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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that express a person's wishes regarding medical treatment when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients may be incapacitated and unable to communicate their preferences. In such circumstances, it’s crucial to designate someone—like a spouse, sibling, or friend—who can make healthcare decisions on the patient's behalf. Dr. Winger highlights that without advance directives, healthcare providers may not know whom to consult for guidance during critical times.