In a recent judgment, the Supreme Court considered the possibility of supplementing the act for the designation in advance of the support administrator by the beneficiary, with the intentions of the subject and hence the suitability of this act to convey the advance health care directives, while specifying that the state of incapacity is a constituent element in the provision of support:19 the judicial intervention cannot but be simultaneous with the manifestation of the subject’s need for protection, therefore reflecting the incapacity or infirmity from which this need arises and which, according to the relevant regulatory framework, represents a prerequisite of the system itself and not merely its effects. In the case in question the Court turned down the request of a woman to appoint in advance a support administrator whom she had chosen herself in an authenticated private deed, in anticipation of any future incapacity on her part, to act as guarantor of the wishes that were simultaneously expressed with regard to medical care by the person concerned.