Anna Watts for The New York Times. The HIPAA Act of 1996 provides patients in the United States a right to obtain their medical records, including doctors' notes, medical test results and other documentation related to their care. !Ks>1(=GD`5'b*g`pv` Be free from abuse and neglect. An unpalatable therapeutic diet can be under-recognized as a cause of weight loss. The right to be given reasonable notice in writing of any nonemergency inspection or other entry into your apartment. A quote by an elderly person from the book, Person Centered Thinking with Older People, authored and collaborated with Helen Bowers, Gill Bailey, Helen Sanderson, Lorna Easterbrook and Alison Macadam, "You spend your whole life making decisions about things - your work, your relationships, your children - you don't want to suddenly give up that responsibility because you're older.". You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password, DOI: https://doi.org/10.1016/j.carage.2015.08.001. The coated wire is in air and the wire itself is nonmagnetic. This diet permits skim milk, low-fat cottage cheese, fish, and white meat of turkey and chicken, people who have kidney disease may also be on this diet, which encourages foods like breads and pasta, this diet is used for losing weight or preventing weight gain, the food used in this diet has been ground into a thick paste of baby-food consistency, this diet consists of soft or chopped foods that are easy to chew. Most of a person's fruit choices should be _____________. Involving Your Apartment The right to live in decent safe and sanitary housing that is free from environmental hazards including lead-based paint. Balancing Privacy & Protection: Surveillance Cameras in Nursing Home Residents' Rooms (September 2017). Shereen Lehman, MS, is a healthcare journalist and fact checker. You have the right to participate in an activities program designed. Add to cart. Facility residents have a right to a diet that is enjoyable and nourishing. In an HOA, though, homeowners must still abide by community rules and regulations. Each facility must maintain and keep current a record of the following information on each resident: (a) A copy of the resident's current negotiated . You have the right to be treated with dignity and respect as well as make your own schedule and participate in the activities you choose. A long, straight wire that has a radius of $1.00 \mathrm{~mm}$ is coated with an insulating ferromagnetic material that has a thickness of $3.00 \mathrm{~mm}$ and a relative magnetic permeability of Provide reasonable accommodation for dining place and time. Share with the family and assisted living staff what you want to do and the decisions you want to make for yourself. No reputable practitioner or facility that performs tests, procedures or treatments will do so without asking the patient or his guardian to sign a form giving consent. dark green. HVn7}W[Trx /H) The Special Rapporteur on the Right to Food defines this right as the right to have regular permanent and free access either directly or by means of financial purchases to quantitatively and qualitatively adequate and sufficient food corresponding to the cultural traditions of the people to which the consumer belongs and which ensures a physical and mental individual. The Bill of Rights must state that residents have the right: Yes, But It Will Cost You. The diet that is checked off may be a regular diet or a texture-modified or puree diet. This diet consists of foods that in a liquid state at body temperature and is usually ordered as clear or full. States. Resident rights. Pudding Thick: Semi-Solid, Make a check mark by all of the correct guidelines for working with residents who have tube feedings, -During the feeding, the resident should remain in a sitting position with the head of the bed elevated at least 45 degrees Carb counting may be part of this diet, as the amount of carbohydrates eaten must be carefully regulated. enterprise vienna airport; . Fruits, Grains, Vegetables, Protein, and Dairy. Carb counting may be part of this diet as the amount of carbohydrates eaten must be carefully regulated. This group has determined that only one diet can be checked off on the diet list, which has invited liberalization and thoughtful change in the ordering of diets. These can be fat-soluble or water-soluble. They . what rights do residents have with regard to food choices. This prevents the consequent cognitive, motor, emotional or other adaptive growth and development that would result if novelty had been pursued. The Charter details the rights and responsibilities of all residents including personal, civil, legal and consumer rights. (1) A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of . Most dairy group choices should be ____________. Respect the quality of life decisions of residents. The aged care peak body and consumer advocacy organisations have released an Industry Code for Visiting Residential Aged Care Homes (the Code). 1/2 cup low-fat ice cream. /oM2 g}=pB4xim$CWYs}3>_UbdS_~\6bX!.?oc\-uUS_b`Msb_6sM}H P86l( Residents living in an assisted living community, older adults, have rights to make decisions about how they want to live and be cared for, no matter where they call home. Hey there, We are Themes! The Federal Nursing Home Reform Act of 1987 protects residents' rights in federally funded long-term care facilities. Food Choice Sustainability Technology. During your visit to an assisted living facility and before you decide to move in, take a close look at the care plan. These minerals aid muscle function, strengthen bones and help the body to maintain blood pressure and fluid balance. Residents Rights Month is a time for staff, families, ombudsmen, residents and other advocates to focus on resident-directed care and emphasizing the self-determination, choice, and quality of life of each resident. Section 3721.13 | Residents' rights. Staff informed the resident and documented the risk/benefit. Since 2007, she has been doing the research to find answers to common concerns: housing, aging and health, staying safe and independent, and planning long-term. An important patient right is informed consent. C Belo a city of 25 million people once had 11 percent of its population living in absolute poverty and almost 20 percent of its children going hungry. endstream endobj 245 0 obj <>stream Yet recent literature indicates that behavioral factorssuch as the physical environment and marketing strategies . Often residents come with established eating patterns of five or six small meals a day, which is now being implemented by some nursing homes. Involving Resident Organizations The right to organize as residents without obstruction harassment or retaliation from property owners or management. Seniors often fall short . Residents with a diagnosis of dementia can not participate in planning their care and in exercising choice. It includes model policies and procedures, tip sheets, benchmark templating, resources, and printable brochures for residents and family (, One of the reference documents in the toolkit is this author's presentation at Pioneer Network's annual conference on August 14, 2013, entitled Applying CMS Mandated QAPI 5 Elements to Ensure the New Dining Practice Standards [DPR], Resident Rights, and Resident Performance Improvement Leaders (, We use cookies to help provide and enhance our service and tailor content. The brochure can be downloaded in different formats,brochure 1andbrochure 2. Rastafarians have dietary restrictions relating to clean eating. 2009. For family members, you may or at some point become a relative's legal guardian; the person who makes decisions for the loved one. ALFA.org (Assisted Living Federation Association) recommends making several visits at various times of day to each community you are considering. Frequently, attending physicians do not change any admission orders from the hospital, including the diet in fact, the type of diet is commonly not even mentioned or looked at by health care providers. A residential care or assisted living facility must protect and promote the rights of each resident, including each of the following rights: (1) Resident records. Residents' Rights. What rights do residents have with regard to food choices. We are trying to provide you the new way to look and use the Tips . U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@ U@pTQ6mE g gC$,p6_8$D@Y5HXeH8t#a@7y' n$Wgs >j6U}*~i[_Qg/VGX)sF|Rr/U9^~)G$22JgNp|R6y)}L 7og< It is an opportunity to focus on and celebrate awareness of dignity, respect, andrights of each resident. You also have rights that stem from the ethical practice of medicine and basic human rights. To prevent further heart or kidney damage, doctors may restrict fluid intake on this diet. The Charter also outlines residents' responsibilities in relation to other residents, staff and the residential aged . T F 8. Dave reports being happy and satisfied with his life. "Do residents of food deserts express different food buying preferences . being protected from abuse and neglect. The result was a three factor, 25-item scale with good/excellent internal consistency: Factor One (13 items-good food/service, = 0.896), Factor Two (seven items-resident choice/food . Section 3721.13. At a minimum federal law states that a nursing home must protect and promote the rights of each resident. Donald Rose assert the right to foodadequate nutritional foodadheres to three intrinsic policies. Facility staff continued to monitor Mr. C and offered alternatives, which he accepted and rejected as he defined his own quality of life. lost ark engraving calculator; roblox the final stand 2 money hack; i wanna be your man beatles vs rolling stones; christie's minimum consignment value; All patients, regardless of their means or health challenges, should expect to be treated respectfully and without discrimination by their providers, practitioners, and payers. A 62-year-old woman in a nursing facility in Texas who said she was given Seroquel, a common . Lightly cooked meals are okay, and fish is permitted as long as it is less than 12 inches long. When a high-risk resident requires an increase in calories/protein, the attending physician, dietitian, and dietary manager should collaborate to implement the standard of Real Food First. Does the dietitian make recommendations to the attending physician to obtain orders for fortified real food commercial products (e.g., Magic Cup Frozen Dessert, Home Care Nutrition, Hormel Health Labs) or for a planned fortified diet using specific fortification recipes for hot super cereal, soup, cheesy mash potatoes, or pudding, based upon resident preferences? T F 7. Nursing homes must meet federal residents' rights requirements if they participate . What rights do residents have with regard to food choices. Residents have the legal right to accept or refuse any food choice Diet cards List the residents name and information about special diets allergies likes and dislikes. Education, communication, and documentation (the holy triad of good medical care) are essential here. Z1}f]Z@'=8>;VQZ\mA][g$!6WKFT(dQ9;&RbSRHte>(g&K;QL!a@^Y&&7bPKgd"'}(\|tE.~$XBmyg l $ )MFBDm5i*$o+7(pO{9&lqWG=8vbZD#n]n.R@, _nFsqmno(z*C%n9+P(d WE-Rz@E[F/hQ/ )7(KRQaSg 7%mzVal. The Fine Art of Balancing Protection with Self Determination - Webinar(November 2015), Guidelines for Resident Rights-Problem Solving Presentation (for up to 20 people) - A Tutorial for Ombudsmen, Guidelines for Large Group (30-150 staff) Resident Rights Presentation - A Tutorial for Ombudsmen, View Ombudsman program examples onresidents' rights, Residents' Rights: Your Life, Your Care, Your Choices, Fact Sheet - Residents Rights: An Overview, Piecing Together Quality Long-Term Care - A Consumer's Guide to Choices and Advocacy. How will this new negative outcome standard be evaluated? My Personal Directions for Quality Living Forms endstream endobj 249 0 obj <>stream You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. hYO8Wv"*Jo]Dtl mI{Mf&P5d2__F LIe)IL%xkN(`,J(6g aT&YaL1-4xe FOh.g? What rights do residents have with regard to food choices? (2) Store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Do Patients Have the Right to Refuse Medical Treatment? It's important that you are aware of all of these so that you can be sure to takesteps to ensure the care you need, want and deserve. It's unfortunate that the Dining Practice Standards approved in 2011 have not achieved as much traction as one might have hoped, despite the involvement of two esteemed AMDA past-presidents Karyn Leible, MD, CMD, and Matthew Wayne, MD, CMD. Photocopied records be promptly provided, but in no case require more than two business days (excluding Saturday, Sunday, and holidays); To have medical and other records kept confidential except as otherwise provided by law; To associate and communicate privately with any individual of choice, to send and receive personal mail unopened, and to have reasonable access to the private use of a telephone; To be free from physical restraints and inappropriate use of psychoactive medications; To manage personal financial affairs unless legally restricted; To have access to and participate in social activities; To be encouraged and assisted to exercise rights as a citizen; To be free of any written contract or agreement language with the facility that purports to waive their rights or the facility's liability for negligence; To voice grievances and suggest changes in policies and services to either staff or outside representatives without fear of retaliation; To be free of retaliation after they have exercised their rights provided by law or rule; To be free of discrimination in regard to race, color, national origin, gender, sexual orientation, or religion; and. Carbohydrates. You have the right to. The concept of liberalization of diet is long-recognized, both for resident satisfaction and lowering error rates in facilities. The facility leadership was surprised when given the F 151 deficiency for not informing Mrs. A of her rights. Journal of Southwest , 46 (2), 223-252. The one diet concept means one column to follow for tray line or when serving in the dining room. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. YJ9D+0gUM^On@]7cVs$sD4t H^e2C _72 #_)gd`){XcXAK %,_"lq9\;# t:vMWk6D &N6yy0V=g=.!1K!C'l}d?WW^Xid2-81L'+PJ7a`GRj\C/2 NXqxq./T7T&,n\:yb.= $;Ya~= ;9w.E%cV{vQFIQze,0n">hr:+ ~W Are facility staff members steadfast in old practices and reluctant to allow residents to make decisions that would put them at risk? Corresponding to these patients' rights are a number of patients' responsibilities. The Right to Make Decisions About End-of-Life Care. One unique standard is the New Negative Outcome, based upon a paper by Judah Ronch, PhD, entitled, Dining, Memory and Aging: Food for Thought. In it, he uses the term surplus safety, which means conditions that prevent autonomous thinking or action and the satisfaction that decision-making brings because of an exaggerated fear that harm will come to the elder. Some have diet orders for a fortified small portion with high calories/protein snacks of choice between meals (cheese sticks, yogurt, peanut butter and crackers, fortified pudding, half a sandwich, fortified cookies and milk) vs. health shakes and supplements. You have the right to and the facility must promote and facilitate self-determination through support of resident choice, including: The right to choose activities, schedules (including sleeping and waking times), health care and providers of health care services consistent with your interests, assessments, plan of care and other applicable . What is the mass (in amu) of a carbon- 12 atom? Compared with exoplanet Alexandra, exoplanet Vladimir is from its star. . Nursing Home Residents' Rights What You Should Know About Food, Eating, and Nutrition Care in a Nursing Home Food and eating are important parts of everyone's daily life. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. How is integrated pest management a H\0ESu3,E&if=1&B "d1_I9IC&9 gv}3pB4x4]oRY?sv0]Jy0O_~}b?&YcjgVx{~6V~,Mx,ahuC{k}5Sl3Vo^O>@Glx&xV`KU (( J*JO jN'AP!hQ@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UlWrQYC:P}eI8. eIXxAYiG$,rGE7A7ndHXF"t#a{l.aQG[m+k9 Know Your Resident Rights and Protections, Person Centered Thinking with Older People, Planning Your Social Security to Better Pay for Retirement, Medication Management and Adherence Education. The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, including those specified in this section. Dairy, broccoli, yogurt, fish, turkey, lentils, bananas, garlic and . Most of a persons fruit choices should be. Every community is unique. Surplus safety assumes that the person will not be able to recover from the error or restore homeostatic balance if she makes a bad choice, and further that an elder does not have the developmental readiness to take the risk that the novel stimulus presents and to learn from the experience (. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. As long as a patient is considered to be of sound mind, it is both his right and responsibility to know about the options available for treatment of his medical condition and then make the choice he feels is right for him. Water. To update your cookie settings, please visit the, AMDA - The Society for Post-Acute and Long-Term Care Medicine, Dextromethorphan/Quinidine Effective for Agitation. ;DMK&%K-h'`~"F >Nd`$UJ'KbAgaP=7?,@@y9w}D}pCw8G3 Often the most at-risk resident is overwhelmed by a standard full meal and wants a small portion, so a fortified small portion ensures that every bite counts. The facility promises to tailor services to meet a person's needs and wants and to help the resident make good decisions about their lives. The toolkit serves to help communities and care teams in decision making to support individual choice and also mitigate risks that may arise due to honoring choice. It includes references to CMS regulations and interpretive guidance, demonstrating CMS support in enabling individuals to eat their preferred foods. Something that has a positive effect on eating and helps prevent loneliness and boredom, Use of eyeglasses, hearing aids, and these should be encouraged, Devices that can help residents with eating. Follow physician's diet orders and regularly scheduled dining times. This right is closely associated with the Right to Informed Consent. You always have the right to complain about your care or how you're being treated. Verywell Health's content is for informational and educational purposes only. And this isn't even about any specific medical issue we're talkin' food here! (A) The rights of residents of a home shall include, but are not limited to, the following: (1) The right to a safe and clean living environment pursuant to the medicare and medicaid programs and applicable state laws and rules adopted by the director of health; (2) The . being treated by appropriately qualified and experienced staff. Carb counting may be part of this diet, as the amount of carbohydrates eaten must be carefully regulated. Unfortunately, achieving the right diet for a resident can turn into a no-win situation for the facility. The care and rights regulations were often at odds with each other, and facilities were concerned about receiving a deficiency practice citation if they respected rights and failed to deliver or ensure that care needs were met (see Survey Interpretation of Regulations at, The task force was fortunate to have two medical directors who were actively involved in AMDA: Matthew Wayne, MD, CMD, chief medical officer, Summa Physicians and New Health Collaborative, Summa Health System, in northeast Ohio, and Karyn Leible, MD, CMD, geriatrician, Centura Health, Westminster, CO. Their paper, entitled The Role of the Physician's Order, contained a concise recommendation list at the end that would become the basis of ten dining practice standards (, Although it is not a simple, clear cut process, the facility staff has a responsibility to assess and offer appropriate, individualized care needs. The 1987 Nursing Home Reform Law requires each nursing home to care for its residents in a manner that promotes and enhances the quality of life of each resident, ensuring dignity, choice, and self-determination. Some of the other factors that influence food choice include. The Right of Possession: A person who holds the title of the property is the legal owner. The other rights regulations stipulated that facilities must: Allow the resident the right to decline medical therapy. [4uIRA$cl6eJ&}PiY +eV>*;N4cww~w% 1r\TeU>KqSrz9hY5=ajOyF1cS!vnZ"Mf-MuW@e7t However, the prevailing consensus among scholars, lawmakers and policymakers is that . The Service Plan comes lists all the resident's needs. what rights do residents have with regard to food choices. There are also some rights Americans think they have as patients, that are missing. Two regular chocolate-sandwich cookies. Residents Rights are guaranteed by the federal 1987 Nursing Home Reform Law. One of frequent causes of weight loss in the long-term care setting is therapeutic diets. Our Teams are working hard and pushing the boundaries of possibilities to widen the horizon and provide high quality blogger article to all hardworking bloggers! Minerals like calcium, sodium, magnesium and potassium are some of the most important minerals the body needs, though there are others that are also necessary. \#%^~)pX_Z={*hDz>98\8))M/28>>&8` Jb6 (3) Have a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption, and (4) Dispose of garbage and refuse properly. This means a resident should not decline in health or well-being as a result of the way a nursing facility provides care. HVnF}Wc[@ A.m@`ie43KJ$Eu`\-gp^X:owzs8{zl/3I.bm{Zonw#klfZ%.&} akSSRrHdbR=)dkm`Yt}h^7q[gw|xnjSbput%k|B_g can choose what kind of food they do and don't want. Ensuring Quality With Dining Standards Toolkit, https://doi.org/10.1016/j.carage.2015.08.001, Freedom of Choice: Updated Dining Practice Standards Call for Diet Liberalization, View Large Some are guaranteed by federal law, such as the right to get a copy of your medical records, and the right to keep them private. (T={ mI~-GAVa9K?/j9^k9_Qg/W{HWU~r\.*)1Y>~lqyO}# i \KXVus4B"?ZPH[Au:$a}SD5S,WY1x)Cry{]=rrB5c^39v}P~)B:|4EV[I4uLq#7TwC!/zS SF$$h)i$ The Centers for Medicare & Medicaid Services announced surveyor training on the DPS and stated, Research has indicated that many older individuals may not need to be limited to very restrictive diets, pureed foods, and thickened liquids even though they may have many chronic conditions. Out of the following choices, which color of vegetables has the best nutritional content? Be free from discrimination. Most of a persons fruit choices should be. Shortly after I retired as a dietitian specialty surveyor, I was asked to participate on a National Symposium Task Force, partnering the Pioneer Network with the Centers for Medicare & Medicaid Services. This form can be used by consumers to record their personal preferences and information about themselves in case they need long-term care services in their home or in a long-term care community in the future. The facility must provide residents with access to . Can You Get a Hard Copy of Your Medical Records? Download this checklist designed by ALFA.org and take with you to evaluate a facility. Written to improve access to healthier foods and beverages at federal facilities, this . All nursing homes are required "to provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care that is initially prepared, with participation, to the extent practicable, of the resident, the resident's family, or legal representative." Many assisted living residences have a plan that says what the staff will do for each resident and sets a schedule to give this help. Biological determinants such as hunger appetite and taste. Elder Rights: Safeguards for the Most Vulnerable Among Us, designed by the Administration on Aging (AoA). Food, universally acknowledged as one of the most important aspects of resident quality of life across the spectrum of post-acute/long-term care. what is the role of the dietary departments? Consumer Voice Clearinghouse, Privacy Policy | Terms of Use | Connect With Us, National Ombudsman Reporting System - (NORS), Residents Rights and the LGBT Community: Know Your Rights as a Nursing Home Resident, Balancing Privacy & Protection: Surveillance Cameras in Nursing Home Residents' Rooms Fact Sheet, Illinois Electronic Monitoring Notification and Consent Form, New Jersey Safe Care CamProgram Press Release, Maryland Guidelines for Electronic Monitoring, The Fine Art of Balancing Protection with Self Determination - Webinar, Blank My Personal Directions for Quality Living Form, Blank My Personal Directions for Quality Living Form (fillable PDF), Example My Personal Directions for Quality Living Form, Available services and the charges for each service, Facility rules and regulations, including a written copy of resident rights, Address and telephone number of the State Ombudsman and state survey agency, State survey reports and the nursing homes plan of correction, Advance plans of a change in rooms or roommates, Assistance if a sensory impairment exists, Residents have a right to receive information in a language they understand (Spanish, Braille, etc. The 1987 Nursing Home Reform Law requires each nursing home to care for its residents in a manner that promotes and enhances the quality of life of each resident, ensuring dignity, choice, and self-determination. Over 6,000 double-blind peer reviewed clinical articles; 50 clinical subjects and 20 clinical roles or settings; Clinical articles with discussion handouts and online assessments An article in. Respecting Resident's Right to Make Choices in Food & Dining Inservice quantity. What should the NA do if a resident shows signs of dysphagia? Health reasons, a dislike of meat, a compassion for animals, or a belief in non-violence may lead a person to this diet. mmP0:ZGo_;|16qlNm>Noql_?X.\[zFWh+z}e'Mmv7r:MQl/ZtBm]i;^pW32>#}3>xFDgH>,O/?"% (H~4y=4pcu(^v The Code is a . Make sure it reflects your needs and wants. There are some exceptions, meaning that some patients may not refuse treatment. She has co-authored two books for the popular Dummies Series (as Shereen Jegtvig). Sometimes supplements may be necessary, such as when a resident will not eat but will drink; however, these should be ordered as the last resort. The ten Dining Practice Standards (DPS), approved by 12 national organizations (including AMDA), was issued in August 2011 by the Pioneer Network (, Individualized Nutrition Approaches/Diet Liberalization, Individualized Diabetic/Calorie Controlled Diet, Shifting Traditional Professional Control to Individualized Support of Self Directed Living, The first standard, Individualized Nutrition Approaches/ Diet Liberali-zation, includes the following statement from AMDA: Weight loss is common in the nursing home and associated with poor clinical outcomes such as the development of pressure ulcers, increased risk of infection, functional decline, cognitive decline and increased risk of death. imagenes biblicas para whatsapp. Pork, scavengers, and shellfish are prohibited, although meat, in general, is not a common food. Fluid-restricted diet. most of a persons fruit choices should be: . Basically, a person living in a long-term care facility maintains the same rights as an individual in the larger community. what rights do residents have with regard to food choices? This diet consists or soft or chopped foods that are east to chew. Are creative hydration stations/carts and snack carts being implemented? Are attending physicians liberalizing diets that come from hospital transfer orders based on diagnosis? Nh7D1KNoJe"D :{(:M5 hFaU>=:-D#'_. -co4b@T bTzT] Food Choice Sustainability Technology enables three rights. image, www.pioneernetwork.net/Data/Documents/CreatingHomeOnline/Paper-Handy.pdf, www.pioneernetwork.net/Data/Documents/CreatingHomeOnline/Paper-WayneandLeible.pdf, www.pioneernetwork.net/Providers/DiningPracticeStandards, https://www.pioneernetwork.net/Data/Documents/CreatingHomeOnline/Paper-Ronch.pdf, www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-13-13.pdf, http://surveyortraining.cms.hhs.gov/pubs/VideoInformation.aspx?id=1101&cid=0CMSNEWDINPRSTAN, www.pioneernetwork.net/Store/DiningStandardsToolkit, www.cms.gov/SurveyCertificationGenInfo/Downloads/fiveelementsqapi.pdf, www.ihi.org/knowledge/Pages/HowtoImprove/default.aspx. Residents can make choices about their doctor, care and treatments . YOUR RIGHTS As a resident of a HUD-assisted multifamily housing property you should be aware of your rights. Then the customized diet adds a drop down menu in the PointClickCare electronic health record, with specifics aimed at individual patient requirements and portion size.