The Rehab Cycle
Goal Setting
These past weeks have not been easy for me, with all the help I need to do almost everything. It’s hard to describe, but it’s like I’ve somehow lost my body and now I need to find it, to re-learn how to do simple things. What I really want is to be able to go through my day without help from others. —Michael
In Michael’s case, the global goal was informed to a large degree by the resources he brought with him. These can be seen in both the perspectives above as well as in the environmental and personal factors.
The patient perspective, which constitutes a subjective assessment of an individual’s perceived needs and is taken from patient interviews and interactions, plays a significant role in setting goals. Given his personality, wishes and intrinsic life goals, the health care team decided that setting a global goal of full independence along with university entry was, in this case, quite realistic.
So the team and Michael agreed upon the first program goal, defined as “Independence in the activities of daily living.” This consisted of a series of cycle goal pairs over six months that focused on self-care and mobility. Additionally, the aspect of sporting activities became a cycle goal at this point of rehabilitation, since unlimited activities were now allowed. This was established in part to reflect one of Michael’s participatory wishes.
Determination of Intervention targets
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A Clarification on Goals and Intervention Targets
In some cases, goals may also be intervention targets. In Michael’s case, “transferring himself” arises as both a goal and an intervention target. It is reflected in the subjective form of the patient perspective and in the objective health professional perspective.
Rehabilitation therapy will focus on “transferring himself” from the objective perspective of the health professional within the intervention target.
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