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an advanced directive is a legal document that gives guidance about the types of healthcare a patient accepts in the instance that they become unable to make their own decisions it can also appoint another person known as a proxy to make these decisions on behalf of the patient in this video well cover when an advanced directive applies who should make an advance directive and the four types of advanced directives first lets review when an advanced directive applies advanced directives are valid in any medical setting where the health care provider has a record of it a health care provider can only go against its orders when the decision goes against the individual health care providers conscience when the decision is against the health care institutions policy or if the decision violates accepted health care standards laws about advance directives vary state by state some states recognize the directives of others but not all advance directives can be changed or revoked by the pat