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An advanced directive is a legal document that outlines a patient's healthcare preferences when they are unable to make decisions. It can also designate a proxy to make decisions on their behalf. This video tutorial covers when advanced directives apply, who should create them, and the four types available. Advanced directives are valid in any medical setting with a recorded document, but healthcare providers may disregard them if they conflict with personal conscience, institutional policies, or accepted standards. Laws regarding advanced directives differ by state; some states recognize others' directives, and patients have the ability to change or revoke their directives.