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Dr. Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies a person's preferences for medical treatment in situations where they cannot communicate their wishes. This typically occurs during emergencies or severe illness when effective communication is impossible. To ensure that healthcare providers make decisions aligning with a patient's desires, it is crucial to appoint a trusted individual—such as a spouse, sibling, or friend—who can advocate on the patient's behalf. Without documented preferences, healthcare professionals may struggle to determine the appropriate actions to take.