What right do residents have regarding changes in their health status or care plan?

• A. The right to be informed promptly about changes and to participate in decision-making when possible.
• B. The right to be informed only after decisions are made.
• C. The right to have changes made without consent.
• D. The right to refuse any changes.

Answer: (A)

Respect for a resident’s autonomy means they should be kept informed about any changes in their health status and care plan and be involved in the decisions about those changes whenever possible. Being informed promptly helps them understand what’s happening, what the changes mean, and what options are available, so they can give informed consent or express preferences. When they can participate, their values and choices guide the care, which also strengthens trust and engagement in the treatment process. If the resident cannot participate directly, a legally authorized representative or surrogate can be involved to reflect the resident’s wishes.

Alternatives that delay information, implement changes without consent, or treat the resident’s preferences as optional conflict with this right. There are emergencies where immediate action is necessary, but the standard expectation is to inform and involve the resident as soon as feasible and document the decisions clearly.