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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that outline an individual's healthcare preferences in situations where they are unable to communicate their decisions. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatments align with patient wishes. However, in cases where patients are incapacitated and cannot convey their desires—due to illness or emergencies—advance directives specify who should make decisions on their behalf. This designated person could be a spouse, sibling, or friend, but it's crucial that doctors are aware of this choice to guide them in such circumstances.