CH. 3 Goals Flashcards

1
Q

Goals should be…

A

S. M. A. R. T.

  • Specific
  • Measureable
  • Achievable
  • Realistic/Relevant
  • Timely
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2
Q

“Expected Outcomes”

A

Long-Term Goals

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3
Q

“Anticipated Goals”

A

Short-Term Goals

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4
Q

Always set ____ _____ goals BEFORE _____ _____ goals

A

Long-term goals BEFORE Short-term goals

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5
Q

What are Long-Term goals?

A

-state what you expect/intend for the patient to achieve in your setting.

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6
Q

-FUNCTIONAL and related back to PARTICIPATION

A

Long-Term Goals

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7
Q
  • state what a family member or other caregiver will achieve.
  • address other areas such as risk reduction, prevention, or equipment.
A

Long-Term Goals

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8
Q

Long-Term Goals are influenced by…

A
  • The patient’s stated goals
  • The therapist’s assessment of the patient’s prognosis for functional gains
  • Consideration of the functional gains that will lead to improved participation and health.
  • Additional assessments related to risk factors, family support, etc.
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9
Q

Well written Long-Term Goals:

A
  • Relates to FUNCTIONAL gains
  • Uses OBJECTIVE terms to describe the outcomes that the patient is expected to achieve.
  • It should specify a specific, MEASURABLE end-point
  • Specifies who will perform the activity or exhibit the change in status
  • States a time-frame
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10
Q

What are Short-term goals?

A
  • state what you expect/intend for the patient to achieve part-way through the program
  • support and promote the long-term goals
  • can describe a functional OR impairment-level goal
  • some describe progress related to environmental or personal factors
  • can state what a family member or other caregiver will achieve
  • can address other areas such as risk reduction, prevention, or equipment
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11
Q

A well-written short-term goal:

A
  • Relate to improvements in either functional status or impairments.
  • Should specify a specific, MEASURABLE end-point
  • Specifies who will perform the activity or exhibit the change in status.
  • States a time-frame
  • Certain goals should also describe the conditions under which the patient’s performance will occur.
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12
Q

Order to obtain Goals:

A
  1. Examination results
  2. Diagnosis & prognosis
  3. Long-term goals
  4. Short-term goals
  5. Interventions
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13
Q

Functional goals typically specify:

A

-the level of independence that the patient is expected to achieve in various activities.

  • can also address other variables such as:
    • Speed
    • Safety
    • Quality of performance
    • Consistency of performance
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14
Q

All professional writing should be _____ and _______.

A

Clear** and **Concise

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15
Q

New short-term goals are written at _______ ________.

A

regular intervals

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16
Q

Long-term goals can be ____________, as long as the anticipated discharge from PT is not imminent.

A

revised as needed

17
Q

Practice: Fix the writing of the goal

Increase strength

A

LTG: Pt will demonstrate improved lower extremity strength in order to safely ascend/descend stairs at home in 4 weeks.

18
Q

Practice: Fix the writing of the goal

Independence in ambulation

A

LTG: Pt will ambulate 200 ft. without an assistive device over level ground independently in order to walk family dog safely in 4 weeks.

19
Q

Practice: Fix the writing of the goal

Decrease dependence in wheelchair propulsion.

A

STG: Pt will propel wheelchair independently with bilateral lower extremities on level surfaces in order to navigate to the hospital cafeteria for lunch time.

20
Q

Practice: Fix the writing of the goal

Independence in all transfers.

A

STG: Pt will demonstrate independence with supine to sit transfers to improve bed mobility.