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With durable power of attorney for health care can I decide where a patient can receive treatment and can a facility keep a patient against a legal guardian's wishes?
No, a legal guardian trumps a durable POA. So if a legal guardian has been appointed, then they have the authority to determine everything that happens to the ward and what care they receive.
These are two different things... a durable POA for health care is someone who is appointed by the grantor of that power to make care decisions if that person is unable to do so. But a legal guardian is appointed by a probate court judge to basically be in control of a ward's entire life.
So a guardian has much more authority than a POA and has unfettered authority to determine a ward's care with the court's approval.