Page 80 - The Deep Seated Issue of Choice

THE DEEP SEATED ISSUE OF CHOICE
APPENDIX D
Criteria for Compliance
Change the third bulleted point to read offered instead of received a therapeutic diet. Deficiency Categorization
Change the fourth bulleted point to read offered instead of received a therapeutic diet. Severity Level 3 (or 2) Considerations:
Add bulleted example of failure to honor resident self-determination regarding nutritional care.
F361
483.35(a)
Intent
Add to assure that the residents are offered adequate nutrition and receive adequate nutrition within their rights to self-determination.
Interpretive guidelines
Add experience or training in individualizing approaches to nutritional care based on resident self-determination.
F363
483.35(c)(1)
Intent
Change to assure that the meals offered, not served, meet the nutritional needs.
Change nutritionally adequate meals have been planned for the resident and offered, not followed.
Add “Residents may choose to follow a menu pattern of personal choice.”
Procedure
Add consistent with resident choice to observation guidelines.
Add interview with resident and/or family regarding resident choice for reason for deviation.
Probes
Change the first probe to ascertain that residents are offered (or receive within their rights to self- determination) food in the amount, type, consistency and frequency to maintain normal body weight and acceptable nutritional values.
F364
483.35(d)(1)(2)
Probes
Add “and acceptable to the resident” regarding appearance and texture.
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