Based upon Mr. Dee’s functioning state, a Global Goal was defined as economic self-sufficiency with a more immediate Service Program Goal of independence in daily living. Three Cycle Goals were selected to help achieve these:
- Prevention of secondary complications – for his overall health status
- Improved mobility – based upon his limitations walking and transferring
- Improved self-care – based upon his limitations washing and caring for himself
The first Cycle Goal was not considered a problem, but since people with SCI are at high risk to develop secondary complications, the team aimed to prevent these during the rehabilitation phase. Mobility and self-care presented greater challenges, as these were defined as “complete problems” and the health care team hoped to reduce them to “moderate problems” by the completion of the Cycle.
Determination of intervention targets
Intervention targets were selected for each of the Cycle Goals. To prevent secondary complications, interventions targeted skin integrity, joint mobility, urination/defecation, and toileting functions, and placed an emphasis on looking after one’s health.
To improve mobility, targets included both body functions (muscle tone and muscle power functions, joint mobility, gait pattern functions and involuntary movement reactions) and activities (changing and maintaining body positions, transferring, walking and moving with assistive devices).
Self-care addressed activities such as washing, caring for body parts, toileting, dressing, and eating. For this Cycle Goal, the use of assistive devices would also be included.
The overview of Mr. Dee’s functioning status, the defined rehabilitation goals, and intervention targets were presented within the ICF Categorical Profile.