Page 78 - The Deep Seated Issue of Choice
P. 78
THE DEEP SEATED ISSUE OF CHOICE
APPENDIX D
F163
Interpretive Guidelines
Add guidance in paragraph 2 to detail the physician’s failure to support resident self- determination in treatment options as an example of appropriate cause for requesting an alternate physician.
F241
483.15(a)
Interpretive Guidelines
Expand examples to include promoting resident self-determination in treatment options with risk/benefit education and offering of alternative treatments in a manner that promotes resident dignity.
F242
483.15(b)
Intent
Expand to state respect the right of the resident to choose and refuse a treatment option.
F250
483.15(g)
Interpretive Guidelines
Expand the examples to which a facility should respond with social services to include resident choice of refusing a treatment option, situations potentially regarding opposing resident advanced directives, and to assist residents in consistently making meaning choices about aspects of their life significant to them.
F280
483.10(d)(3)
Interpretive Guidelines
Add guidance to address the right of the resident to choose and refuse a treatment option after a thorough exploration of care alternatives.
483.20(k)(2)
Interpretive Guidelines
Add guidance to address the right of the resident to refuse treatment options that the facility deems appropriate in light of the statutory requirement that hold the facility ultimately accountable for the resident’s care and safety, including clinical decisions.
F281
F483.20(k)(3)
Interpretive Guidelines
Add specific reference to accommodation of guidelines to respect resident right self- determination, including the right to refuse treatment.
75
