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In this tutorial, Dr. Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their healthcare preferences in case they are unable to make decisions for themselves. This situation may arise if a patient is too ill or incapacitated. Dr. Winger emphasizes the importance of shared decision-making between doctors and patients; however, if a patient cannot communicate, it’s crucial to identify a trusted person—such as a spouse, sibling, or friend—who can make decisions on their behalf. Advance directives help ensure medical choices align with the patient's wishes even when they cannot voice them.