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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify an individual's healthcare preferences when they are unable to make decisions for themselves. He emphasizes the importance of these directives in ensuring that patients' treatment aligns with their wishes, particularly in unexpected situations where they cannot communicate with their healthcare providers due to illness or injury. Dr. Winger highlights the necessity of appointing a person, such as a spouse, sibling, or trusted friend, to make decisions on the patient's behalf, suggesting that having clear instructions is crucial for effective medical decision-making in such circumstances.