Negotiating risky preferences in nursing homes: A case study of the Rothschild person-centered care planning approach

Liza Behrens, Kimberly Van Haitsma, Jennifer Brush, Marie Boltz, Donna Volpe, Ann Marie Kolanowski

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)11-17
Number of pages7
JournalJournal of gerontological nursing
Volume44
Issue number8
DOIs
StatePublished - Aug 1 2018

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Gerontology

Fingerprint Dive into the research topics of 'Negotiating risky preferences in nursing homes: A case study of the Rothschild person-centered care planning approach'. Together they form a unique fingerprint.

  • Cite this