I feel that when I write smart goals, I have a hard time fully encompassing the full scope & sometimes struggle with collaborating w/ pt/family to write goals. Due to time constraint, I have difficulty writing all the goals on the evaluation and end up adding goals later in a progress note. I want to improve w/ collaborating w/ pt/family, write more smart goals within full scope, & improving clinical reasoning to write more goals on the eval the first time.
Thank you for sharing this. Collaborating with patient and family during goals is difficult (Especially in certain settings). This will improve and you will fine certain circumstances when this collaboration naturally evolves. For example, a caregiver that “speaks for” the patient. Or, a patient who is a poor historian when you rely on their feedback. In the mean time, continue browsing some of the goals/checkpoints we use and bring problem-solving questions to the marco polo community! – Michelle
At BOT, do you usually document each activity the patient wants to work on with every component that was listed for the smart goal evaluation method shown in example 1 &2 such as criteria for performance outcome? if so, is there a trick to be able to document those things quickly?
Hello Amber! I wanted to reach out on here as well. I know we talked through Marco Polo, but others can benefit from this response! (1) Trick to doing it quickly – no trick. haha It takes me a while to come up with a correct goal and checkpoints. However, once created, we have a universal spreadsheet that we save them in so that we know what paths have worked and what paths haven’t been successful at giving good outcomes. (2) If they all fit in the same “occupation” category, then we create one goal that will work on all of those performance skills. If they are entirely different activities (typing / walking a dog), then we will create separate goals because they require different skills to be addressed 🙂
I feel that when I write smart goals, I have a hard time fully encompassing the full scope & sometimes struggle with collaborating w/ pt/family to write goals. Due to time constraint, I have difficulty writing all the goals on the evaluation and end up adding goals later in a progress note. I want to improve w/ collaborating w/ pt/family, write more smart goals within full scope, & improving clinical reasoning to write more goals on the eval the first time.
Thank you for sharing this. Collaborating with patient and family during goals is difficult (Especially in certain settings). This will improve and you will fine certain circumstances when this collaboration naturally evolves. For example, a caregiver that “speaks for” the patient. Or, a patient who is a poor historian when you rely on their feedback. In the mean time, continue browsing some of the goals/checkpoints we use and bring problem-solving questions to the marco polo community! – Michelle
At BOT, do you usually document each activity the patient wants to work on with every component that was listed for the smart goal evaluation method shown in example 1 &2 such as criteria for performance outcome? if so, is there a trick to be able to document those things quickly?
Hello Amber! I wanted to reach out on here as well. I know we talked through Marco Polo, but others can benefit from this response! (1) Trick to doing it quickly – no trick. haha It takes me a while to come up with a correct goal and checkpoints. However, once created, we have a universal spreadsheet that we save them in so that we know what paths have worked and what paths haven’t been successful at giving good outcomes. (2) If they all fit in the same “occupation” category, then we create one goal that will work on all of those performance skills. If they are entirely different activities (typing / walking a dog), then we will create separate goals because they require different skills to be addressed 🙂