Self‐identified goals and the ability to set realistic goals following acquired brain injury: A classification framework

Abstract

The findings provide therapists with greater insight into the goals most commonly identified by individuals with ABI. The classification framework may assist therapists to elicit client goals and tailor rehabilitation accordingly.

Barriers and enablers to aligning rehabilitation goals to patient life roles following acquired brain injury

“…Most participants in the patient interviews had some difficulty conceptualising roles, and when discussing the nature of their goals, expressed those relating to physical impairments. This impairment focus is consistent with the findings of Turner, Ownsworth, Turpin, Fleming & Griffin, who found that patients in the post‐acute phase of rehabilitation were more likely to articulate goals related to their body or improving function than those in the chronic phase post‐brain injury. In the current study, the link between attainment of these impairment‐based goals and life roles was established through further facilitated discussion around life roles, with patients able to clarify a clear link in each of these instances.…”

“…Literature supports the idea that the community environment and exposure to real‐life contexts are beneficial for building awareness around abilities and associated realistic goals (Doig et al ., ; Turner et al ., ). In the current study, the rehabilitation environment was considered both an enabler and a barrier to alignment of life roles and goals.…”

“…As this was a key theme, it is likely that lack of readiness forms a barrier to alignment of life roles to therapy goals and therefore clinicians may consider working with clients on increasing their awareness of how to set more achievable goals. Similarly, previous studies have highlighted the link between evolving self‐awareness and ability to effectively set rehabilitation goals (Doig et al ., ; Turner et al ., ), with participation in rehabilitation over time thought to be an enabler in building knowledge and awareness around realistic and achievable goals. These results are consistent with findings of two systematic reviews (Plant et al ., ; Sugavanam, Mead, Bulley, Donaghy & van Wijck, ) that provide recommendations that goal setting education for patients be completed.…”

INCOG Recommendations for Management of Cognition Following Traumatic Brain Injury, Part IV

“…49 Individuals with TBI often lack awareness of deficits, however, particularly in the acute stage after TBI, 50 and patients' unrealistic thinking could pose a challenge for identifying goals. A qualitative study 51 showed no difference over time in overall types of goals, as the frequency of goals such as returning to work and relationships with family and friends did not differ between patients in postacute rehabilitation and individuals who were several years postinjury. Thus, reduced awareness may change the methods by which goals are achieved but does not obviate the need for client-centered goal setting.…”

Rehabilitation Practitioners' Prioritized Care Processes in Hip Fracture Post-Acute Care

“…The two highest endorsed care processes were developing meaningful and achievable goals with the patient and caregiver and assessing caregiver and patient care needs, knowledge, and viewpoints. These findings show that therapists realize the importance of the patient's context and goals and value a patient-driven, goal-oriented rehabilitation process (Turner et al, 2008). Capturing a holistic picture of the patient's medical status, precautions, and medical history was essential for care planning as well as identifying the patient's desired outcomes.…”