Enduring Powers of Attorney: Promoting attorneys' accountability as substitute decision makers

Abstract

AimThe misuse and abuse of Enduring Powers of Attorney (EPAs) by attorneys, particularly in relation to financial decision‐making, is a growing concern. This paper explores the opportunities to enhance accountability of attorneys at the time of the execution of the document in Queensland.MethodA four‐stage multi‐method design comprised a critical reference group; semi‐structured interviews with 32 principals or potential principals, attorneys and witnesses; two focus groups with service providers and a state‐wide survey of 76 principals, attorneys and witnesses.ResultsAcross all methods and user groups, understanding the role and obligations of the attorney in an EPA was consistently identified as problematic.ConclusionsPromoting accountability and understanding can be addressed by greater attention to the role of the attorney in the forms/ guidelines and in the structure and witnessing of the forms, increased direction about record keeping and access to appropriate advice and support.

Lesbian, gay, bisexual and transgender people's attitudes to end‐of‐life decision‐making and advance care planning

“…at the point of resuscitation) [12], the lack of clarity with which treatment requests for future hypothetical scenarios are expressed [13] and not conveying this important information to key parties, such as partners, family members and health‐care providers [14]. Further, there is a risk of misuse and abuse of these forms of authority, particularly EPoA for finances [15], by those empowered with substitute decision‐making responsibility.…”