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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 enables individuals to specify their medical treatment preferences in situations where they are unable to communicate their wishes, such as being too ill or unconscious. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be circumstances where patients cannot engage directly in this process. In such cases, deciding who should make medical decisions on their behalf—be it a spouse, sibling, or friend—is crucial. Advance directives provide clarity to healthcare providers about patient preferences in these scenarios.
