The judge in the hearing did not give the conservators power to make medical decisions on behalf of Britney, but that really is the upshot.
The conservators -- Jamie Spears and Andrew Wallet -- can communicate with Brit's doctors and access medical records.
In terms of managing Brit's estate, the function of Wallet -- a respected lawyer who has handled many similar matters -- is to ensure there is an independent voice in the management of her estate, and we're told that's something Jamie and Lynne are down with.
The effect of the order is that Sam Lutfi has, at least temporarily, been shut out of Britney's world. He will not be able to go to her home or the hospital, or have any other contact with her.