The Inside Scoop on Informed Choice

The Inside Scoop on Informed Choice


A Step-by-Step Guide for Personalizing Diets in Long-Term Care

ISBN 978-1-938870-76-7
8.5 x 11 spiral bound
206 pages
© May 2018

Stock#: 70767. Categories: , . Author/Editor: .

Product Description

As an administrator, nurse, dietary manager, or dietitian, you can support a person’s right to make personal food choices (while also meeting regulatory guidelines and reducing your liability) with this guide to creating person-centered meal plans in long-term care settings. This user-friendly resource is filled with pragmatic tips and guidelines as well as time-saving forms for planning and delivering individualized meals to meet dining preferences. The Inside Scoop debunks common myths and misinformation about special diets, restricted diets, doctor’s orders, and federal regulations. This guide provides the tools and explanations for truly individualizing your food services.


  • Sample forms and guidelines
  • Assessment tools
  • Quizzes
  • QAPI-based dining solutions
  • CEUs available!

Introduction: A Voice for Choice

Changing from Institutional to Personal Dining

  1. Pioneer Village is the Place to Be: Self-Directed Living is the Life for Me
  2. The Three Rights of Dining Delight: What, Where, and When?

Why Individualizing Diets Makes Healthy Sense

  1. How Much Do You Know About Restricted Diets?: The “Hits and Myths” of Restricted Diets
  2. Unplanned Weight Loss: A Serious Situation: The Risks of Restricted Diets
  3. The Lowdown on the Big Six Dietary Restrictions: The Surprising Evidence that Restricted Diets May Not Work
  4. The Skinny on Commercial Supplements

Easy, Effective Teaching Activities for Direct Care Staff

Self-Directed Care Plans Made Easy

  1. How Mary Hurway Got Her Diet Her Way: Creating a Self-Directed Care Plan
  2. Mary Hurway’s Care Plan Meeting

Taking the QAPI Steps Toward Self-Directed Dining

  1. A Chip Off the New Block: The Important Steps of QAPI Based Dining Solutions

Easy, Effective Teaching Activities for Direct Care Staff!

Reference Notes, Resources, and Tools


Coming soon!

Diane Hall, RD, LD, NHA, is an expert consultant and nationally recognized speaker on culture change and dining standards in long-term care. A registered dietitian and licensed nursing home administrator, she began as a dining manager to a nursing home in 1982. She eventually founded Balanced Senior Nutrition, a full-service consulting firm with dietitians servicing nursing homes, assisted living facilities, home health agencies, and community organizations throughout the Southeast. She remains on the cutting-edge of individualized nutrition care, earning respect in her field by staying current on changing federal and state regulations. She is widely regarded as a visionary and leader in the rapidly changing and progressing field of senior nutrition.

7 reviews for The Inside Scoop on Informed Choice

  1. :

    The Inside Scoop on Informed Choice is a much-needed and ingeniously written guide that can educate staff members, residents, and their family members alike. Let’s face it: by and large, our society has a negative view of growing older, and still struggles (though less so, with increased advocacy efforts) to acknowledge that differing abilities don’t equate with strength vs. weakness. We often overlook or don’t even recognize how physical and/or cognitive challenges enable us to rob someone of his or her personhood. There is often no place where this is as evident as in congregate care environments such as nursing homes, assisted living facilities, or other similar settings where increasing needs and increasing age intersect. Regulations intended to protect vulnerable citizens, along with well-meaning but poorly trained staff, have often created a culture that is focused primarily on minimizing risk. Even in the best of circumstances, such environments have a tendency to infantilize or over-protect those who have raised us, fought for us, built our economy for us, and 80, 90, or 100-plus years sacrificing for us. Can’t we do better for them?

    Diane Hall and her colleagues have recognized these realities and created a manual that is light enough in tone to make these harsh realities palatable (pun intended), while still getting the point across. The adoption of person-centered dining preferences and liberalized diets are an absolute necessity if we are to change the culture of aging in our continuum of care for elders. I applaud my colleagues for taking the time and effort to pack so much essential information into a format that can be used so well for educating everyone who is a part of delivering services to elders in our society.”
    Christopher P. Mulrooney, M.P.S., Ph.D., Assistant Dean, Department of Geriatrics, Florida State University College of Medicine

  2. :

    “The protection of a resident’s rights to make treatment decisions based on informed consent is the number one legal concern regarding person-directed living. For instance, therapeutic diets are medical decisions and therefore informed consent must be obtained if this diet is to be changed. This requires giving the resident adequate information on the benefits and potential consequences of a therapeutic diet including risks that are specific to the resident. A resident must be able to weigh the potential benefits and risks and make their own decisions regarding the food they eat. Of course, The Inside Scoop on Informed Choice provides the forms, action plans, and educational materials regarding regulations and evidence-based clinical guideline standards to effectively liberalize diets, while keeping people as safe as possible. I highly recommend it.”
    Karen Goldsmith, Attorney-at-Law at Goldsmith and Grout, P.A.

  3. :

    “Professionals taking care of seniors in the healthcare industry will definitely learn the New Dining Standards for long-term care. The material clearly demonstrates the step by step process in creating care plans for restricted diets, self-directed dining and for risky decisions. It gives the long-term care professional a great tool box to work from and creative ideas to implement these standards to increase the well-being of our senior communities.”
    Angela Gardener, MS, RD, CSG, LDN

  4. :

    The Inside Scoop on Informed Choice is a unique guidebook written in everyday language that humanizes senior care by portraying fictionalized characters in real-life situations while providing the forms and procedures to create care plans based on informed choice and diet liberalization: a must-have for any care provider looking to change the culture of their community to one that puts people ahead of procedure.”
    Carmen Bowman, MHS, BSW, regulator turned educator, owner of Edu-Catering, consultant, trainer, former Colorado state surveyor, former policy analyst with CMS Central Office, teacher of national Basic Surveyor Course

  5. :

    “This guidebook uses easy-to-understand workflow processes and forms designed to unify existing procedures and paperwork. It promises to make training staff and other professionals easier and to create a community where person-directed dining is the standard.”
    Dr. John Potomski, Jr., DO, Past President, Florida Medical Directors Association

  6. :

    “As an attorney, respecting the dietary wishes of a resident that is capable of making decisions represents good ethical and clinical practice, and therefore is good legal risk management also. As long as the resident has been fully informed about risks and alternatives and the process of communication, negotiation, and risk mitigation has been documented thoroughly in the resident’s record, the facility is on firm ground from a legal perspective. This guidebook is an invaluable tool for providing that informed choice.”
    Marshall Kapp, J.D., M.P.H.

  7. :

    “As a Dietician Technician, Registered, I know that some of our nurses and doctors need to understand the new Dining Standards better and start asking the person who is getting the diet if they want it or not. I highly recommend giving this manual to other professionals because it is loaded with references backing The Inside Scoop on Informed Choice. Fantastic idea; a book written by two fictitious nursing home residents.”
    Sue Holland, D.T.R.

Add a review