision-makers. Dr. Winger emphasizes the significance of clearly identifying who should be consulted for medical decisions on one's behalf, whether it be a spouse, sibling, or friend, ensuring that healthcare providers are aware of these choices.