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An advanced directive is a legal document that guides healthcare decisions for a patient unable to make their own choices. It may also designate a proxy to make decisions on their behalf. This video tutorial covers when advanced directives apply, who should create them, and the four types of advanced directives. They are valid in any medical setting where a healthcare provider has a record of them, but providers can disregard them if they conflict with their conscience, the institution's policy, or accepted healthcare standards. Laws governing advanced directives vary by state, with some states recognizing directives from others, and patients can change or revoke their directives.