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In this tutorial, Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that outlines a person's preferences for medical treatment when they are unable to communicate their wishes due to illness or incapacity. This situation can arise when patients are too sick or unresponsive. Effective shared decision-making between doctors and patients is essential, but when patients cannot express their wishes, it is crucial to designate a decision-maker, such as a spouse, sibling, or friend. Ensuring that healthcare providers are aware of this designated person helps guide decisions in critical situations.