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Problem
We have a resident that is cognitively intact, has swallowing issues and orders for thickened liquids. During meals and in med pass she is given thickened liquids. When she is rolling about in her power wheelchair she is capable of going to the vending machine and purchasing whatever items she likes. She does not like the thickened liquids and understands the risks associated with it and purchases soft drinks out of the machine. Her swallowing difficulty has been care-planned as well as the education that has been provided to her. Should we continue to only distribute thickened liquids to her or is this a resident rights issue that she understands the dangers but still wants regular liquids? I have been told by surveyors that a resident with pressure ulcers can refuse to stay in the bed and roll around in a chair all they like if they understand what is happening and that education has been documented. It is their right and they would prefer a quality of life to a life of bed imprisonment. Is this the same type of issue - resident right versus quality of care?
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