Therapists should explain the goal setting process to the person with aphasia and their family in an accessible way.
NHMRC level of Evidence: GPP
Rationale: 'Patient focused' goal setting (as described by Leach et al. 2010) actively involves the client and their family and includes education about the goal setting process. This includes education about realistic goal achievement with consideration to the environment and stage of rehabilitation. It may also involve explanations of terminology and discussions to establish a common understanding of what goals mean for each person involved in the process.
The opportunity for all stroke survivors and their families/carers to participate in goal setting is mandated by the Australian Stroke Guidelines (National Stroke Foundation, 2010).
It is emphasised that this process is ‘collaborative’ in that clients, families, and carer wishes and expectations are established and acknowledged. The development of self-management skills such as ‘active problem solving and individual goal setting’ are also recommended (National Stroke Foundation, 2010). Therefore, the goal setting process requires more than the inclusion of the client – facilitation of skill development is also needed.
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Professor Linda Worrall