As federal regulations emphasize person-centered care (PCC) in nursing homes (NH), NH staff need evidence-based protocols to guide their efforts in honoring residents’ choices, particularly choices perceived as risky. This case study demonstrates the use of the Rothschild Care Planning Process for Resident Choice with a NH resident perceived to be making a risky choice. The article recommends three strategies to address resident choices that carry risk: adapt care community policies, engage direct care staff in care planning, and train staff in facilitating resident choice.

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National Institute of Nursing Research/National Institutes of Health (R01NR015982)


Behrens, L., Van Haitsma, K. S., Brush, J., Boltz, M. P., Volpe, D. & Kolanowski, A. M. (2018). Negotiating risky preferences in nursing homes: A case study of the Rothschild person-centered care planning approach. Journal of Gerontological Nursing. 44(8), 11-17. doi: 10.3928/00989134-20171206-02

Team Members as Authors

Members of the the PELI Team who contributed to this publication.

Kimberly VanHaitsma, Ph.D., FGSA

Avatar for Dennis Cheatham

Dennis Cheatham

Communication Director

Professor, Penn State Ross and Carol Nese College of Nursing
Director, Program for Person-Centered Living Systems of Care

Kimberly VanHaitsma, Ph.D., FGSA