Page 2 - The Deep Seated Issue of Choice

THE DEEP SEATED ISSUE OF CHOICE
CONTENTS
QUALITY OF LIFE QUALITY OF CARE: WHERE DO WE START?
A Historical Perspective
The Challenge of Quality Nutritional Care
Culture Change – Supporting Quality of Life and Care
WHAT IS POSSIBLE: QUALITY OF LIFE – QUALITY OF CARE IN DINING
Normalcy Is Possible Home Is Possible
Create Quality Dining Through Choice
Create Quality Dining Through Accessibility Create Quality Dining Though Individualization
Community Is Possible
Guides to Progress on the Culture Change Journey
Quality of Life and Quality of Care Come Together with Resident Choice
WHO OWNS THE CARE PLAN? WHO ARE WE TO DECIDE FOR PEOPLE WHAT IS BEST FOR THEM?
Resident Rights: Opportunities and Challenges
The Right and Dignity of Choice and Risk
The Right to Refuse Treatment
Competing Challenges to Self-Determination
Meeting the Challenge of Resident Self-Determination
Meeting the Challenge of Professional Standards of Quality for Nutritional Care of the Elderly
DEEP ORGANIZATIONAL CHANGE FACILITATES TRUE RESIDENT CHOICE
The Why and the How of Deep Organizational Change
Dining System Changes in Deep Organizational Redesign
Deep Organizational Change – from a Registered Dietitian’s Personal Perspective Deep Organizational Change – from a Staff and Family Perspective
WHAT MAKES NEW IDEAS DIFFICULT
Historical Barriers
OBRA 1987 Supports Culture Change – Survey Barriers Often Impede It
Survey Focus Can Be a Barrier Survey Variability Can Be a Barrier Survey Process Can Be a Barrier
OBRA 1987 Supports Culture Change – Lack of Clarity on Best Practice Often Impedes It Self-Determination and Professional Standards of Quality
OBRA 1987 Supports Culture Change - Lack of Clarity on Professional Standards and Accountability Often Impedes It
Medical Accountability Is Receiving New Emphasis
Nursing Embraces Accountability, Addressing Barriers and Opportunities Social Work Accountability to Resident Self-Determination Is Clear Dietetics Accountability Is Evolving in Somewhat Competing Directions
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