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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to express their healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' wishes. However, in circumstances where patients are unable to communicate—due to illness or emergencies—advance directives identify who should make decisions on their behalf, whether that be a spouse, sibling, or friend. It's crucial to document these choices so that healthcare professionals know whom to consult in such situations.