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An advanced directive is a legal document that outlines a patient's healthcare preferences if they become unable to make decisions. It can also appoint a proxy to make decisions on their behalf. This video covers when advanced directives apply, who should create them, and the four types available. Advanced directives are valid in any medical setting where a healthcare provider has a record of them, but providers can only disregard them under specific circumstances: if they conflict with their conscience, medical institution policy, or legal standards. Laws governing advanced directives differ by state, and while some states recognize the directives from others, patients can change or revoke their directives at any time.