The medical team discussed the situation with Elise. She was in shock about how sudden Arthur's health had deteriorated. The Registrar was kind and recognised her shock, providing somewhere for her to sit and digest the situation. He asked if Arthur had an Advanced Health Directive at all, or an enduring power of attorney. Elsie revealed he had meant to get around to it but had not yet. After a long discussion with the Registrar, an Acute Resuscitation Plan (ARP) with a do-not-resuscitate order covering subsequent cardiac arrest or further evidence of stroke was put in place. She understood the reasons for this as she had been a nurse for a very long time. Elsie was documented as agreeing with the ARP in Arthur's medical notes. She understood that prolonging treatment could do more harm than good. She is aware that Arthur would not want to suffer or be in pain. They had both discussed not wanting to be "hooked up to machines and kept alive".

Under the Queensland Guardianship law, describe the factors that must be considered by substitute decision-makers when making decisions about medical treatment for someone such as Arthur.

answer MUST include the application of the facts and the relevant legal authority.

The question does not call for identification of Arthur's substitute decision-makers, however, it requires discussion of the factors to be considered by Arthur's substitute decision-maker in relation to his healthcare

• Refer to the Healthcare principles (HCPs) under queensland law, marks are allocated for describing the factors the substitute decision-maker must take account of when making decisions about Arthur' s healthcare