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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's treatment preferences in situations where they cannot make decisions for themselves. Such circumstances may arise if a patient is too ill or unconscious. Dr. Winger emphasizes the importance of shared decision-making between doctors and patients but acknowledges that there may be times when communication is impossible. He encourages individuals to designate someone, like a spouse, sibling, or trusted friend, as a decision-maker who can guide doctors in alignment with the patient's wishes. The lack of prior designation may lead to uncertainty for healthcare professionals in critical situations.