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Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, explains advance directives. An advance directive is a legal document that allows individuals to specify their treatment preferences in case they become unable to make decisions for themselves. This situation can arise if patients are critically ill or incapacitated, preventing them from communicating with healthcare providers. To ensure that their wishes are honored, patients should designate a trusted person—such as a spouse, sibling, or friend—who can make decisions on their behalf. An advance directive fosters effective communication between patients and doctors, enhancing shared decision-making during challenging circumstances.