These past weeks have not been easy for me, with all the help I need to do almost everything. It’s hard to describe, but it’s like I’ve somehow lost my body and now I need to find it, to re-learn how to do simple things. What I really want is to be able to go through my day without help from others.


In Michael’s case, the global goal was informed to a large degree by the resources he brought with him. These can be seen in both Michael's statement above as well as in the environmental and personal factors indicated in table 1.

What I really want is to be able to go through my day without help from others.

The patient perspective, which constitutes a subjective assessment of an individual’s perceived needs and is taken from patient interviews and interactions, plays a significant role in setting goals. Given his personality, wishes and intrinsic life goals, the health care team decided that setting a global goal of full independence along with university entry was, in Michael's case, quite realistic. Consequently, the team and Michael agreed upon the first program goal, defined as “Independence in activities of daily living (ADLs).” This consisted of a series of cycle goals focusing on self-care and mobility that were to be addressed over a period of six months. Sport was defined as a cycle goal as well to reflect Michael’s wish to participate again in sports.

A Clarification on Goals and Intervention Targets

In some cases, goals may also be intervention targets. In Michael’s case, “transferring himself” arises as both a goal and an intervention target. It is reflected in the subjective form of the patient perspective in the ICF Assessment Sheet (see table 1) as well as a rehabilitation therapy on the ICF Intervention Table (see table 3).