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In this tutorial, Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their treatment preferences if they become unable to make decisions for themselves. This situation may arise if a patient is too ill or unresponsive. The document also designates a trusted person—such as a spouse, sibling, or friend—who can guide doctors in making health care decisions on the patient's behalf. Establishing an advance directive ensures that a patient's wishes are respected even when they cannot communicate them.