{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T05:03:39Z","timestamp":1784351019253,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:p>Palliative care clinicians often help facilitate coordination of care, complex serious illness, and end-of-life medical decision-making. However, the clinical and legal issues related to guardianship can complicate the decision-making process, care delivery, outcomes, and the role of the palliative care clinician. Adult patients who have a guardian have been found by a court to be unable to make some or all decisions for themselves. Providing care for patients under guardianship is where medicine overlaps with legal rights. It is crucial to be familiar with the patients\u2019 rights and the guardians\u2019 responsibilities to clarify medical decision-making processes and identify necessary authorities. This article uses an interprofessional approach to leverage the expertise of physicians, nurses, lawyers, and guardians and to guide palliative care clinicians to optimally support patients under guardianship.<\/jats:p>","DOI":"10.1089\/jpm.2024.0318","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T04:42:52Z","timestamp":1726634572000},"page":"1251-1257","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients Under Guardianships"],"prefix":"10.1177","volume":"28","author":[{"given":"Dhrity","family":"Bhowmik","sequence":"first","affiliation":[{"name":"Division of Geriatrics and Palliative Care Medicine, Department of Medicine, NewYork-Presbyterian Queens, Flushing, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Balch Hurme","sequence":"additional","affiliation":[{"name":"Sally Balch Hurme LLC, National Guardianship Association, Bridgewater, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Medicine, Department of Medicine, NewYork-Presbyterian Queens, Flushing, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Hematology and Medical Oncology, Tulane University School of Medicine, New Orleans, Louisiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syeda Sundus","family":"Mujahid","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Medicine, Department of Medicine, NewYork-Presbyterian Queens, Flushing, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latrice","family":"Pelissier","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Medicine, Department of Medicine, NewYork-Presbyterian Queens, Flushing, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Widera","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Hospice &amp; Palliative Care, San Francisco VA Medical Center, UCSF, San Fransisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew B.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Yale School of Medicine, VA Connecticut Healthcare System, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina A.","family":"Kohn","sequence":"additional","affiliation":[{"name":"David M. Levy Professor of Law, Solomon Center for Health Law and Policy, Syracuse University, Yale Law School, Syracuse, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Galvez","sequence":"additional","affiliation":[{"name":"Guardianship and Care Management Services LLC, National Master Guardian, Center for Guardianship Certification, National Guardianship Association, Albuquerque, New Mexico, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Alkire","sequence":"additional","affiliation":[{"name":"Viable Alternatives Inc., National Master Guardian, National Guardianship Association, Florida State Guardianship Association, Nokomis, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela B.","family":"Teaster","sequence":"additional","affiliation":[{"name":"Center for Gerontology, Virginia Tech, Blacksburg, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0680-8911","authenticated-orcid":false,"given":"William E.","family":"Rosa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1471-973X","authenticated-orcid":false,"given":"Cynthia X.","family":"Pan","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Medicine, Department of Medicine, NewYork-Presbyterian Queens, Flushing, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/08959420.2020.1851433"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0384"},{"issue":"4","key":"e_1_3_3_4_2","first-page":"102","article-title":"2021 Guardianship legislation: highlights and trends effectuating improved processes and outcomes in U.S. Guardianship Systems","volume":"43","author":"Moran E","year":"2022","unstructured":"Moran E. 2021 Guardianship legislation: highlights and trends effectuating improved processes and outcomes in U.S. Guardianship Systems. 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