Challenges with Goal Setting Group 3 by nurul ain rahmat https://padlet.com/nurulain1989/gs32r0tkguc1a5dq Group Discussion Discuss on the Challenges and the Solutions to these issues en-us 2021-10-09 09:10:05 UTC 2022-07-15 04:33:14 UTC hello@padlet.com Palliative Care Stages nurulain1989 https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803840665 Preventative
Restorative 
Supportive 
Comfort

]]> 2021-10-09 09:10:05 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803840665 Culture nurulain1989 https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803840666 2021-10-09 09:10:05 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803840666 Communication nurulain1989 https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803840667 Difficult to set goals when patients are not ready to accept deterioration and state they want to live on even when it is unrealistic/unattainable

Patient does not know prognosis, family has chosen to not tell patient - patient keeps asking if they will get better, patient does not understand why conversation keeps tending towards "if you had no more time, what would you do" 

Hard to communicate with patient and get conversation going about life especially for younger patients]]> 2021-10-09 09:10:05 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803840667 Any other challenges faced nurulain1989 https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803846249 Lack of ideas when there's so many restrictions with COVID 
Limited resources to engage patients 

Justifying rationale of why we choose certain goals]]> 2021-10-09 09:17:29 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1803846249 https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806334359 Hard to know which stage the patient is at - particularly if their prognosis is uncertain ]]> 2021-10-11 01:07:29 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806334359 https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806337455 Planning for both scenarios -- if patient deteriorates and if patient stabilises -- is a better way to do discharge planning ]]> 2021-10-11 01:09:32 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806337455 gerxsang https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806337667 Patient does not know prognosis, family has chosen to not tell patient - patient keeps asking if they will get better, patient does not understand why conversation keeps tending towards "if you had no more time, what would you do" ]]> 2021-10-11 01:09:39 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806337667 Communication https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806339107 Difficulties with asking the right questions to get pt and family to talk about his wishes, pt on and off low arousal (likely at supportive palliative care stage)]]> 2021-10-11 01:10:43 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806339107 Culture gerxsang https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806340761 "I am going to die, I just want to rest." Patients dont want to do anything. We should respect their wishes but at the same time they are "wasting" their time? ]]> 2021-10-11 01:11:52 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806340761 Any other challenges faced https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806342174 Equipment prescription in terms of use of funding support (ie. SMF) versus rental of equipment was tough when prognosis was not certain. ]]> 2021-10-11 01:12:53 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806342174 Palliative care stages gerxsang https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806347178 Comfort stage - does OT have a role? how do we justify charging? ]]> 2021-10-11 01:15:49 UTC https://padlet.com/nurulain1989/gs32r0tkguc1a5dq/wish/1806347178