Sample Goals for Residents in Long-Term Care
Before I set goals, it is important to me to have a good assessment of the abilities of the client as well as the environmental supports available. For example, I wouldn’t write goals for a client to use compensatory strategies if they have difficulty following directions. I would also be cautious about what caregiver training goals I write or how I complete the caregiver training on a unit with staffing challenges. A couple of other things I try to keep in mind with goal writing is making sure that I am structuring the goals to be able to show progress and ensuring that the goals are clear so that another OT or OTA could deliver interventions.
Here are examples of some goals that could be written to address functional problems related to cognition:
Problem: Resident demonstrates tearfulness, wandering, and anger periodically during the day.
- Goal 1: Caregivers will be able to describe signs that resident has unmet physical needs (hunger, bathroom, pants too tight, etc.) with MI, using written guide in resident room or nurses’ station as needed
- Goal 2: Caregivers will be able to describe at least 3 specific strategies to meet resident needs at her cognitive ability level with MI, using written guide in resident room or nurses’ station as needed
Problem: Resident was moved into a new room and is having difficulty orienting to her items. Her new roommate has been frustrated with roommates getting into her possessions in the past.
- Goal: Resident will complete grooming/hygiene seated in WC in front of sink/mirror with SUP including identifying needed supplies and distinguishing her supplies from her roommate’s supplies
Problem: Resident had recent fall resulting in a tibia fracture and is now supposed to follow non-weight-bearing orders but cannot remember the precautions and responds inconsistently to cues for non-weightbearing. However, OT has identified that resident consistently follows her weight bearing precautions when given the cue “hop on one foot.”
- Goal: Caregivers will use identified cue to support resident adherence to NWB precautions 80% of the time with post training and implementation of a striking visual cue
Problem: Resident has had 2 falls recently, including one that resulted in an injury. She is used to getting herself up to the toilet and does not remember that she has a leg injury that requires some assistance now. She is at high risk for future falls while she recovers.
- Goal: Caregivers will demonstrate ability to set up environment (bed positioned at lowest level, commonly used items in reach and visible) 100% of the time post training to reduce pt risk of falls.
Problem: Resident has had several incidents of urinating in locations such as a sink or garbage can. Resident also attempts to wash his hands in toilet bowl or forgets to wash his hands when he leaves the bathroom (toilet is in separate room from sink).
- Goal 1: With implementation of a striking visual cue, resident will orient to the bathroom with CGA and have no instances of urinating in inappropriate locations over a period of 2 weeks.
- Goal 2: With use of environmental modifications, caregiver training, or spaced retrieval, resident will wash hands thoroughly after using the bathroom at least 50% of the time.
Problem: Resident has been attempting to use his roommate’s wheelchair, instead of his own. His wheelchair has an anti-rollback system installed to reduce his risk of falls since he has difficulty remembering to lock his brakes, but his roommate’s wheelchair does not. The resident has had falls when attempting to sit into his roommate’s wheelchair.
- Goal: After WC has been labeled and personalized using striking/recognizable visual cues, resident will distinguish his WC from his roommates’ WCs and sit in the correct WC 100% of the time.
Problem: Despite having relatively good balance and cognitive skills, resident has had repeated falls in her room while completing functional activities. During her assessment, the OT noted that the resident has a lot of clutter in her room, frequently does not use her walker, and neglects to wear shoes when standing/walking.
- Goal: Post implementation of a visual reminder, resident will demonstrate ability to follow 3 fall prevention strategies related to her environment (such as clutter picked up off of floor) with SUP 80% of the time.