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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare preferences in situations where they cannot communicate their wishes. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patients' desires. However, unforeseen circumstances may prevent communication, such as illness or unconsciousness. In these cases, it is crucial to designate someone, such as a spouse, sibling, or friend, to make decisions on your behalf. Without proper documentation, doctors may struggle to identify the right person to consult for making healthcare choices.