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An advanced directive is a legal document that outlines a patient's healthcare preferences when they are unable to make decisions. It can designate a proxy to make decisions on the patient's behalf. This tutorial covers the applicability of advanced directives, who should create one, and the four types of advanced directives. Advanced directives are valid in any medical setting where the healthcare provider has documentation of it. Providers may override the directive if it conflicts with their conscience, the institution's policy, or accepted healthcare standards. Laws concerning advance directives vary by state; while some states recognize others' directives, not all directives can be changed or revoked by the patient.