Definition: The client directs their own care and makes choices about their daily routines, activities they want to pursue, the amount of care they receive, especially the foods they eat.
Older people need to feel in control of their lives even if they need help. Care should be given at their direction, but compromises may need to be negotiated.
Institutional care should have flexibility around mealtimes. Not every care recipient can fit into a rigid schedule. Night owls may not be ready to eat breakfast until 10:30 AM or later. Or if someone has worked the night shift most of their adult life, they may struggle to sleep at night. They have lived their whole life on their own schedules.

@2016 LTC Rethink Tank

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