scholarly journals Goal‐setting in geriatric rehabilitation: Can the nursing profession meet patients' needs? A narrative review

Nursing Forum ◽  
2021 ◽  
Author(s):  
Anne Marie Vaalburg ◽  
Elizabeth Wattel ◽  
Petra Boersma ◽  
Cees Hertogh ◽  
Robbert Gobbens
Keyword(s):  
Goal Setting ◽  
Narrative Review ◽  
Nursing Profession ◽  
Geriatric Rehabilitation

Accessible goal setting in stroke rehabilitation for stroke survivors with aphasia: A narrative review

Aphasiology ◽  
2018 ◽  
Vol 32 (sup1) ◽  
pp. 30-31
Author(s):  
Sophie Eleanor Brown ◽  
Lesley Scobbie ◽  
Linda Worrall ◽  
Marian C. Brady
Keyword(s):  
Goal Setting ◽  
Stroke Rehabilitation ◽  
Narrative Review ◽  
Stroke Survivors

scholarly journals A qualitative study of patient-centered goal-setting in geriatric rehabilitation: patient and professional perspectives

2018 ◽  
Vol 33 (1) ◽  
pp. 128-140 ◽  
Author(s):  
Rosanne van Seben ◽  
Susanne M Smorenburg ◽  
Bianca M Buurman
Keyword(s):  
Goal Setting ◽  
Self Care ◽  
Inpatient Rehabilitation ◽  
Geriatric Rehabilitation ◽  
Patient Centered ◽  
Patient Goals ◽  
Qualitative Interview Study ◽  
Functioning Level ◽  
Over Time ◽  
At Home

Objective: To characterize how rehabilitation goals of older patients change over time and to explore professionals’ attitudes toward patient-centered goal-setting and their perspectives on rehabilitation goals. Design: Qualitative interview study. Setting: Three geriatric rehabilitation centers. Subjects: Ten patients (aged ⩾ 80), who had recently received inpatient geriatric rehabilitation, and seven professionals were purposively recruited. Methods: Semi-structured interviews. Patients were interviewed in the third or fourth week after discharge from inpatient rehabilitation, to reflect on their inpatient goals and to investigate long-term goals now that they were at home. A thematic analysis was performed. Results: During inpatient rehabilitation, participants’ main goals were regaining independence in self-care activities and going home. Post-discharge, patients were not at their baseline functioning level. Rehabilitation goals appeared to shift over time, and once at home, patients formulated more ambitious rehabilitation goals that were related to regaining full independence and being able to perform activities. Although professionals thought goal-setting together with the patient is important, they also stated that older individuals often are either unable to formulate goals or they set unrealistic ones. In addition, professionals indicated that goals have to be related to discharge criteria, such as performing basic self-care activities, and rehabilitation revolves around getting patients ready for discharge. Conclusion: During inpatient rehabilitation, patient goals are related to going home. After discharge, patients have ambitious goals, related to their premorbid functioning level. Rehabilitation services should distinguish between goals that are important while patients are inpatient and goals that are important after discharge.

scholarly journals Patient-centred goal setting using functional outcome measures in geriatric rehabilitation: is it feasible?

2017 ◽  
Vol 9 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Ewout B. Smit ◽  
Hylco Bouwstra ◽  
Johannes C. van der Wouden ◽  
Lizette M. Wattel ◽  
Cees M. P. M. Hertogh
Keyword(s):  
Functional Outcome ◽  
Outcome Measures ◽  
Goal Setting ◽  
Geriatric Rehabilitation ◽  
Functional Outcome Measures

scholarly journals “What would you like to achieve?” Goal-Setting in Patients with Dementia in Geriatric Rehabilitation

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ilona Dutzi ◽  
Michael Schwenk ◽  
Marietta Kirchner ◽  
Jürgen M. Bauer ◽  
Klaus Hauer
Keyword(s):  
Cognitive Impairment ◽  
Goal Setting ◽  
Well Being ◽  
Cognitive Status ◽  
Geriatric Rehabilitation ◽  
Functional Impairments ◽  
Empirical Examination ◽  
Handling Stress ◽  
Clinical Assessments ◽  
Rehabilitation Needs

Abstract Background Setting meaningful, individualized rehabilitation goals is an essential part of the rehabilitation process. Even though patients with dementia are a drastically increasing patient group in geriatric rehabilitation, empirical data about meaningful rehabilitation goals and collaborative goal-setting in this target group is missing. Cognitive impairment and lack of insight in current deficits have been discussed as barriers for participation in goal-setting, but require empirical examination. This study investigated the feasibility of a semi-structured versus a structured goal-setting approach and the types of goals, rehabilitation patients with mild to moderate dementia perceive as personally relevant. Insights in acute functional and motor deficits, differentiated by cognitive status were explored. Methods Cohort study in a geriatric rehabilitation center. Semi-structured and ICF-based, structured interviews were applied to explore patients` rehabilitation goals. Patients` insight in deficits was operationalized as the relationship of self-ratings and objective measures of linked clinical assessments for the same functional construct. Results Patients (n = 101, MMSE 22 ± 2.6, age 83.9 ± 5.9 years) stated the improvement of mobility-related functions and self-care activities (> 70%) but also psychological well-being such as handling stress or mood (> 38%) as most important rehabilitation goals. The structured interview facilitated goal-setting and provided a broader view of rehabilitation needs. Correlations between self-ratings and clinical assessments were medium to high (rho = 0.29 to 0.83) with highest associations for key motor features. Trend tests identified a significant trend between values of the clinical assessment and categories of self-ratings (p ≤ 0.01) with lower cognitive status derogating this relationship. Conclusions Collaborative goal-setting was feasible, especially when supported by a structured approach and yielded a large spectrum of functional but also psychological rehabilitation needs from the patients` perspective. Patients showed sustained insight in their actual functional impairments, limited in a subgroup of patients with more advanced cognitive impairment.

scholarly journals Goal-setting in geriatric rehabilitation: a systematic review and meta-analysis

2018 ◽  
Vol 33 (3) ◽  
pp. 395-407 ◽  
Author(s):  
Ewout B Smit ◽  
Hylco Bouwstra ◽  
Cees MPM Hertogh ◽  
Elizabeth M Wattel ◽  
Johannes C van der Wouden
Keyword(s):  
Quality Of Life ◽  
Goal Setting ◽  
Physical Functioning ◽  
Primary Outcome ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Geriatric Rehabilitation ◽  
Randomized Controlled

Objective: To explore the effect of goal-setting on physical functioning, quality of life and duration of rehabilitation in geriatric rehabilitation compared to care as usual. Data sources: Medline, Embase, CINAHL, PsycINFO and the Cochrane Library were searched from initiation to October 2018. Methods: We included randomized controlled trials (RCTs), controlled before–after studies and studies using historic controls of older patients (mean age ⩾55 years) receiving rehabilitation for acquired disabilities. Our primary outcome was physical functioning; secondary outcomes were quality of life and rehabilitation duration. Cochrane guidelines were used to assess the risk of bias of the studies and extract data. Only RCT data were pooled using standardized mean difference (SMD). Results: We included 14 studies consisting of a total of 1915 participants with a mean age ranging from 55 to 83 years. Ten out of the 14 studies had a randomized controlled design, 7 of which could be pooled for the primary outcome. The risk of bias was judged high in several domains in all included studies. The meta-analysis showed no statistically significant differences between goal-setting and care as usual for physical functioning (SMD −0.11 (−0.32 to 0.10)), quality of life (SMD 0.09 (−0.56 to 0.75)) and rehabilitation duration (MD 13.46 days (−2.46 to 29.38)). Conclusion: We found low-quality evidence that goal-setting does not result in better physical functioning compared to care as usual in geriatric rehabilitation. For quality of life and duration of rehabilitation, we could not exclude a clinically relevant effect.

scholarly journals Florence Nightingale: Legacy, present and perspectives in COVID-19 pandemic times

2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Márcia Koja Breigeiron ◽  
Alessandra Vaccari ◽  
Sofia Panato Ribeiro
Keyword(s):  
Narrative Review ◽  
Nursing Profession ◽  
Florence Nightingale ◽  
The Future ◽  
The Face ◽  
Environmental Theory ◽  
Reflective Study

ABSTRACT Objective: Reflect on the influence of Florence Nightingale’s teachings to face the COVID-19 pandemic and its repercussions for the future of the profession. Methods: Descriptive reflective study, carried out between May and July 2020, through narrative review on the theme and debates between the authors. Results: The findings are divided into two chapters, namely: Environmental Theory and the teachings of Florence Nightingale in the face of the COVID-19 pandemic; and Florence Nightingale: legacy, present and perspectives. Final considerations: Florence Nightingale’s studies with the Environmentalist Theory and her teachings as a nurse are still valid, even after almost two centuries since her prelude, and should continue to serve as a foundation for the consolidation of the nursing profession.

Abstract #255: Glimepiride – Bench to Bedside: Narrative Review of the Technological Advancement Update

2017 ◽  
Vol 23 ◽  
pp. 60
Author(s):  
Altamash Shaikh ◽  
Anuj Maheshwari ◽  
Banshi Saboo ◽  
Ashok Jhingan ◽  
Shriram Kulkarni ◽  
...  
Keyword(s):  
Narrative Review ◽  
Technological Advancement
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