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Goal setting in Clinical Practice: A
  physiotherapy perspective




       Applied Physiotherapy 203
              March 2012
Individual activity
Think about your life as it is right now. For once
  you are allowed to be ambitious. Now write
  down two particular things, either personal or
  professional you would like to achieve,
  experience or have one day.
Some people’s idea of a goal....
Is this a realistic goal?
Using the SMART principle for setting
               goals
• Utilised within the business world for reaching
  target (and taking over the world)
• The medical world has adopted this principle
  effectively
• It’s valid within a variety of contexts (not just
  business and medical world, but also to your
  own life)
Acronym S.M.A.R.T
• Specific (Significant, stretching or simple)
Measurable

             Could also be
             meaningful,
             motivational and
             manageable
Agreed action plan to achieve goals
• Agreed plan: should be clear and within the
  scope of the profession / attainable goals
                                        Could also be
                                        appropriate,
                                        attainable and
                                        achieveable
Relevant

       You also wouldn’t agree that a
       90 year old patient with arthritis
       to run 4 laps around a 400m
       track
Time-bound
• Time-oriented, time-specific
Activity
Review your two goals that you have set in the
  beginning of the lecture and assess it against
  the SMART principle.
• Identify the limitations and share it with your
  group
How to apply this principle
 You were asked by the ward physiotherapist to
    treat a patient presenting with +++ secretions
                  in the lower lobes
Objective: Optimise lung function by removing
   secretions from the lower lobes
S: Remove secretions from the lower lobes
M: Auscultation to assess and re-assess
A: Alternative side lying, percussions, shakings,
   vibrations, ACBT etc
Case study cont.
• R (relevance): Improve lung volumes and
  reduce lung collapse
• T: treatment twice a day for three days
  (depending on the recovery and removal of all
  secretions)
Application of SMART goals in long
            term patients
Your patients had been in hospital with HIV/Aids
  and TB. For the last three week she did not
  mobilise due to extreme fatigue and shortness
  of breath
Setting objectives
• Define short and long term goals
• Identify short and long term goals
• Use SMART principle for both short and long
  term goals
Example of short term goal
• Relieve breathlessness
Example of long term goal
• Improve endurance and mobilise for longer
  distances
Q&A

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Goal setting in clinical practice

  • 1. Goal setting in Clinical Practice: A physiotherapy perspective Applied Physiotherapy 203 March 2012
  • 2. Individual activity Think about your life as it is right now. For once you are allowed to be ambitious. Now write down two particular things, either personal or professional you would like to achieve, experience or have one day.
  • 3. Some people’s idea of a goal....
  • 4. Is this a realistic goal?
  • 5. Using the SMART principle for setting goals • Utilised within the business world for reaching target (and taking over the world) • The medical world has adopted this principle effectively • It’s valid within a variety of contexts (not just business and medical world, but also to your own life)
  • 6. Acronym S.M.A.R.T • Specific (Significant, stretching or simple)
  • 7. Measurable Could also be meaningful, motivational and manageable
  • 8. Agreed action plan to achieve goals • Agreed plan: should be clear and within the scope of the profession / attainable goals Could also be appropriate, attainable and achieveable
  • 9. Relevant You also wouldn’t agree that a 90 year old patient with arthritis to run 4 laps around a 400m track
  • 11. Activity Review your two goals that you have set in the beginning of the lecture and assess it against the SMART principle. • Identify the limitations and share it with your group
  • 12. How to apply this principle You were asked by the ward physiotherapist to treat a patient presenting with +++ secretions in the lower lobes Objective: Optimise lung function by removing secretions from the lower lobes S: Remove secretions from the lower lobes M: Auscultation to assess and re-assess A: Alternative side lying, percussions, shakings, vibrations, ACBT etc
  • 13. Case study cont. • R (relevance): Improve lung volumes and reduce lung collapse • T: treatment twice a day for three days (depending on the recovery and removal of all secretions)
  • 14. Application of SMART goals in long term patients Your patients had been in hospital with HIV/Aids and TB. For the last three week she did not mobilise due to extreme fatigue and shortness of breath Setting objectives • Define short and long term goals • Identify short and long term goals • Use SMART principle for both short and long term goals
  • 15. Example of short term goal • Relieve breathlessness
  • 16. Example of long term goal • Improve endurance and mobilise for longer distances
  • 17. Q&A