Issue link: https://www.newlifestylesdigital.com/i/859777
47 understands and agrees with them. Remember that residents have the right to choose and refuse any form of care or treatment offered to them, and that the facility must identify and present alternatives that will meet the stated goals of the care plan. When asking questions and communicating your concerns, assume that the facility administration and staff are working with your family member's best interests at heart, because the majority are. Attempt to communicate in ways that do not generate defensiveness, keeping the lines of communication open in the future. At the same time, come to the meeting with a full knowledge of residents' rights, and be prepared to defend and protect those rights when necessary. Although residents and their representatives often fear being labeled a "squeaky wheel," questions can be raised and issues can be addressed in mutually respectful, positive, and productive ways. The care plan meeting is also your opportunity to provide the staff with important background information that will improve the quality of care that your loved one receives. SNFs are obligated to provide individualized care, and are therefore required to make reasonable adjustments to honor the resident's needs and preferences. For example, if an individual always enjoyed their bath after dinner, as a means of relaxing to ensure a good night's sleep, it is not unreasonable to expect the staff to adjust their bath schedules accordingly. When making specific requests, be prepared to explain how the change or adjustment will be of benefit to the resident and improve their quality of life. Laws are in place that protect residents' rights to receive quality care. You and your family member should determine what "quality care" means to you, and clearly communicate your expectations to those providing that care. Questions for the care plan conference: What changes in the resident's health, functional status, or behaviors have occurred since the last care plan conference? To what are these changes attributed? How frequently are they participating in activities or social events? Could any of their special interests be integrated into the facility's activities calendar? What percentage of the meals and fluids that they are offered are they consuming? Have there been fluctuations in their weight? Are there particular foods they enjoy, that they would like more of? What is the status of any special therapies that are being provided (physical or speech therapy, etc.)? When was the last time the resident saw their physician? What do their clinical notes from recent visits indicate? Have there been any changes in the facility's administration or nursing staff? Are there new staff members responsible for the care of my loved one that I need to meet? Are there any items that they need, such as new clothing, personal items, reading material, or stationery? Are their eyeglasses and hearing aids in good repair? What changes to the current care plan would the staff recommend, and why? Article submitted by Amy R. Abrams, MSW/MPH, CMC Vice President, Client Services Elder Care Guides