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In this video, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare preferences in the event they cannot make decisions for themselves. He explains that optimal patient care involves shared decision-making between doctors and patients. However, unforeseen circumstances may prevent this communication, such as illness or unconsciousness. In such cases, the advance directive designates a person, like a spouse, sibling, or friend, to make decisions on the patient's behalf. This ensures that medical professionals know whom to consult about the patient's wishes when they are unable to articulate them.