What is the role of the hospital social worker in decision-making for incapacitated patients who lack decisional capacity?

• A. They often decide medical care for the patient
• B. They represent the patient in decisions
• C. They coordinate guardianship but do not make medical decisions
• D. They appoint guardians

Answer: (C)

When a patient can’t make medical decisions, a surrogate decision-maker is needed to authorize care. The hospital social worker’s job is to coordinate the guardianship process and arrange for a legal surrogate (such as a court-appointed guardian or a designated family member) so decisions can be made. They help gather information, involve family and attorneys, and ensure the patient’s preferences and rights are respected, but they do not decide on medical treatments themselves. Medical decisions are made by the treating clinicians with input from the surrogate, guided by the patient’s values and best interests.