COAST Goals Flashcards

Types of Goals

• Goals are classified into two categories: short-term and long-term.

Contributing Factors

• Include client factors, performance skills, performance patterns, context/environment, and activity demands.

Occupational Problem Statements

• Serve as a baseline for measuring progress in therapy.

Goal Definitions

• Long-term goal: What the client hopes to accomplish by the time of discharge.
• Short-term goal: Refers to daily or weekly objectives that need to be met while progressing toward the long-term goal.

COAST Goals Components

• C (Client): Begins with "client will," involving actions like performing, demonstrating, or completing.
• O (Occupation): Refers specifically to the occupation or activity in question.
• A (Assist Level): Indicates the level of independence required, including physical or verbal cues.
• S (Specific Condition): Details specific conditions such as location, modified techniques, or adaptive equipment required for the task.
• T (Timeline): Denotes the timeframe for accomplishing the goal.

Examples of COAST Goals

• Sam will don a t-shirt using an over-the-head method independently within one month.
• Client will demonstrate the ability to change a baby's diaper using adaptive one-handed methods with no more than three verbal cues within three weeks.
• Patient will go to bed before 11 PM at least 75% of weeknights within three weeks to obtain adequate sleep for effective job participation.
• Chantal will make at least three verbal contributions to group discussions with moderate verbal prompts five out of five days within three weeks.

Equations for Writing COAST Notes

• First equation: "Client requires _____ in _____ due to _____." (Assist level performing what occupational task contributing factor)
• Second equation: "_______________ results in ___________________." (Contributing factor and the occupational deficit)