What is the requirement for a fiduciary to make decisions regarding extraordinary procedures?

A living will specifically indicating the person's desires is crucial for a fiduciary to make decisions regarding extraordinary procedures. This document explicitly outlines an individual’s preferences for medical treatment and interventions in situations where they are unable to communicate their wishes. It serves as a guide for fiduciaries, ensuring that their decisions align with the individual’s values and desires.

This requirement is rooted in the ethical obligation of fiduciaries to act in the best interest of the person they represent. By having a living will, it provides clear directions, minimizing uncertainty about the individual's wishes in critical situations. This helps prevent potential conflicts among family members and provides legal protection for the fiduciary, as their actions are based on documented consent.

In contrast, other options such as verbal consent, a Durable Power of Attorney without additional documentation, and court approvals lacking written directives may not provide the same level of clarity or specificity that a living will does. They could lead to ambiguity regarding the individual's healthcare preferences, reducing the effectiveness of the fiduciary’s role in making informed decisions.