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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare preferences when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatment aligns with patient wishes. However, there are situations—such as severe illness or incapacitation—where patients cannot communicate their desires. In these cases, advance directives designate a person, such as a spouse, sibling, or trusted friend, to make decisions on the patient’s behalf. This ensures that the healthcare team knows whom to consult when critical decisions are needed.