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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences if they cannot make decisions for themselves due to illness or incapacity. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be situations where patients can't communicate their wishes. In these cases, it's crucial to designate a trusted person—be it a spouse, sibling, or friend—to make decisions on their behalf. Dr. Winger highlights the need for clear communication of these preferences to ensure healthcare providers know whom to consult during critical moments.