If a designated agent struggles to make decisions on a patient's behalf, can they appoint another designated agent?

The correct answer is that a designated agent cannot appoint another designated agent. When a patient designates an individual to act on their behalf, they are relying on the judgment and authority of that specific person to make decisions according to their wishes. The role of the designated agent is to interpret and apply the patient’s preferences in medical situations. If the designated agent is struggling to make decisions, they do not have the authority to delegate that responsibility to another person unless explicitly stated in the original agreement or power of attorney.

This principle upholds the idea that the patient specifically chose that agent based on their personal relationship, knowledge of the patient's wishes, and trustworthiness. Allowing the agent to appoint someone else could complicate the decision-making process and potentially lead to conflicts or decisions that do not align with the patient's intent. In situations where the designated agent feels unable to make decisions, it is often advisable for them to consult with the patient, legal counsel, or a medical ethics committee rather than transferring their authority to another individual.