Summary: <br> Goal Setting can be awkward..."What do you mean what do I hope to get out of coming here today?"<br> <br> <br> <br> I am trying to have a more <a href="https://sportsmedicinebroadcast.com/PatientCenteredApproach">Patient-Centered Approach to Athletic Training Services</a>, but I have not found a good way for me to ask the questions that the students understand.<br> <br> <br> <br> As a licensed AT and practicing PT Daria Oller knows the value of goal setting. She joins Ray Olivo and John Ciecko to try and make me less awkward...Good Luck.<br> <br> <br> <br> <br> <br> <br> <br> What is “patient goal setting in rehab”?<br> <br> <br> <br> Looking at objective measures<br> <br> <br> <br> * ROM* Strength parameters * Rep or weight count* Pain is an important measure - you can include subjective measures<br> <br> <br> <br> * Do not say “the patient will be better”* Use the SMART concept* Specific; Measurable; Attainable; Realistic; Time-Bound <br> <br> <br> <br> Working on them together<br> <br> <br> <br> Recognizing them as a total person<br> <br> <br> <br> Continually listening<br> <br> <br> <br> How is it affecting the quality of life?<br> <br> <br> <br> What is not “patient goal setting in rehab”?<br> <br> <br> <br> If you take the patient out of the equation you are showing your ego… “I want the patient back playing in two weeks..”<br> <br> <br> <br> A big failure is removing the patient from the equation<br> <br> <br> <br> Having coaches dictate when an athlete or parent can return to play.<br> <br> <br> <br> Daria: LongCOVID - I want to get back to running, walking, dancing. I am stubborn and would do them but then was just crashed out.<br> <br> <br> <br> How I have asked:<br> <br> <br> <br> “What is your goal for today?”<br> <br> <br> <br> “What are you hoping to get out of coming in today”<br> <br> <br> <br> “What are you wanting to hear after the evaluation?”<br> <br> <br> <br> Thoughts on asking these goal-setting questions?<br> <br> <br> <br> With kids, it may just be awkward because they are answering them for themselves the first time<br> <br> <br> <br> * There are therapy goals and then daily goals* They should still tie into what the overall goals are<br> <br> <br> <br> John: Relationship building<br> <br> <br> <br> * A majority of people will not know what their goals for the day are.* What is the real question?* Realistically you are talking about the history* “How are you doing today?”* “What have you learned today?”* You use those things as clinicians to help them define their goals.<br> <br> <br> <br> Remember the history and relationship with the kid and consider that as you are asking the “goal” question.<br> <br> <br> <br> * We do not use a lot of objective goals because we do not have to report it, but they can be useful in motivating.<br> <br> <br> <br> “How can I help you today?”Ray Olivo - on helping patients set goals for their healthcare<br> <br> <br> <br> Continue to ask questions to figure out who they are as a person rather than an injury<br> <br> <br> <br> “How can we work together to get you to your goal?<br> <br> <br> <br> Daria - the psychosocial is such a huge piece as well.<br> <br> <br> <br> Some goal-setting is defined by statements such as: “I want to get on the floor with my kids/ grandkids and play but the pain is preventing it.”<br> <br> <br> <br> Trying to document for insurance forces Daria to put all of the pieces together.<br> <br> <br> <br> * Are there stairs in your apartment* It sounds like you are saying this, this, and this. How can we work together to get better?<br> <br> <br> <br> Example of “Goals” for athletes<br> <br> <br> <br> Ankle sprain<br> <br> <br>
