The issue of advance health care directives, therefore, is not extraneous to the mechanism of support administration and, as transpires from the discussion regarding their possible synergy, with a view to achieving the personal integrity and wishes of the individual concerned, or perhaps regarding the limits of the use of such support measures or perhaps even more regarding the superficiality of the system under consideration precisely in the presence of advance health care directives communicated by the patient; these are various positions from which several considerations emerge about whether it is opportune to promote a legislative intervention on this subject. If the decree concerning the appointment of a support administrator, following verification that it is impossible for an individual to provide for his own interests, is an instrument for conferring the assignment upon the person chosen by the individual concerned, irrespective of the validity granted to any possible advance health care directives contained in the act of designation or in any case communicated by the person concerned but not acknowledged by the probate judge in the appointment decree, the intervention of a judge is indispensable in order to guarantee that the person of trust chosen by the patient can act to ensure that his wishes are respected.