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welcome my name is Daniel fish Iamp;#39;m a fellow with AK tech from New York with me today is Tara pleat from New York as well sheamp;#39;s an act tech fellow and weamp;#39;re here today to talk about advanced directives Tara can you help us out and start defining for us what advanced directives are soar advanced directives is a general term to describe primarily to documents that allow an individual to express what their health care wishes might be if they were in a circumstance where they were not able to voice those wishes themselves typically theyamp;#39;re referred to as a health care proxy or a durable healthcare power of attorney depending upon what state youamp;#39;re living in and a living will document and can you tell us the difference between those documents sure a living will document is a document that states a patientamp;#39;s preferences for different types of treatment in different circumstances and typically it is addressing end-of-life type circumstanc