Patient centered goal-setting in a subacute rehabilitation setting

Leach, Emma, Cornwell, Petrea, Fleming, Jenny and Haines, Terrence (2010) Patient centered goal-setting in a subacute rehabilitation setting. Disability and Rehabilitation, 32 2: 159-172. doi:10.3109/09638280903036605


Author Leach, Emma
Cornwell, Petrea
Fleming, Jenny
Haines, Terrence
Title Patient centered goal-setting in a subacute rehabilitation setting
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
1464-5165
Publication date 2010-01
Sub-type Article (original research)
DOI 10.3109/09638280903036605
Volume 32
Issue 2
Start page 159
End page 172
Total pages 14
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2011
Language eng
Formatted abstract
Purpose. The purpose of this research is to describe current practices in goal-setting within a subacute rehabilitation setting
from the perspective of therapists representing the disciplines of occupational therapy, speech pathology and physiotherapy.
Method. Qualitative semi-structured email interviews were conducted with therapists from the Geriatric Assessment and
Rehabilitation Unit of an Australian hospital. Therapists were required to respond to questioning with reference to identified
rehabilitation patients with stroke.
Results. Three approaches to goal-setting were identified: therapist controlled, therapist led and patient centred. Goals
aimed at the ICF levels of impairment and activity limitations were predominant. Barriers to a patient centered goal-setting
approach largely outweighed facilitators. Potential successful resolutions were offered to overcome these barriers.
Conclusions. The inability of patients to participate fully in the goal-setting process largely determines the approach taken by
therapists. This influences the level of patient centeredness incorporated into the goal-setting process. Goals expressed at the
level of impairment, by therapists, may be stepping stones to perceived patient goals at the levels of activity and participation.
Barriers to a patient centered approach can be overcome through education of the patient and family regarding the nature of
the injury and modification of communication between therapist and patient. © 2010 Informa UK Ltd.
Keyword Stroke patient
Perspectives
Perceptions
Motivation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Sun, 28 Mar 2010, 00:05:53 EST