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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, noting that there are circumstances—such as severe illness or unconsciousness—where patients may be unable to communicate their wishes. In these cases, it's crucial to have a designated individual, like a spouse, sibling, or friend, to make medical decisions on their behalf. Advance directives ensure that healthcare providers know whom to consult, thus respecting the patient's wishes in critical situations.