Which statement describes appropriate caregiver involvement for patients with cognitive impairment?

• A. Caregivers should never be involved
• B. Caregivers should be involved only if the patient consents
• C. Caregivers may be involved as appropriate to support understanding and adherence
• D. Caregivers should replace the clinician in decision-making

Answer: (C)

Involving caregivers serves to support understanding and adherence for patients with cognitive impairment. Caregivers can help the patient interpret instructions, remember to perform exercises or take medications, and monitor safety and progress, which can make a treatment plan practical and effective. This approach respects the patient’s autonomy and dignity by seeking the patient’s preferences and capacity, while also leveraging the caregiver’s familiarity with the patient’s routines and communication style. Clinicians should obtain appropriate consent and discuss what information may be shared, ensuring privacy and respect for the patient’s wishes. The clinician remains responsible for clinical decisions, with the caregiver providing support rather than replacing professional judgment. Involving caregivers is not about exclusion or overreach, but about practical collaboration that enhances understanding and adherence when appropriate.