Delivering person-centered care (PCC) is no longer an option for nursing homes (NH) that receive funding from the Centers for Medicare & Medicaid Services. NH staff need evidence-based protocols to guide eff orts in honoring preferred choices of residents, especially those that are perceived to be risky. The Rothschild Care Planning Process for Resident Choice was created to honor such choices. The current article provides a case exemplar to demonstrate the use of the Rothschild Care Planning Process for Resident Choice with one NH resident who was perceived by staff to be making a risky choice. The scenario outlines six steps to the process, highlighting areas for focus and documentation that addresses complexities and best practices in delivering PCC. Three recommendations are off ered to address residents' choices that carry risk: (a) adapt care community policies, (b) engage direct care staff in care planning, and (c) provide staff training in facilitating resident choice.
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