PARKINSON'S DISEASE · ADULTS
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Don't let cognitive decline stop your clients from setting goals
Self-reported cognitive decline does not stop people with Parkinson’s disease from creating meaningful, functional therapy goals.
April 1, 2022
Kang et al. found that people with Parkinson’s disease and self-reported cognitive decline could still be active participants in setting goals. This article focused on occupational therapy goal setting, but we can use this approach when creating cognitive-communication goals too. Here’s the technique (and we made you a printable form to use with clients, too!):
1. Discuss the overall purpose of therapy and give the client an idea of what to expect.
2. Encourage the client to reflect on the cognitive and/or communication changes they notice. What activities of daily living have been impacted?
3. Based on this conversation, what are some potential goal areas?
4. Guide the client to create three functional goals.
5. Have the client rate each goal from 1-10 (1 being “not at all important” to 10 being “extremely important”) to help prioritize what to target first.
Authors suggest that a patient-centered approach to goal setting will optimize therapy engagement. And it will probably make therapy more interesting for you, too. Here were some other functional goals participants came up with:
Just remember, cognitive decline does not prevent the ability to set person-centered goals given the right support, these meaningful goals make for meaningful treatment.
Members can read more about treating cognitive-communication here and here.
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Grace Neubauer Fay, MS, CCC-SLP
Grace Neubauer Fay is a writer for The Informed SLP. She currently lives in Cranford, NJ and works at Robert Wood Johnson University Hospital. She specializes in communication and swallowing disorders in the acute care setting. Her interests include dementia and the SLP's role in palliative care.
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