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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify an individual's healthcare preferences when they are unable to make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients but recognizes that situations can arise where patients cannot communicate due to severe illness or other emergencies. In such cases, it's crucial to have designated individuals, such as spouses, siblings, or friends, who can make medical decisions on behalf of the patient. Dr. Winger emphasizes the need for clear guidelines to ensure that healthcare providers know whom to consult for decision-making when a patient is incapacitated.