2024 Volume 43 Issue 5 Pages 679-685
In recent years, goal setting involving patient decision making has been emphasized in rehabilitation practice. However, there are few reports that present the process from goal setting to intervention. This study presents a case of stroke hemiplegia in which the patient's goal was to acquire the ability to write. However, the initial intervention was inadequate, and the goal needed to be modified. Therefore, we reset and graded this goal by using 1) Frame of meaning of occupation, 2) Activity analysis, and 3) Goal Attainment Scaling, resulting in attaining the goal and improving upper limb function. This report clarifies the specific methods of evaluation and goal setting for the case in which resetting of occupational therapy goals was necessary and discusses the results as a clinical case study.
