Who is responsible for making medical decisions when there is a guardianship in place?

In Virginia, when a guardianship is in place, the guardian is legally responsible for making medical decisions for the ward (the person for whom the guardian is responsible). This includes decisions about their medical treatments, treatments that involve mental health, and alternative treatments. It is the guardian’s job to discuss the options with the ward (if possible) and make the best decision based on what is best for the ward and their safety. They should consult with the ward’s healthcare providers and get their input. The guardian may also need to consult with the ward’s family or other involved parties to make sure it is the best decision for the ward’s well-being. The guardian also has the responsibility to ensure that the ward receives the necessary medical care and is taken to their appointments. In the event that the ward is unable to communicate their wishes, the guardian must act in the best interest of the ward and follow the medical advice of their healthcare providers.

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