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An advanced directive is a legal document that outlines a patient's healthcare preferences if they become unable to make their own decisions. It can also designate a proxy to make decisions on their behalf. This video tutorial discusses when advanced directives are applicable, who should create one, and the four types of advanced directives. Advanced directives are valid in any medical setting with a recorded directive, but healthcare providers may disregard them if it conflicts with their conscience, institutional policy, or accepted standards. Laws governing advanced directives differ by state; some states recognize others' directives, and patients can change or revoke their directives.