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An advanced directive is a legal document that outlines a patient's healthcare preferences when they cannot make decisions themselves. It can also designate a proxy to make decisions on their behalf. This video tutorial discusses when advanced directives are applicable, who should create one, and the four types available. Advanced directives are valid in any medical setting where the provider acknowledges them and can only be disregarded under specific circumstances, such as provider conscience or violations of institutional policies. Laws on advanced directives differ by state, with some states recognizing others' directives. Additionally, patients have the right to change or revoke their advanced directives.