where does goal setting for into in the patient management model
prognosis, diagnosis, evaluation, intervention (anywhere you can justify it)
why do we write goals
- define and communicate the purpose of POC
- facilitate the management fo patients progression
- determine the efficacy of your intervention
- justify care to insurance companies
- motivating patients
what are the types of goals and roughly how long is their time frame
long term - end of episode of care, multiple weeks
short term goals - several sessions, 1-2 weeks
session goals, that day
what are SMART goals
specific, measurable, relevant, time-bound
what is a patient centered goal
tailored or customized to the unique needs of the patient
what is an objective goal
unbiased and based in fact
what is a measurable goal
quantifiable
what is a functional goal
relating to a particular use or purpose
what is a functional goal
relating to a particular use or purpose
what is a time dependent goal
held accountable to a determined interval
why focus on patient-centered & functional goals
- meaningful to patients!!!
- health care policy
- reimbursement practices
- standards of accrediting bodies require them
what are the components of a well written goal
SMART; specific, measurable, achievable, relevant, time bound
what are the 5 steps of teaching patients/family/caregivers
- determine what you want/need to teach
- get to know barriers and factors influencing patient learning
- consider the method/mode
- allow practice/use/application
- assess your teaching
what determines what you need/want to teach
goals! both long and short term
what are the learning domains
cognitive, psychomotor, affective
what is the hierarchy of the cognitive domain
knowledge, comprehension, application, analysis, synthesis, evaluation
what is the hierarchy of the psychomotor domain
perception, set, guided response, mechanism, complex overt response, adaptation, origination
what is the hierarchy of the affective domain
receive, respond, valuing, organization, characterization
what are the components of a education goal/objective
audience, behavior, condition, degree of mastery
barriers and factors influencing patient learning
- age/generation
- Kolb’s “wheel”
- literacy levels
- sensory status
- cognition
- motivation
areas of Kolb’s wheel
type of learners; scientist, professor, friend, inventor
