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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that outline a patient's preferences for medical treatment if they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients under normal circumstances. However, there may be instances where a patient cannot communicate their wishes due to illness or injury. In such cases, advance directives specify who should make decisions on the patient's behalf, ensuring that their treatment aligns with their values and desires. It's crucial to designate a trusted individual, such as a spouse or close friend, to provide guidance for medical decisions.