To what extent should wards be included in the guardianship plan creation?

• A. Included to the extent they are capable
• B. Not involved
• C. Must be sole author
• D. Only involved if guardian allows

Answer: (A)

Involving the ward in planning guardianship to the extent they are capable ensures that the plan reflects their preferences and values, while still protecting their safety and well-being. This approach respects autonomy and supports person-centered care, aiming for decisions that align with the ward’s goals and the least restrictive options available. The guardian should explain choices in clear, accessible ways, seek input, and consider the ward’s past wishes, daily routines, and expressed preferences. When capacity is limited, the guardian uses supported decision-making and gathers input from trusted sources, notes any known preferences, and revisits the plan as circumstances or the ward’s capacity change. This ongoing involvement helps reduce coercion, enhances cooperation, and improves the relevance and quality of the guardianship plan. Excluding the ward or limiting involvement to the guardian’s discretion contradicts these principles.