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Taking the Next Steps in Goal Ascertainment: A Prospective Study of Patient, Team, and Family Perspectives Using a Comprehensive Standardized Menu in a Geriatric Assessment and Treatment Unit
Author(s) -
Glazier Sherry R.,
Schuman John,
Keltz Esther,
Vally Ashnor,
Glazier Richard H.
Publication year - 2004
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2004.52072.x
Subject(s) - psychosocial , medicine , rehabilitation , unit (ring theory) , geriatric rehabilitation , health care , family medicine , nursing , physical therapy , psychiatry , psychology , mathematics education , economic growth , economics
Objectives: To examine the performance of an expanded menu of goals in a geriatric rehabilitation setting incorporating patient, family, and team perspectives. Design: Prospective comparative study. Setting: Inpatient geriatric rehabilitation unit. Participants: Nineteen consecutive eligible inpatients and their family members and seven unit team members. Measurements: Each participant independently reviewed a standardized menu of medical, functional, psychosocial, spiritual, and future planning goals, which were compared with the goals set by the healthcare team. Results: On average, patients and their family members agreed on goals about half the time; family members tended to have more goals than patients. Agreement between the team and patients and families was poor (kappas=−0.11–0.33). The team was less likely to identify functional, psychosocial, spiritual, and future planning goals. Conclusion: Patients and families have a broad range of goals that are not always identified by the healthcare team. A comprehensive standardized menu is feasible and may be helpful in setting goals in a geriatric rehabilitation setting.