Ron, I can't help wondering if it's not so much that the patient has no goals,
as that they don't know how to express their goals, or that they don't
recognize what they want or need as even being a goal or something that
an OT could, or would, work with them on.

Pat

At 07:07 AM 10/30/2008, you wrote:
Yesterday,  I  d/c'd  a patient because she is unable to verbalize ANY
OT-related goals. It was a very strange and difficult case and I'm not
100%  comfortable  with  the d/c, but it seemed to be the best choice.
I'm VERY interested to hear others' opinions.

I  evaluated  a patient last week. Without going into a lot of detail,
the patient has mild arthritis, recently fell and had kyphoplasty. She
had  been  very  active  until  about  5 years ago when she "suddenly"
became  very  sedentary. There assorted history and eval findings, but
this   is  basically  a  women  who  has  disengaged  from  life.  She
essentially lives on her couch and that's about it.

When  I evaled her last week, she was unable to identify ANY OT goals.
Against, my better judgement, I "made up" a couple goals and scheduled
her for only two visits.

At  the  end  of  my  second visit, I indicated that I was d/c'ing the
patient  for lack of goals. The patient was OK with it but the husband
talked  and  asked  me  to stay on. After a long conversation with the
patient, one in which I was apparently "mean", the patient agreed that
she wanted me to come back. So, I signed her up for 5x/week therapy.

On  the  next  visit,  I  was  told that the patient "did not like me"
because I was mean. I promptly apologized to her, expressed my concern
and  methods  and asked for forgiveness, which she readily gave. After
that,  I again started talking about the patient's life and goals. Her
son  had  mentioned  that  the family had a pet that died and that was
sort  of  "the  beginning  of  the  end"  for the patient. The son had
mentioned  possible  pet  ownership  which  I  followed up on, but the
patient denied wanting it.

I  came  back  two  more times, with each visit focused on identifying
goals. We did a mini life review but no matter what avenue I took, the
patient  denied  any  goals.  So,  I  reluctantly told her that in the
absence  of  goals,  d/c was the only option. She agreed and said she
was sad because she was "starting to like me".

She  and  I agreed that my time had not been wasted but that continued
visits would be a waste.

Without  doubt,  this  is  one of the hardest and strangest cases I've
ever  had. I've never met a person who was so unmotivated and yet able
to articulate the same.

I  know all the bases are not covered in this message but it hopefully
provides enough information to peak everyone's interest.

Thanks,

Ron
--
Ron Carson MHS, OT


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