TY - JOUR
T1 - Negotiating risky preferences in nursing homes
T2 - A case study of the Rothschild person-centered care planning approach
AU - Behrens, Liza
AU - Van Haitsma, Kimberly
AU - Brush, Jennifer
AU - Boltz, Marie
AU - Volpe, Donna
AU - Kolanowski, Ann Marie
N1 - Funding Information:
Ms. Behrens is PhD Student, Dr. Van Haitsma is Associate Professor, Dr. Boltz is Associate Professor, Dr. Volpe is Instructor, and Dr. Kolanowski is Professor, College of Nursing, The Pennsylvania State University, University Park, Pennsylvania; and Ms. Brush is Director, Brush Development Company, Chardon, Ohio. Drs. Boltz, Kolanowski, and Van Haitsma are supported by a National Institute of Nursing Research (NINR)/National Institutes of Health (NIH) grant (R01NR015982). The NINR/NIH had no role in the design or conduct of the study; collection, management, analysis, or interpretation of data; preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication. The remaining authors have disclosed no potential conflicts of interest, financial or otherwise. The authors thank the nursing home staff and administrators who participated in the pilot use of The Rothschild Process for Care Planning for Resident Choice and subsequent focus group. Address correspondence to Liza Behrens, MSN, RN, PhD Student, College of Nursing, The Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802-6508; e-mail: [email protected]. Received: May 24, 2017 Accepted: September 26, 2017 doi:10.3928/00989134-20171206-02
Publisher Copyright:
© SLACK Incorporated.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - 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.
AB - 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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U2 - 10.3928/00989134-20171206-02
DO - 10.3928/00989134-20171206-02
M3 - Article
C2 - 29355878
AN - SCOPUS:85050781327
SN - 0098-9134
VL - 44
SP - 11
EP - 17
JO - Journal of gerontological nursing
JF - Journal of gerontological nursing
IS - 8
ER -