Once appointed, can a guardian and conservator do anything they want to assist the incapacitated?

In general, a guardian can handle the daily affairs of the incapacitated, including making routine medical decisions and handling payment of bills.

However, courts frequently require the permission of the probate judge in order to sell an incapacitated’s residence or to make gifts from the incapacitated’s assets, unless the guardian has specifically been granted the authority to do so.