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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives—legal documents enabling individuals to specify their healthcare preferences when they cannot make decisions for themselves. Such situations may arise when patients are too ill or unresponsive to communicate. Advance directives facilitate shared decision-making between doctors and patients, ensuring treatments align with the patient’s wishes. It is essential to designate a trusted individual, like a spouse, sibling, or friend, to guide the medical team in these circumstances. Without clear directives, it can be challenging for physicians to know whom to consult regarding the patient’s healthcare choices.
