What does the substituted judgment principle focus on when making medical decisions for a conservatee?

The substituted judgment principle is a key concept in guardianship and conservatorship, particularly when making medical decisions for individuals who are unable to express their wishes, such as a conservatee. This principle emphasizes the importance of considering the conservatee's past personal preferences and values when determining their care options.

By focusing on the conservatee's individual history, beliefs, and preferences, decision-makers aim to honor what the person would have chosen for themselves if they were able to communicate their wishes. It is a way to respect the autonomy of the conservatee and ensure that their individuality is considered in the decision-making process.

This principle is distinct from other considerations such as financial interests or health statistics. While financial factors and health metrics may play roles in a broader care strategy, the substituted judgment principle specifically seeks to align medical decisions with the conservatee's known preferences, which is vital for promoting dignity and personal agency in care matters. Such an approach aims to enhance the quality of life for individuals under conservatorship by ensuring that their unique values and desires guide medical treatment.