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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that outline a person's wishes for medical treatment in situations where they cannot make decisions for themselves. He emphasizes that optimal care involves collaboration between doctors and patients through shared decision-making. However, there may be circumstances, such as severe illness or unconsciousness, where patients cannot communicate their preferences. In such cases, it is essential to designate a trusted individual—like a spouse, sibling, or friend—who can make decisions on their behalf. Advance directives help ensure that medical decisions align with the patient’s desires, even when they cannot voice them.