Goal setting in clinical practice
-
Upload
liwegner -
Category
Health & Medicine
-
view
2.685 -
download
5
description
Transcript of Goal setting in clinical practice
![Page 1: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/1.jpg)
Goal setting in Clinical Practice: A physiotherapy perspective
Applied Physiotherapy 203March 2012
![Page 2: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/2.jpg)
Individual activity
Think about your life as it is right now. For once you are allowed to be ambitious. Now write down two particular things, either personal or professional you would like to achieve, experience or have one day.
![Page 3: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/3.jpg)
Some people’s idea of a goal....
![Page 4: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/4.jpg)
Is this a realistic goal?
![Page 5: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/5.jpg)
Using the SMART principle for setting goals
• Utilised within the business world for reaching target (and taking over the world)
• The medical world has adopted this principle effectively
• It’s valid within a variety of contexts (not just business and medical world, but also to your own life)
![Page 6: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/6.jpg)
Acronym S.M.A.R.T
• Specific (Significant, stretching or simple)
![Page 7: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/7.jpg)
Measurable
Could also be meaningful, motivational and manageable
![Page 8: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/8.jpg)
Agreed action plan to achieve goals
• Agreed plan: should be clear and within the scope of the profession / attainable goals
Could also be appropriate, attainable and achieveable
![Page 9: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/9.jpg)
Relevant
You also wouldn’t agree that a 90 year old patient with arthritis to run 4 laps around a 400m track
![Page 10: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/10.jpg)
Time-bound
• Time-oriented, time-specific
![Page 11: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/11.jpg)
Activity
Review your two goals that you have set in the beginning of the lecture and assess it against the SMART principle.
• Identify the limitations and share it with your group
![Page 12: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/12.jpg)
How to apply this principle
You were asked by the ward physiotherapist to treat a patient presenting with +++ secretions
in the lower lobesObjective: Optimise lung function by removing
secretions from the lower lobesS: Remove secretions from the lower lobesM: Auscultation to assess and re-assessA: Alternative side lying, percussions, shakings,
vibrations, ACBT etc
![Page 13: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/13.jpg)
Case study cont.
• R (relevance): Improve lung volumes and reduce lung collapse
• T: treatment twice a day for three days (depending on the recovery and removal of all secretions)
![Page 14: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/14.jpg)
Application of SMART goals in long term patients
Your patients had been in hospital with HIV/Aids and TB. For the last three week she did not mobilise due to extreme fatigue and shortness of breath
Setting objectives• Define short and long term goals• Identify short and long term goals• Use SMART principle for both short and long
term goals
![Page 15: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/15.jpg)
Example of short term goal
• Relieve breathlessness
![Page 16: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/16.jpg)
Example of long term goal
• Improve endurance and mobilise for longer distances
![Page 17: Goal setting in clinical practice](https://reader033.fdocuments.in/reader033/viewer/2022061218/54b6a3e64a795998238b459c/html5/thumbnails/17.jpg)
Q & A