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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their preferences for medical treatment in case they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges scenarios where a patient may be unable to communicate, such as severe illness or loss of consciousness. In such cases, it's crucial to designate an individual, such as a spouse or friend, who can make decisions on the patient's behalf. Dr. Winger highlights that without proper documentation, healthcare providers might not know who to consult in these situations.