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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies medical preferences for individuals who are unable to make their own decisions. Ideally, doctors and patients engage in shared decision-making to align treatment with patient wishes. However, situations may arise where a patient cannot communicate, such as severe illness or unconsciousness. In these cases, it's crucial to have someone designated to make healthcare decisions on the patient’s behalf, such as a spouse, sibling, or close friend. It’s vital to inform physicians who this trusted individual is to ensure proper communication.