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Continued Conversations, The CE Podcast: Functional Goal Setting in Pediatrics

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1.  At its onset, what major practice change did the OT profession bring to medical care? OT promoted the “work cure” as opposed to the “rest cure” OT was the only profession that included crafts OT promoted the “rest cure” as opposed to the “work cure” OT is aimed at improving hand strength as opposed to taking medicine

2.  How does the medical model define health? Health is the use of medication to cure disease Health is the presence of a strong immune system Health is absence of disease and impairment Health is the ability to participate in chosen/needed activities

3.  What does William Rush Dunton’s OT Credo proclaim? That minds, bodies, and souls are better when working That sick minds, sick bodies, sick souls may be healed through medication and surgery That OT asks, “what matters to you?” not “what is the matter with you?” That sick minds, sick bodies, sick souls may be healed through occupations

4.  Tendency to perform detailed assessment of a client at the level of body functions and body structures can lead to Identification of functional goals Identification of activity preferences and values Identification of impairments Identification of participation in occupations

5.  “Bottom-up” assessment is focused on what component of the International Classification of Functioning, Disability, and Health (ICF) model? Environmental factors Body structures & body functions Participation Activity

6.  What is one of the reasons the presenter began questioning her own goal-setting practice? She noticed clients were meeting goals too rapidly She noticed decreased engagement in OT sessions and adherence to home programs She noticed clients and families didn’t trust her expertise She was told by colleagues that her goals were bad

7.  Client-centered practice is based on which of the following assumptions? Rehabilitation success is more likely when clients are involved in setting their own goals Optimal client functioning occurs within the hospital or clinic setting Clients can be grouped and described according to diagnosis The medical team (including the OT) is the expert, guiding the client toward proper treatment

8.  Which of the following is a tool that can assist in functional and client-centered goal-setting? Worksheet allowing the client to outline a typical daily schedule The Pediatric Activity Card Sort (PACS) or Activity Card Sort (ACS) The Canadian Occupational Performance Measure (COPM) All of the above

9.  What is the current recommendation in literature regarding OT goal-setting? Goals should be based on performance on standardized assessments Goals should be set by the referring physician Goals should be identified by the client and directed at improving functioning at the activity and participation levels of the ICF model Goals should be identified by the caregiver if they know enough about the diagnosis and have a good understanding of prognosis

10.  How does the presenter recommend managing unrealistic goals brought up by the client/family? Allow the client/family freedom to set goals that may seem unrealistic Make sure the client/family is aware of all limitations the condition might provide and avoid setting goals that cross those limitations Don’t let the client/family set unrealistic goals because it leads to false hope Never engage in conversation about goals that are not achievable