title: Taking the next steps in goal ascertainment: a prospective study of patient, team, and family perspectives using a comprehensive standardized menu in a geriatric assessment and treatment unit.
abstract: OBJECTIVE
  To examine the performance of an expanded menu of goals in a geriatric rehabilitation setting incorporating patient, family, and team perspectives.
  
  
  METHODS
  Prospective comparative study.
  
  
  METHODS
  Inpatient geriatric rehabilitation unit.
  
  
  METHODS
  Nineteen consecutive eligible inpatients and their family members and seven unit team members.
  
  
  METHODS
  Each participant independently reviewed a standardized menu of medical, functional, psychosocial, spiritual, and future planning goals, which were compared with the goals set by the healthcare team.
  
  
  RESULTS
  On average, patients and their family members agreed on goals about half the time; family members tended to have more goals than patients. Agreement between the team and patients and families was poor (kappas=-0.11-0.33). The team was less likely to identify functional, psychosocial, spiritual, and future planning goals.
  
  
  CONCLUSIONS
  Patients and families have a broad range of goals that are not always identified by the healthcare team. A comprehensive standardized menu is feasible and may be helpful in setting goals in a geriatric rehabilitation setting.
authors.affiliation: Providence Center, Geriatric Assessment and Treatment Unit, Regional Geriatric Program, Eastern Services, Toronto, Canada.
authors.forename: Sherry R
authors.initials: SR
authors.lastname: Glazier
authors.forename: John
authors.initials: J
authors.lastname: Schuman
authors.forename: Esther
authors.initials: E
authors.lastname: Keltz
authors.forename: Ashnor
authors.initials: A
authors.lastname: Vally
authors.forename: Richard H
authors.initials: RH
authors.lastname: Glazier
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005190:Family; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006040:Goals; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009864:Ontario; D010347:Patient Care Planning; D010348:Patient Care Team; D011446:Prospective Studies; D012046:Rehabilitation / Q000379:methods*