COMPS: Functional Goal Writing: Exam 1

Question 1

REASONS for writing Goals/Outcomes

Answer 1

1. plan interventions
2. set objective measures, ensure pt progress, assess effectiveness of intervents

3. assist in justifying need for skilled intervent

Question 2

ABC’s of Goal writing

and the D…

Answer 2

• A==Audience
• B==Behavior
• C==Condition
• D==Degree

Question 3

A

Audience

Answer 3

• PERSON for which goal is directed
  
  • should start goal w/ “Patient”
• can be various indiv’s
  
  • ​pt or caregiver
  • NEVER THE therapist

Question 4

B

Behavior

*The ACTION of the goal

Answer 4

Action of the goal!!!

• object of the Behavior MUST be observable AND measurable
  
  • ​Behaviors are ACTION WORDS
    
    • transfer
    • ambulate
    • grasp
    • demonstrate

Question 5

C

Condition

Circumstances

Answer 5

• Circumstances under which behavior occurs
  
  • Position
  • Equipment

Question 6

D

Degree

Something Objective

Answer 6

• Objective measure of the Behavior (ACTION)
  
  • ​reps, dist. walked
• LVL of ASSIST req’d
• TIME FRAME for goal achieve.
• Distinguish HOW goal relates to participation/activity

Question 7

ABCDs goal writing

Answer 7

Audience

Behavior

Condition

Degree

Question 8

how do you develop/prioritize goals?

Answer 8

• Look @ Problem List!!!
  
  • ​focus on Primary Impairs
    
    • ​ID impair common to ALL FUNCTIONAL LIMITS
  • Focus on areas allowing for the most effective and safe means of mobility
  • ​Consider PLOF
    
    • ​What do they need to be able to do again to be IND???
  • consider pt/caregiver Goals
    
    • What do THEY WANT out of therapy???
    • BE ON SAME PAGE!!!

Question 9

How do you establish Time Frames??

Answer 9

• Consider NATURE of dx
  
  • Progressive—constant new onset s/s
  • NEW onset complex cond.
  • Straightforward post-op?
• Consider PLOF
  
  • ​is reaching PLOF attainable???
• Consider PMH/co-morbidities

**CLINICAL GOALS MUST BE TIED TO FUNCTIONAL GOALS!!!