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In this tutorial, Dr. Neil Winger explains advance directives, which are legal documents that express a person's healthcare wishes when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients may be unable to communicate, such as severe illness or injury. The advance directive specifies who should make healthcare decisions on the patient's behalf, whether it's a spouse, sibling, or friend. It highlights the necessity of clearly identifying a decision-maker to ensure that the patient's wishes are respected in critical moments.