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In this tutorial, Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their medical treatment preferences in case they are unable to make decisions for themselves due to illness or incapacity. Effective decision-making in healthcare ideally involves collaboration between doctors and patients. However, in situations where patients cannot communicate—perhaps due to severe illness or unconsciousness—it is crucial to designate someone, such as a spouse, sibling, or close friend, who can make medical decisions on their behalf. This ensures that the patient’s wishes are honored even when they cannot express them.
