Despite communication and cognitive impairment - person-centred goal-setting after stroke: a qualitative study.

CONCLUSIONS: These findings offer insights into inclusive person-centred goal-setting practices, based on accounts from a group of experienced rehabilitation clinicians. Implications for rehabilitation The goal-setting process is not rigid, but an evolving and individual practice, and should be individually adapted to the (changing) needs of the client during the continuum of rehabilitation. In practice, strategies tend not to be distinguished into those supporting communication and those supporting cognitive difficulty; but strategies are applied flexibly and in combination, to meet the needs of the individual client. It is important to provide specific and sufficient support as well as enough time to enable participation for clients with communication and/or cognitive impairment in goal-setting. Leaving one's own values, preferences, attitudes and notions of "normality" behind can help rehabilitation practitioners to get to know the client, be sensitive towards all signs the client offers during a conversation, and remain open to differing and alternative viewpoints when considering goals. PMID: 31020863 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research