Process and Tools for Examining Resident Choice and Risk in Person-Centered Care

​An article published June 13, 2016 in the Journal of Gerontological Nursing outlines a process for considering residents' preferences in the delivery of person-centered care when those preferences may pose risk. The Rothschild Person-Centered Care Planning Task Force, sponsored by the Hulda B. and Maurice L. Rothschild Foundation, developed A Process for Care Planning for Resident Choice, which can be used to guide these decisions, document the process using the provided form, and support regulatory compliance. The first step is talking with and observing the individual to clarify his or her choice and understand underlying reasons. The second step is discussing the choice with the individual in order to explore options. The third step is determining whether the preference can be honored or whether less risky alternatives can be offered.