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An advanced directive is a legal document that guides healthcare decisions for patients who are unable to decide for themselves. It can appoint a proxy to make decisions on their behalf. This video covers when advanced directives apply, who should create one, and the four types of directives. Advanced directives are valid in any medical setting where the healthcare provider is aware of them, although they can be disregarded if they conflict with the provider's conscience, the institution's policy, or accepted healthcare standards. Laws regarding advanced directives vary by state; some states recognize directives from others, and patients can change or revoke their directives.