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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their medical care preferences when they're unable to make decisions for themselves. He emphasizes the importance of advance directives in situations where patients cannot communicate their wishes due to severe illness or unconsciousness. The document designates someone—like a spouse, sibling, or friend—whom healthcare providers can consult for decision-making. Dr. Winger highlights the significance of having clear directives to ensure that medical treatments reflect patients' desires, especially when traditional shared decision-making is not possible.