Decision making on behalf of another individual must be done with consideration and knowledge of the individual's values and beliefs. The Personal Directives Act of Nova Scotia section 15(2b) states that in the absence of instructions, a delegate or substitute decision maker (SDM) must act according to what they believe to be the wishes of the individual in their care.
Best-interest care process IS NOT
Best-interest care process IS
When an older adult is deemed incapable of making a particular decision, a delegate or substitute decision maker (SDM) can be involved to make the decision(s) for them.
An SDM may be beneficial to the person experiencing impairment. The role of SDM is challenging because they are now responsible for making decisions on another person's behalf. An SDM may enhance or limit another person's dignity, meaningful risk-taking, and everyday choices.
The following principles, informed by The Mental Capacity Act 2005 (UK), should be considered in best-interest care decision-making: