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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences if they're unable to make decisions for themselves. He explains that while optimal healthcare involves shared decision-making between patients and doctors, there may be situations where patients are too ill or unconscious to communicate their wishes. In such cases, it's crucial to designate a trusted person—like a spouse, sibling, or friend—who can make decisions on one's behalf, ensuring that doctors know whom to consult for guidance. Dr. Winger emphasizes the importance of having advance directives to avoid confusion during critical moments.