1. Empowers and honors the resident and quality of life first and foremost by getting to know the resident, listening to the
resident’s preferences/goals in dining, and informing the resident of dining rights.
2. Builds an ongoing relationship with the resident that includes quality of life markers such as satisfaction with food, mealtime service, level of control, and independence.
3. Collaborates with the dietitian, other interdisciplinary team (IDT) members, and the family/POA or surrogate decision makers to create a person-directed environment and maximize resident choice in dining, quality of life, and quality of care.
4. Recognizes that all dining decisions default to the resident, works to ward removing traditional or institutional decision making, and implements creative, effective solutions based on person-directed decision making.
5. Encourages active resident participation in changing the language of nutrition care plans a way from the problem-goals-approaches format, to promoting the incorporation of resident preferences and goals into development of an individualized plan of care.
6. Collaborates with the dietitian and other IDT members to develop, implement, and review policies and procedures that ensure residents are offered dining choices that promote dignity and self determination (e.g.,choices regarding waking times and breakfast dining, evening snack times, availability of preferred food between meals, liberalizing diets, discussions of risk/benefits in making informed choices/refusal of therapeutic diets).
7. Participates in orienting, training, and monitoring staff in promoting individualized dining care.
8. Participates in maintaining and continually improving the quality of care (e.g., helps develop quality assessment and assurance projects that monitor the success of person-directed dining approaches).
9. Continues to seek information in order to implement the best practices and recognized standards of practice for elder nutrition care and person-directed dining.
10. Ensures regulatory compliance for a resident’s dignity, rights, and self determination in dining areas, as well as supports the maintenance of nutrition markers, food safety, and other dietary requirements.