Challenges of guardianship: Examining four cases from new york state

The authors detail the impact of guardianship on the care of frail elders. Four case studies, all from a geriatric faculty practice in New York State, highlight complications faced when patients' agents are guardians. In addition, the authors emphasize the need for guardians' education and outline two important guardianship laws in New York State: the Family Health Care Decisions Act and the Palliative Care Information Act. Ultimately, this article raises concerns that guardians may not be effectively advocating for their wards and/or setting appropriate goals for them, particularly when palliative care is warranted. Although the article focuses on experiences in only one state, the challenges outlined are encountered nationwide.