It is evident that goal setting and patient-centred practice are concepts that have increasingly dominated discourse in stroke rehabilitation (Levack et al., 2011). Goal setting has fundamentally been considered a key component in current rehabilitation and is described as ‘the essence’ of effective stroke rehabilitation (Barnes and Ward, 2000, p. 8). However despite this, there is a demand for critical inquiry into the process of goal setting and the determination of outcome relative to goals in stroke rehabilitation. With reference to the evidence base this assignment will seek to critically evaluate the process of goal setting and the determination of outcomes relative to goals in stroke rehabilitation. A …show more content…
Goal setting is considered ‘best practice’ in rehabilitation (McPhearson et al., 2009, p. 297) and patient-centred treatment are concepts described as essential features of any successful rehabilitation programme (Cott, 2004). Holliday et al. (2007) examined the patients perspective of goal setting in a neurological rehabilitation setting and it was found that healthcare professionals needed to explore patients’ understandings of their disease and their experiences and expectations of goal setting to ensure goal setting is a meaningful activity. The focus of increasing patient participation in care is morally correct and indicated by evidence of increasing engagement in rehabilitation. Involving the patient in goal setting was found to give patients a sense of ownership for their goals. Setting both short-term and long-term goals is more effective than setting only long term goals (Wade, 1998). In my clinical experience I know it is very important in practice to link goals one to another so the patient can see the connection between long-term aspirations and the more immediate suggested rehabilitation goals. In goal setting it is important to document any goals set and to …show more content…
The central idea is that goals affect performance by focusing attention, directing effort, increasing motivation and enabling the development of strategies to achieve one’s objectives (Hurn et al., 2006). Rehabilitation involves altering the behaviour of people including patient, family, carers and members of the treating team. Rehabilitation in stroke is a progressive, goal-orientated process aimed at enabling a person with impairment to reach his or her optimal physical, cognitive, emotional and social functioning level (Heart and Stroke Foundation of Ontario, 2007). Behaviour can be described as goal directed activity and controlling or changing behaviour is easiest to achieve if the patient wishes to achieve the new or altered goal and if the rehabilitation team have a consistent approach to assist the patient achieve their desired goal (Wade, 1998). In my clinical experience I have found it more likely that members of the team will act in a coordinated and more consistent way if goals are commonly shared. Setting goals ensures important actions are not overlooked. The process of goal setting is seen as one of the key skills to characterise professionals working in rehabilitation (Wade, 1998). The value of goal setting for interdisciplinary teamwork is undoubted (Schut and Stam, 1994) and rehabilitation
My short-term goal is to complete my bachelor’s degree. I want to do well in all my undergraduate courses and gain as much knowledge as I can. Another short-term goal is to get a job working with patients. I want to work with patients so that I can begin gaining experience with direct-patient care which is a requirement for PA school. My long-term goal is to apply to PA school.
Dana Wong is a seventy-year old female who had an ischemic stroke, and is entering our care facility after a seven-day stay at Mercy North Medical Center. The stroke has left her in a wheel chair with decreased mobility on the left side, slurred speech, and relaxed features. The referral came from Dr. Parker on September 12, 2015, which was four days after her admission in the hospital, and request that Mrs. Wong undergo two months of physical, occupational, and speech therapy before she returns to her home at Green Meadows, an assisted care living facility. Dr. Parker noted that Mrs. Wong can benefit from our services, and believes that she can make an adequate recovery, because she is determined to maintain her independent lifestyle. Mrs. Wong has full coverage from Blue Cross Blue Shield, who has agreed to pay for her stay at the facility for a maximum of two months.
It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive
Each individual that worked with Jill including the medical doctor, the resource teacher, the physical therapist, the occupational therapist, and the adaptive physical educator had a specific paragraph within this section that described how Jill was doing and the progress she was making. Also, there was a section on the medication she was taking at that time. 2. Measurable annual goal(s): Several annual goals were provided within this IEP. These goals
Short-term goals would help Donnette feel more independent and have a positive attitude of each goal she accomplished. Setting up goals for Donnette and Jim would be beneficial as it would help them interact with another and work together to achieve a goal. Usually Jim is on his own, but setting up a goal for both of them, will allow Jim to spend time with Donnette and understand the importance of being there to support her well-being. 3. Knowing that Donnette’s improvement is merely temporary until her dementia progresses further, how do you anticipate that her care will
. Another problem during the accreditation of Ayres work is she decided to use sensory integration as an isolated anomaly, rather than embedding it entirely in the context of Occupational therapy. Ayres main goals of her work was more based on what Occupational Therapy alone, can achieve, such as individuals can follow routines that are involved in daily life like, eating, sleeping getting ready, etc. Reseatchers trying to replicate the treatment developed a goal attainment scale, to help measure the effectiveness of studies. This was a breakthrough, allowing goals for the families and individuals and comparison across the wide array of people using this method.
The purpose of this paper is to analyze and apply the clinical practice guideline on the long‐term rehabilitation to support stroke patients. This paper also provide a detailed description of the scope and purpose of the clinical practice guideline, stakeholder involvement, rigor development, recommendations, applications, editorial independence and summary of the clinical practice
These goals and objective could be things such as no longer being fearful or to no longer assume everyone is bad. This program will assist each person to accomplish those goals. We will help them all the way through their counseling and help encourage them to meet those goals or surpass them. Permitting the victims to be the one to set a number of the goals allows them to feel like they are in control of their future. The victim and we will be able to use these goals put in place to track their improvement and be certain they are succeeding.
You can't just sit there and do nothing and expect your goals to be achieved. You have to work hard for what you want. You always have to be doing something to achieve your goals. Let's use another example. Let's say someone wants to get a career of becoming a teacher.
You patient, Jerry, is a 67 year old male who recently had a cerebral vascular attack (CVA) affecting the right side of his body. You have been working with Jerry for the past six weeks on strength, ROM, balance, and coordination and he has been progressively gaining more function. In the past few sessions however, you have noticed that he has plateaued. The insurance company needs to see that the patient’s status is improving in order to continue paying for their therapy. It is noted that studies have shown that it is normal for a patient to see a plateau in the middle of their therapy timeframe, but if therapy is continued a positive progression can be seen; conversely if therapy is stopped then a loss of gains and function can occur.
Imogene King's Goal Attainment Theory is another example of a Middle Range Theory highlighting the significance of nurse-patient interactions and group goal-setting. Nurses can better promote patient-centered care delivery by working with their patients to develop attainable goals. Therefore this study will explore Grand theory and Middle Range theory and their applicability in
Outclient rehabilitation may provide training in self-care, energy conservation techniques, and training on the use of adaptive equipment (Willard, Crepeau, Cohn, & Schell, 2013). Community settings
"Setting goals is the first step in turning the invisible into the visible", (Tony Robbins). This indicates striving to be successful even if it means failure. I plan on achieving my main goal so I can have a bright future in my career path. In order to achieve my life goal, I have already begun to work towards my goal and I plan to continue with an organized plan. Both short-term and long-term goals will help me set a better understanding of a successful future.
A fitness goal setting is an important process before embarking onto any weight loss activities. Many people have tried different weight loss programs, but could not reach their wanted fitness level. Some lost the motivation along the way, some got injured and others stopped few days before starting. Usually, this happens because they lacked necessary planning, proper actions and the biggest reason they want to be fit. Actually, setting a fitness goal is easier than you think.
(Salancik & Pfeffer, 1977) a study found that the use of the “word” goal indicates to an individual that a task is achievable. This study stresses the use of the word “goal” has a positive impact on motivation, a point held by the goal setting theory. This could therefore be applied to my EPP experience with the use of the word goal being used to describe objectives and aspirations of the organisation. However, within my time at the organisation goal setting theory was not always described as goals we needed to achieve, this may have intern limited the possible motivation given to tasks. Some goals set were not being achieved, which counters goal setting theories stance on setting achievable goals.