Person already lacks capacity: If the person already cannot understand and sign legal documents, power of attorney is no longer an option. The family may need to pursue court-appointed guardianship or conservatorship, which requires legal proceedings. This is the most expensive and time-consuming path -- flag it as the urgent outcome of delayed planning. Recommend immediate consultation with an elder law attorney who handles guardianship cases.
Family disagreement about agents: When family members disagree about who should serve as healthcare proxy or financial agent, the person themselves decides (if they have capacity). If they cannot decide, or if the choice creates serious family conflict, recommend: a professional fiduciary for financial matters, or a geriatric care manager to mediate the healthcare decision. The person's wishes take priority over family preferences.
Existing documents from another state: When the person has moved to a new state, existing documents may still be valid but should be reviewed by an attorney licensed in the new state. Some states have specific requirements (witness counts, notarization, registration) that out-of-state documents may not meet. Recommend review within 6 months of a move.
Blended families: When the person has children from multiple marriages, a current spouse, and step-children, the legal planning complexity increases. Standard intestacy laws may not distribute assets as intended. Multiple people may feel entitled to serve as agents. Recommend a comprehensive estate plan that addresses: who serves as agent (and backup), how assets are directed, and whether a trust is appropriate to manage distribution. Attorney consultation is especially important in this scenario.
Limited finances: If the person cannot afford an attorney, recommend: legal aid societies that serve seniors, law school clinics that provide free elder law services, the local Area Agency on Aging (which often maintains referral lists for low-cost legal services), and state bar association pro bono programs. Some jurisdictions provide standardized advance directive forms at no cost through the state health department. Note that self-prepared documents carry higher risk of being challenged or found invalid.