Progression of Care in Goal Setting

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What are the qualifiers that can affect the predicted highest optimal function?

Use of an assistive device, distance, environment

Which component is part of the plan of care according to the text?

Goals

What timeframe is specified for achieving the predicted highest optimal function?

Within 6 weeks

Which factors are considered in HOAC II Table 4 for justification of prognosis?

Age, sex, occupation

What is the role of self-efficacy and locus of control in prognosticating factors?

They impact the level of independence.

Which factor influences medical behavior according to the text?

Expectations of recovery

What is considered really important in goal-setting according to Doran?

Combining the objective and its action plan

Which factor does Doran suggest may not always need to be fully met when setting goals?

Specificity

What serves as a reference for modifying intervention based on a patient's progress?

Minimal Clinically Important Difference (MCID)

What does the ICF model differentiate between when considering capacity and performance?

Standard environment and real environment

Which aspect of outcome measures should be considered regarding their appropriateness?

Patient context

What guides the modification of interventions based on a patient's progress, according to the text?

Minimal Clinically Important Difference (MCID)

What is the core aspect of a goal statement according to Locke and Latham's theory on goal setting?

Measurability and specificity

What would be the result of achieving the goals set in therapy?

Improved performance, higher satisfaction, increased willingness to commit

In the context of rehabilitation, what does 'IPE' stand for?

Interdisciplinary Professional Education

Why is it essential to monitor the actions, characteristics, and qualifiers demonstrated by the patient during therapy?

To track improvements and adjust interventions as needed

According to Locke & Latham (2002), what is the directive function of goals in therapy?

Specify qualifiers and elements to guide actions

What is the purpose of ensuring that each member works towards the same goals in the rehabilitation setting?

To enhance coordination and focus efforts for optimal patient outcomes

What is the purpose of a discharge plan?

To identify problems within the scope of physical therapists

Which factor should be considered when writing a discharge plan?

The patient's daily distance walked

In a discharge plan, what should be set to establish goals for the patient?

Target level of performance supported by outcome measures

What should be determined in a discharge plan regarding the contributors to the problem?

Testing/predictive criteria for hypotheses on the contributors

When writing a discharge plan, what should be done in terms of reassessment and discharge?

Determine when to expect the patient to achieve target level and criteria

What does a discharge plan aim to establish for a patient?

Whether the patient needs PT in the future

What is the timeframe for the predicted highest optimal function of ambulating over uneven terrain and negotiating stairs?

3 weeks

Which factor is NOT listed as a positive prognosticating factor for G.P.?

Presence of comorbidities

In the S.M.A.R.T. goal A, what does 'D' stand for in the testing criteria related to pain perception?

Degree

What is the VRS score that G.P. needs to report for resting pain according to the testing criteria of S.M.A.R.T. goal A?

3/10

What is the identified problem that G.P. faces related to activities of daily living (ADL) in the text?

Mobility limitations

Which strategy number includes the consideration of expected time frame according to the text?

#1

Test your understanding of the progression of care and goal setting. Explore the significance of abstract objectives, the SMART acronym, and the combination of objectives and action plans based on the text by Doran in Bovend’Erdt et al (2008).

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