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Sample text
Long-term goals usually refer to disabilities and handicaps as rehabilitation should improve daytoday functioning and these goals should be achievable by the time of discharge from the centre. Short-term goals are the steps required to achieve the long-term goals. McMillan and Sparkes (1999) add to the principles of Houts and Scott (1975), saying goals should (a) be client-centred, (b) be realistic and potentially attainable during admission, (c) be clear and specific, (d) have a definite time deadline, and (e) be measurable.
Stage 2: Unresponsive vigilance or vegetative state. Eye opening returns and a sleep-wake cycle commences. There is no sign of responsiveness. Approximately 2% of patients plateau at this stage. Stage 3: Mute responsiveness. The patient shows signs of responsiveness and may begin to follow commands. Alternatively, some patients’ verbal abilities may return before commands are followed. Stage 4: Confusional state. Some cognitive and communicative functions recover but there are severe memory and attentional deficits and capacity to learn is reduced.
Not all will be necessary in every case—the guiding rule is that the plan should be specific enough so that a new member of staff would be able to know how to implement the plan should he or she be required to cover. Possible questions that need to be addressed are: • What strategy/method/procedure should be used? • Who should implement this/do the training? • When and where should the training/procedure be carried out? • How should this be carried out—and how often? • What happens if the patient/client succeeds?