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An advanced directive is a legal document that guides healthcare decisions when a patient cannot make their own choices. It may also designate a proxy to make decisions on the patient's behalf. This video discusses when advanced directives apply, who should create them, and outlines the four types available. Advanced directives are valid in any medical setting where a provider has a record of them, although they can be overridden if they contradict a provider's conscience, institutional policy, or accepted healthcare standards. State laws concerning advance directives differ, with some states recognizing directives from others, and patients have the right to change or revoke their directives.