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In this tutorial, Dr. Neil Winger explains advance directives, which are legal documents that specify a person's wishes regarding medical treatment if they are unable to make decisions for themselves. He emphasizes the importance of these directives in situations where communication with doctors is impossible, such as severe illness or unconsciousness. Dr. Winger describes the role of a designated decision-maker, who could be a spouse, sibling, or friend, highlighting that doctors need clarity on whom to consult in such cases. Establishing an advance directive helps ensure that medical care aligns with the patient's preferences, reinforcing the importance of shared decision-making between doctors and patients.