Well, I know I'll get flamed for this but I work in both nursing homes and home health, and I find that in nursing homes a selection of these goals work for almost all of my patients.
Short Term:                                                                         Long Term
Increase activity tolerance to X minutes for ADLs. ........................X  + 5
Increase standing activity tolerance to X minutes for ADLs. ...........X  + 5
Increase R, L, or B UE strength one third grade for ADLs................2 / 3
Increase R, L, or B grip strength one third grade for ADLs...............2 / 3
WC mobility room to nurses station with.............................. lower assistance one,
(min, mod, VCs) assistance                                                   or  increase distance
                                                                                    to be room to dining room
Self feeding with ________ assistance............................. one level less assistance
Self grooming with_________ assistance...................................."                      "
Self grooming while standing at sink with _____ assistance............  "                 "
UE dressing with ________ assistance..........................................  "                 "
LE dressing with __________assistance.........................................  "                 "
fasteners with __________assistance.............................................  "                 "
able to accomplish dressing safely with SBA in X minutes ........  safe and Ind, X - 3
bathing at sink with ________assistance.........................................  "                 "
toileting with ____________assistance............................................  "                 "
patient to verbalize and employ 2 ADL safety techniques........................4
patient to verbalize and employ 2 pain mgmt techniques........................4
patient to perform (L or R, whichever is hemi )
UE management with ________assistance.....................................  "                 "

My goals for home health patients tend to show more variation.  -- Jody

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