Ontario Health atHome
May 13th, 2022
In Ontario, a substitute decision-maker may be a spouse, partner, companion, family member or trusted friend who is capable of making important decisions, reflective of their loved one’s needs and wishes.
A substitute decision-maker is a designated person authorized to make decisions on behalf of a patient who is unable to make important decisions about their own personal care. This includes choices about health care, medical treatment, nutrition, living arrangements, hygiene and safety.
The role of a substitute decision-maker can be challenging. This responsibility means the authorized person must make decisions that are aligned with the previously expressed wishes of the patient, or if the wishes are unknown, what is in the best interest of the patient.
In instances when someone does not wish to take on the role of a substitute decision-maker, or finds themselves unable to continue as a substitute decision-maker, an Ontario Health atHome care coordinator will turn to the next highest ranking individual who meets the requirements to act as substitute decision-maker, in accordance with the law.
