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In this tutorial, Dr. Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document enabling individuals to express their treatment preferences in situations where they cannot make decisions for themselves, such as severe illness or incapacity. The ideal scenario involves collaborative decision-making between patients and doctors, reflecting patients' wishes for their treatments. However, in cases where patients are unable to communicate, it’s crucial to designate someone—like a spouse, sibling, or trusted friend—to guide doctors in making decisions on their behalf. This ensures that patient preferences are honored even when they cannot speak for themselves.