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Bring the R.I.S.E. Method™ Into Your LTC Practice


A step-by-step framework to help long-term care dietitians investigate weight loss, identify contributing factors, evaluate interventions, and choose appropriate strategies without starting from scratch every time.

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Bring the R.I.S.E. Method™ Into Your LTC Practice


A step-by-step framework to help long-term care dietitians to investigate the factors contributing to unintended weight loss, develop individualized interventions, strengthen clinical documentation, and support survey readiness.

GET THE R.I.S.E. METHOD™

.......

When a Resident Loses Weight, “Add a Supplement”Shouldn’t Be the Only Plan

Significant weight loss in long-term care requires more than documenting the percentage change and automatically adding a supplement.

The dietitian must determine whether the weight is accurate, identify the most likely contributing factors, evaluate whether current interventions are actually being implemented, and select strategies that address the resident’s specific needs.

It's also critical to know when weight loss is unavoidable. Clear guidance for documenting decline in hospice or comfort-focused residents — what to capture so an appropriate, goals-of-care-driven decline holds up as "unavoidable" weight loss and not as unaddressed.

The R.I.S.E. Method™ gives you a repeatable process for doing exactly that—without starting from scratch every time a resident appears on the weight-loss report.

.......

When a Resident Loses Weight, “Add a Supplement”Shouldn’t Be the Only Plan

Significant weight loss in long-term care requires more than documenting the percentage change and automatically adding a supplement.

The dietitian must determine whether the weight is accurate, identify the most likely contributing factors, evaluate whether current interventions are actually being implemented, and select strategies that address the resident’s specific needs.

It's also critical to know when weight loss is unavoidable. Clear guidance for documenting decline in hospice or comfort-focused residents — what to capture so an appropriate, goals-of-care-driven decline holds up as "unavoidable" weight loss and not as unaddressed.

The R.I.S.E. Method™ gives you a repeatable process for doing exactly that—without starting from scratch every time a resident appears on the weight-loss report.

A Clear Process for Every Weight Loss Investigation

A Clear Process for Every Weight Loss Investigation

R — Recognize

Confirm the weight change, verify accuracy, determine significance, and identify concerns requiring immediate attention.

I — Investigate

Review intake, weight history, diagnoses, medications, function, hydration, preferences, implementation barriers, and other resident-specific contributors.

S — Strategize

Select individualized interventions that directly address the findings—not generic recommendations copied from one resident to the next.

E — Evaluate

Track implementation, acceptance, tolerance, weight trends, and outcomes so the plan can be continued, modified, or replaced.

R — Recognize

Confirm the weight change, verify accuracy, determine significance, and identify concerns requiring immediate attention.

I — Investigate

Review intake, weight history, diagnoses, medications, function, hydration, preferences, implementation barriers, and other resident-specific contributors.

S — Strategize

Select individualized interventions that directly address the findings—not generic recommendations copied from one resident to the next.

E — Evaluate

Track implementation, acceptance, tolerance, weight trends, and outcomes so the plan can be continued, modified, or replaced.

Built to Help You Chart Confidently, Document More Clearly, and Work Smarter, Not Harder

Investigate efficiently with the Core/Explore system.
Every resident gets three quick Core categories. If something points to a specific concern, the matching Explore category opens up for a closer look — so you go deeper only when it's needed, not on every case.

Connect interventions to the identified cause.
Choose resident-centered strategies based on actual findings, preferences, risks, and goals connected to a clearly identified cause.

Strengthen your documentation.
Clearly show what you reviewed, what you concluded, why you selected the interventions, who was notified, and how follow-up will occur.

Improve survey readiness.
Create a consistent process that helps demonstrate timely assessment, individualized planning, interdisciplinary communication, and ongoing evaluation.

Built to Help You Chart Confidently, Document More Clearly, and Work Smarter, Not Harder

Investigate efficiently with the Core/Explore system.
Every resident gets three quick Core categories. If something points to a specific concern, the matching Explore category opens up for a closer look — so you go deeper only when it's needed, not on every case.

Connect interventions to the identified cause.
Choose resident-centered strategies based on actual findings, preferences, risks, and goals connected to a clearly identified cause.

Strengthen your documentation.
Clearly show what you reviewed, what you concluded, why you selected the interventions, who was notified, and how follow-up will occur.

Improve survey readiness.
Create a consistent process that helps demonstrate timely assessment, individualized planning, interdisciplinary communication, and ongoing evaluation.

Table of contents

What's Included


The R.I.S.E. Philosophy™
Welcome
Quick Start: Weight Loss Response Workflow
Overview: The R.I.S.E. Method™
Overview: The Full R.I.S.E. Cycle
Recognize — Verify the Weight Is Accurate
Investigate — Comprehensive Resident Review (Core / Explore)
Investigate — CNA / Appropriate Nursing Staff Interview
Investigate — Resident / Representative Interview Guide
Investigate — State the Working Nutrition Problem
Strategize — Cause-to-Intervention Planning Matrix
Strategize — Individualized Action Plan
Strategize — Interdisciplinary Communication
Strategize — Provider SBAR Template
Strategize — Interdisciplinary Weight Loss Review
Strategize — Informed Choice, Refusal & Risk Documentation
Evaluate — Follow-Up Dashboard & Monitoring
Evaluate — Documentation That Holds Up
Evaluate — Survey-Readiness Chart Audit
Facility Weight-Loss Trend Log
Completed Case Study: Mrs. J
Completed Case Study: Mr. Thomas
30-Day Facility Implementation Plan
Professional Use & References

Table of contents

What's Included


The R.I.S.E. Philosophy™
Welcome
Quick Start: Weight Loss Response Workflow
Overview: The R.I.S.E. Method™
Overview: The Full R.I.S.E. Cycle
Recognize — Verify the Weight Is Accurate
Investigate — Comprehensive Resident Review (Core / Explore)
Investigate — CNA / Appropriate Nursing Staff Interview
Investigate — Resident / Representative Interview Guide
Investigate — State the Working Nutrition Problem
Strategize — Cause-to-Intervention Planning Matrix
Strategize — Individualized Action Plan
Strategize — Interdisciplinary Communication
Strategize — Provider SBAR Template
Strategize — Interdisciplinary Weight Loss Review
Strategize — Informed Choice, Refusal & Risk Documentation
Evaluate — Follow-Up Dashboard & Monitoring
Evaluate — Documentation That Holds Up
Evaluate — Survey-Readiness Chart Audit
Facility Weight-Loss Trend Log
Completed Case Study: Mrs. J
Completed Case Study: Mr. Thomas
30-Day Facility Implementation Plan
Professional Use & References

Get Immediate Access

Bring the R.I.S.E. Method™ Into Your LTC Practice


Stop rebuilding your investigation process every time a resident experiences unintended weight loss. Download the complete system and begin using the framework immediately in your long-term care practice.

A One-Time Payment of

$97

Exclusive Offer

....

GET IMMEDIATE ACCESS

Get Immediate Access

Bring the R.I.S.E. Method™ Into Your LTC Practice


Stop rebuilding your investigation process every time a resident experiences unintended weight loss. Download the complete system and begin using the framework immediately in your long-term care practice.

A One-Time Payment of

$97

Exclusive Offer

....

GET IMMEDIATE ACCESS

Created by Stefanie Wilkerson, RDN, LD


Stefanie Wilkerson is a Registered and Licensed dietitian with more than 25 years of long-term care experience, including experience as a State surveyor, LTC consultant, and educator. She created the R.I.S.E. Method™ to give long-term care dietitians a practical, repeatable way to investigate significant weight loss, strengthen documentation, and approach survey-sensitive concerns with greater clarity and confidence.

Created by Stefanie Wilkerson, RDN, LD


Stefanie Wilkerson is a Registered and Licensed dietitian with more than 25 years of long-term care experience, including experience as a State surveyor, LTC consultant, and educator. She created the R.I.S.E. Method™ to give long-term care dietitians a practical, repeatable way to investigate significant weight loss, strengthen documentation, and approach survey-sensitive concerns with greater clarity and confidence.

Survey Readiness Resident Centered Care Clinical Reasoning Clear Documentation Practical Systems Regulatory Insight Individualized Interventions
Survey Readiness Resident Centered Care Clinical Reasoning Clear Documentation Practical Systems Regulatory Insight Individualized Interventions

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Created Specifically for Long-Term Care Dietitians

The R.I.S.E. Method™ is designed for:

Consultant and facility-based long-term care dietitians.

Dietitians who want a more consistent weight-loss investigation process.

Dietitians strengthening documentation and survey readiness.

Dietitians training new team members or standardizing practices across multiple facilities.

Dietitians who are tired of recreating worksheets, review processes, and note language for every case.

.......

Created Specifically for Long-Term Care Dietitians

The R.I.S.E. Method™ is designed for:

Consultant and facility-based long-term care dietitians.

Dietitians who want a more consistent weight-loss investigation process.

Dietitians strengthening documentation and survey readiness.

Dietitians training new team members or standardizing practices across multiple facilities.

Dietitians who are tired of recreating worksheets, review processes, and note language for every case.

More Than a Generic Weight Loss Checklist


The R.I.S.E. Method™ was developed from the perspective of both a long-term care dietitian and former state surveyor. It is designed to help you connect the entire clinical story:

What changed → why it may have changed → what the team is doing → whether it is working

Two fully worked case studies walk you through the entire process, start to finish, so you can see the reasoning in action rather than just filling in blanks — including one where the first plan didn't work, and exactly how R.I.S.E. guides you to revise it instead of just repeating it.

GET IMMEDIATE ACCESS

More Than a Generic Weight Loss Checklist


The R.I.S.E. Method™ was developed from the perspective of both a long-term care dietitian and former state surveyor. It is designed to help you connect the entire clinical story:

What changed → why it may have changed → what the team is doing → whether it is working

Two fully worked case studies walk you through the entire process, start to finish, so you can see the reasoning in action rather than just filling in blanks — including one where the first plan didn't work, and exactly how R.I.S.E. guides you to revise it instead of just repeating it.

GET IMMEDIATE ACCESS

FAQs


FAQs


Get Immediate Access

Bring the R.I.S.E. Method™ Into Your LTC Practice


Stop rebuilding your investigation process every time a resident experiences unintended weight loss. Download the complete system and begin using the framework immediately in your long-term care practice.

A One-Time Payment of

$97

Exclusive Offer

....

GET IMMEDIATE ACCESS

Get Immediate Access

Bring the R.I.S.E. Method™ Into Your LTC Practice


Stop rebuilding your investigation process every time a resident experiences unintended weight loss. Download the complete system and begin using the framework immediately in your long-term care practice.

A One-Time Payment of

$97

Exclusive Offer

....

GET IMMEDIATE ACCESS