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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that outline a person's preferences for medical treatment when they cannot make decisions for themselves. He highlights the importance of shared decision-making between patients and doctors, but notes that in certain situations—like severe illness or unconsciousness—patients may be unable to communicate their wishes. In these cases, it's crucial to designate a trusted individual, such as a spouse, sibling, or friend, to make decisions on their behalf. Dr. Winger emphasizes the need for advance directives to ensure that medical decisions align with the patient's values and preferences.