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An advanced directive is a legal document that outlines a patient's healthcare preferences in case they become unable to make decisions. It can also designate a proxy to make decisions on the patient's behalf. The video tutorial discusses when advanced directives apply, who should create them, and the four types of advanced directives. These directives are valid in any medical setting with a recorded copy. Healthcare providers may only disregard them if doing so conflicts with personal conscience, institutional policy, or accepted standards. Laws concerning advance directives differ by state, and while some states recognize directives from others, not all directives can be changed or revoked by the patient.