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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 the patient's behalf. This video tutorial discusses when an advanced directive is applicable, who should create one, and outlines four types of advanced directives. Advanced directives are valid in any medical setting where the provider has a record of them, though providers may override them if they conflict with personal beliefs, institutional policies, or accepted healthcare standards. Laws governing advanced directives vary by state; some states recognize directives from others, and patients can modify or revoke their directives.