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An advanced directive is a legal document guiding healthcare decisions for patients who can no longer decide for themselves. It can also designate a proxy to make decisions on the patient's behalf. This video covers when advanced directives apply, who should create them, and the four types available. Advanced directives are valid in any medical setting where providers have access to them. Providers may only disregard them if they conflict with their conscience, the institution's policies, or accepted healthcare standards. Laws regarding advanced directives differ by state; while some states recognize directives from others, not all can be altered or revoked by the patient.