An Advance Care Directive can appoint a person who is willing, available and capable of taking the responsibility to be a Substitute Decision Maker.
A Substitute Decision Maker can be:
– Power of Attorney
– Spouse or Partner in a legalized relationship
– Parent or Child
– Other relatives
If a patient does not have a Power of Attorney for Personal Care or an appropriate family member, a guardian can be appointed by the court as a SDM.
Certain persons cannot be appointed or act as Substitute Decision-Makers:
– a person who is not competent
– a health practitioner who is responsible (whether solely or with others) for the health care of the person giving the advance care directive
– a paid carer of the person giving the advance care directive.