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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to outline their preferences for medical treatment in situations where they are unable to communicate their wishes. Such circumstances might arise if a patient is too ill or unconscious. Effective shared decision-making between doctors and patients is crucial, but if patients cannot convey their desires, it is important to designate someone—like a spouse, sibling, or trusted friend—who can communicate on their behalf. However, healthcare providers may not recognize a friend as an authorized decision-maker, highlighting the need for advance directives.
