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An advanced directive is a legal document guiding healthcare decisions for patients who cannot decide for themselves, and it can appoint a proxy to make decisions on their behalf. This video discusses when an advanced directive applies, who should create one, and the four types of advanced directives. Advanced directives are valid in any medical setting if recorded by the healthcare provider, who may only disregard them under specific circumstances, such as personal conscience conflicts or institutional policies. Laws regarding advanced directives vary by state, with some states recognizing those from others. Patients can change or revoke their advanced directives at any time.