Identifying and setting patient centred goals is a central part of all rehabilitation, but it is of particular importance for people whose disability is so complex and severe that they need to be inpatients.
We spend time with every patient discussing what is of particular importance to them. This covers issues such as:
- the importance of family, friends, and other social considerations
- their hobbies, interests and work
- their hopes and expectations for the future
- what they particularly expect from rehabilitation
- any other matters of particular importance to them.
This information helps us work with the patient in setting more specific goals for the rehabilitation process, ensuring we work towards goals that are important to and relevant to them.
Meetings are held to discuss goals. These sometimes involve a large number of different professionals and can be quite prolonged. It is usually possible for a patient and their family to be involved in these meetings but many choose not to, opting instead to be seen before and after the meeting by one or two therapists known well to them.
Prior to meeting, we will always establish what is important to the patient and what their expectations are. These are always taken into account in any team discussion.
After meeting, one or two members of the team will always discuss with the patient and their family what goals we think are appropriate. These can always be revised if we have misunderstood anything.
The outcome of every goal setting meeting is documented. The patient and family will always be given a copy of that document.