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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify an individual's preferences for medical treatment in situations where they are unable to make decisions for themselves. Such circumstances may arise from severe illness or unconsciousness, preventing communication between the patient and healthcare providers. Dr. Winger emphasizes the importance of having a designated decision-maker, such as a spouse, sibling, or trusted friend, to guide doctors in making choices aligned with the patient's wishes. He highlights that without proper documentation, healthcare providers may not know whom to consult, underscoring the need for advance directives.