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SP0138 Setting invividual treatment goals in complex cases
  1. T.N. Dager
  1. National Resource Center for Rehabilitation in Rheumatology, Diakonhjemmet Sykehus, Oslo, Norway

Abstract

Goal planning is considered an essential part of rehabilitation practice and is a collaborative process between the patient and the rehabilitation team directed at setting goals at various levels of function, within different life areas, and in various time frames (Wade et al. 2000)& Key components of goal setting comprise ggal identification and negotiation, action planning, and appraisal and feedback of performance (Holliday et al 2005, Scobbie et al. 2011). Goal setting further involves behavioural, cognitive and psychological elements.

In a systematic review, Levack et al.(2006)found limited evidence that goal planning can influence patient adherence to treatment regimes and strong evidence that prescribed, specific, challenging goals can improve immediate patient performance in some specific clinical contexts.

The process of sorting and giving priority to some areas can be personally challenging and affect psychological themes and ambivalence. Personal rehabilitation goals therefore benefits from well funded decisions. An individual rehabilitation goal funded on personal values and conscious commitment is more robust when challenged by competing considerations.

The National Center for Rehabilitation in Rheumatology at Diakonhjemmet Hospital offer rehabilitatiof to patients with complex and multiple illness-related challenges, who are in need of a broad multidisciplinary approach. Based on a thorough assessment by all members of the interdisciplanarq team, individual goals are defined through a structured goal setting approach. The goals are documented in an individual rehabilitation plan which is adjusted throughout the rehabilitation stay, and evaluated at discharge (Kjeken et al. 2008).

Results from a recent qualitative study (Dager et al 2011) of rehabilitation outcomes emanating from the rehabilitation center emphasizes the need to understand and take into account the patients’ own understanding of challenges when formulating individual rehabilitation goals.

At the work-shop, the goal-setting process will be illustrated through patient cases, and factors facilitating or hampering the goal setting process will be discussed.

Disclosure of Interest None Declared

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