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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's wishes regarding medical treatment when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, highlighting scenarios where patients may be incapacitated and unable to communicate their preferences, such as severe illness or unconsciousness. Dr. Winger stresses the need to designate a person, such as a spouse, sibling, or friend, to make healthcare decisions on one's behalf, noting that healthcare providers may not be aware of informal arrangements without proper documentation.