GOALSService plans are developed collaboratively with clients and families, documenting goals, interventions, and progress. Plans are reviewed regularly and updated based on changing needs. Clients and families are involved in planning and decision-making throughout their care.
SMARTDuring the care conference, we ask the client 'What matters to you. ' and co-develop SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) that align with their priorities.
OUTCOMESWe evaluate effectiveness through client outcomes data, community health indicators, partner feedback, program utilization rates, and quality improvement initiatives.
MEASURABLEDuring the care conference, we ask the client 'What matters to you. ' and co-develop SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) that align with their priorities.
REALISTICAn example of collaborative goal-setting: A client recovering from stroke wanted to return home. The team worked with the client and family to set realistic goals like 'improve independence in dressing within 4 weeks' and 'safely transfer from bed to wheelchair. ' We broke down goals into
TIMEBOUNDTimebound in rehabilitation services involves systematic assessment, planning, implementation, evaluation. Staff trained on standards, procedures documented, outcomes monitored. Quality improvement when gaps identified. Aligns with accreditation requirements.
PARTICIPATIONWe collaborate through: joint planning and program development, shared service delivery, information sharing and referrals, participation in community health initiatives, coordinated response to public health issues (outbreaks, immunizations), shared training/education, regular communicati
EVALUATIONThe protocol is outlined in organizational policies available on the Pulse intranet. Staff follow established procedures including: assessment, planning, implementation, documentation, and evaluation. Specific steps depend on the situation and are detailed in relevant policies.
ADJUSTMENTThis information is available on The Pulse intranet (The Pulse/PolicyMedical). Documentation follows organizational policies and professional standards to ensure accurate, timely recording of client care and services. Staff document assessments, interventions, client responses, communicati
ACHIEVEMENTWe support independence by: encouraging self-care within abilities, assistive devices, restorative care approaches, allowing sufficient time for tasks, not doing for residents what they can do themselves, goal-setting, celebrating achievements, and promoting choice and control.
