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An advanced directive is a legal document that outlines a patient's healthcare preferences when they are unable to make decisions. It can also designate a proxy to make decisions on the patient's behalf. This video tutorial discusses when advanced directives are applicable, who should create one, and the four types of advanced directives. They are valid in any medical setting where healthcare providers have a record of them. Providers may only disregard an advanced directive if it contradicts their conscience, the institution's policy, or accepted healthcare laws. Laws concerning advance directives vary by state; some states recognize others' directives, but not all. Patients can change or revoke their advanced directives.