Nursing Care Plan For Stroke because Attaining Bowel and Bladder Control Those skills, along with other arm functions such as reaching and grasping, can be affected by stroke. Increase communication related to palliative care issues in patient's conversations, health care publications, and You may also see nursing note examples & samples. . SMART goal, defined. 9 SMART Goal Examples for Occupational Therapy. This will be achieved by taking prescribed medication daily. 02 Collaborative, Patient-Centered Goals Are Key for Home Health and Hospice 03 Assessing the Patient's Reality 04 Using SMART Goals Helps Drive a Patient-Centered Approach 05 Consider the "5 W's" (and one "H") 06 Specific, Measurable, Achievable, Relevant, Time-Bound 07 Patient-Centered SMART Goals and Your EMR Example: Let's put all these concepts together to form a series of related objectives. References Answer The goal for the acute management of patients with stroke is to stabilize the patient and to complete initial evaluation and assessment, including imaging and laboratory studies,. Taking the time for collaborative goal-setting can lead to better outcomes and more focused speech therapy the patient is eager to participate in. Again, choose something that's attainable but still a challenge. He would like to return to full independence. Method: A novel approach to writing specific, measurable, achievable, realistic/ relevant and timed (SMART) goals is developed here. SMART Goal: I will study and reread the chapter we have most recently completed after completing any reading or assignments assigned for the next class. Simple Goal: I want to pass every exam, even the surprise ones. s/p THR on the acute orthopedic floor. Your patient is motivated, and everyone's on the same page. Goal setting can take much time and still be vague. 1. Examples of SMART goals for nursing. u Goal setting in discussion with the patient/whānau and the interdisciplinary stroke rehabilitation team Statements like "I want to get back to normal" or "I want to be more active" are not specific. Not only does it give practical tips and instruction for goal setting in an easy to follow format . 1. Aim of the research. In group-based pain management programs, patients are encouraged to participate regularly in exercise (including stretching, cardiovascular conditioning, and weight training), and to increase their activity under supervision. Fortunately, there's an established method known as "SMART gaol-setting" that you can use to create more effective goals. Example #2: [Client] will gesture (e.g., hold up finger) to request more time to process information, within communicative interactions, in 80% of opportunities. Writing The Objective - Example zExample - Education about medication and diagnosis zWriting the Objective - What - The patient will be able to state the names of 2 of the medications he is currently taking and why he is taking them - Why - To increase his knowledge about his illness, assist with medication regime adherence so patient can functionwith medication regime adherence so . Patient A: Impaired but not motivated. The occupational therapist is an integral member of your stroke-rehab team. The good news is that stroke survivors and their families can find workable solutions to even the most difficult situations by approaching every problem with patience . Examples of SMART goals for nurse practitioners. #4 Accuracy. Goal Writing and Goal Bank Guide for Adults ebook: Quick Summary: The Occupational Therapy Goal Writing & Goal Bank Guide is a 60 page ebook that focuses on helping you create measurable, client centered and attainable goals for your clients! This free nursing care plan is for self-care deficit syndrome related to a stroke. Under what conditions: with familiar listeners in familiar 7. A stroke may affect many upper extremity functions: Short-Term Goals Mr. K will write 3-word phrases to dictation. Finding your patient's motivation is the key. SMART Goal Example Summary: I will land my dream job working for a SaaS company like Shopify and travel long-term as a digital nomad. Learning Nonverbal Cues - For patients with cognitive impairments, such as autism, learning social cues is an important step along the path to developing meaningful relationships. Goal: Improve control of high blood pressure in the state. 2 ©2012 Goals • Goals create the vision of the patient's situation as a result of therapy interventions. Self-care deficit syndrome related to partial paralysis secondary to stroke as evidence by patient being unable to feed herself, provide hyigene, use the bathroom, and write her name. Inability to move on one side of the body Weakness on one side of the body Problems with thinking, awareness, attention, learning, judgment, and memory Problems understanding or forming speech Problems with controlling or expressing emotions Numbness or strange sensations Pain in the hands and feet that worsens with movement and temperature changes Loss of bladder and bowel control and loss of mobility to reach a toilet in time. CASE: Mr. X is a 65 y.o. 3. For many patients, it can be helpful to start by setting short-term goals that will help you on your way to long-term improvements. Keep in mind that SMART goals that include adaptive equipment may not only be measuring the student's abilities but also school staff's abilities to provide assistance if needed. #2 Patient Care. Mental Health and Well-being; Sleep; . Improving Fine Motor Skills. The person with stroke, their family and caregivers should be actively engaged in development of an up-to-date care plan: The care plan should be person-centered; culturally appropriate; include person-centered goals;and defines ongoing individualized care needs [Evidence Level C]. A goal set to walk three times a week can help to maintain a healthy weight, generate energy, and keep the heart and other body systems strong. specific, clear and personal to the patient. The benefit arises when well organised teams, work with the patient and family/whānauto achieve goals. #5 Professional Development. This NCP includes nursing goals, interventions, and objective/subjective data. Heart disease is the leading cause of death in the United States, and stroke is the fifth leading cause. 1. It can help to keep this greater purpose of healthy living in mind. There is no specific tool to assist therapists and patients in goal-setting together. They should be anchored in evidence-based practices and accurately . Larger ones might extend that time frame to a year. 7 SMART Goals Examples for Depression and Anxiety 1. During stroke recovery, it works best to take recovery one step at a time. It is reported that the first few months post stroke are crucial for rehabilitation to reach a maximum potential. In most stroke patients, atorvastatin 80 mg daily is recommended to reduce the risk of stroke recurrence and a low-density lipoprotein (LDL) of <70 mg/dl is recommended to reduce the risk of cardiovascular events. An example of SMART goal would be - walk with dog to shop and back (specific) by the end of the month (measurable and timescale). Know the facts about stroke. Simple Goal: I want to get all the answers correct on my exams. 7 min read. Patient will learn to control their anger. Check out chair yoga exercises on YouTube if you have difficulty with standing balance. Goal setting is seen as an essential component of effective and efficient stroke rehabilitation [1, 2] and is implemented routinely in practice [].As well as creating an ideal opportunity for person-centred care [], it can increase patient adherence to therapy programmes and optimise goal related behaviour [5-7] Patients with increased involvement in goal setting report greater satisfaction . Measurable, time-limited goal Patient will have no more than 2 angry outbursts per week for 6 consecutive weeks, per self-report. Cognitive. Mr. K will identify 3 key pieces of information within a spoken message. Any increase in strength, even if minor, has the potential to improve your ability to carry out ADL. To stay motivated on the road to recovery, consider these tips for creating motivating goals: 1. The goal of an NCP is to create a treatment plan that is specific to the patient. Examples of Treatment Plans | Occupational Therapy Examples of Treatment Plans JN Long Term Goal: Pt will demonstrate safety awareness with regards to hip fracture and corresponding weight bearing status while completing ADLs by August 3, 2012. See Also: 25+ Examples of SMART Goals for Nurses. Since May 2015, we have collected goals from speech-language pathologists who work in many different settings and have varied levels of experience. Because of this, we have established the following goals for how we care for each individual who participates in stroke rehabilitation at Shepherd Center. Measurable, time-limited goals Work out what you want to aim for first, and move to step 2. Title: Microsoft Word - Setting SMART Goals and Sample SMART GOALS.docx Created Date: 20151223145238Z Patient will improve postural control by performing sit to stand from max to min assistance 2 out of 3 attempts within 15 minutes to aid in transfers by the end of 4 treatment visits. Long-term objective: By December 30, 2010, increase from baseline to 65% the percentage of hypertension patients at community health centers whose blood pressure is under control. 1, 2 Healthy People 2030 focuses on preventing and treating heart disease and stroke and improving overall cardiovascular health. ASSESSING THE QUALITY OF REHABILITATION PATIENT GOALS 42 7.1 SMARTAAR Goal Process 42 7.2 Elements of High Quality SMARTAAR Goals 43 7.2.1 Elements of SMART Goals 43 Activity 3 48 7.2.2 The AAR Elements of the SMARTAAR Goal Process 50 7.2.3 Additional Criteria for High Quality Goals 53 8. Yoga is a great activity for stroke patients because it helps gently stretch the muscles, which is good for spasticity, and bring movement to the body. Start today by filling out our SMART goals worksheet. ADVERTISEMENTS 2. Try these tai chi exercises for stroke patients. Make sure your timescales to aim for are also realistic for you. The swallowing muscles can become weak with age or inactivity. The most measurable SMART nursing goals examples are time-bound. Goal Examples • Long Term Goal: Perform upper body dressing independently in unsupported sitting within 6 months. Specific, measurable, achievable, realistic, and time-framed (SMART) goals are . Writing SMART goals is a win - win - win. 1-888-4-STROKE or 1-888-478-7653 . The goal blood pressure for most stroke patients with hypertension is <130/80 mm Hg. Long Term Goal Example You can write a long term goal (this one is again based on a toilet transfer) by modifying the time and assist level. Know the Facts About Stroke. [PDF - 162 KB] also describes the risks, prevention, diagnosis, and treatment of stroke. Rather than being open-ended, they have a concrete finish line. 8. Also, our 16-week Healthy Foundation program includes nutrition counseling, group support and education series, gym membership, physical therapy and wellness coaching with SMART goal setting. SMART vs. Non- SMART Goals Not SMART Goal SMART Goal I want to lose weight (not specific) I want to lose 15 pounds (S,M) (A,R) within the next 6 months (T) I want help with my diabetes (not specific, not measurable) My blood sugars will remain stable (between x-x range (S,M) (A,R) over the next 12 months (T) I will stay living in my home (not . R: This goal is relevant to eliminating depression and anxiety. • Goals correlate to: Assessment findings PLOF Patient Input ©2012 Strength Goal • When in a seated position, Mr. Adams is able to lift his right leg until he could straighten his knee. It should not exceed a single page because no one will really read much beyond that page. In Stroke Physical Therapy plays an important role in the process of rehabilitation. Start Small, Start Now. Unsure how to start your process for returning to work? Aphasia Goal Pool. Larger ones might extend that time frame to a year. He lives alone, has a tub/shower, and was previously independent with all I/ADLs. Focus on the client's goals After creating your initial list of desired outcomes, consider reviewing the list with the patient if applicable. In patients on maximally tolerated statin . Demo- gra. Hey, you don't have to think about working out how to master everything at once… too many goals and trying to accomplish them is far too overwhelming and exhausting. T: This goal will be completed in two weeks. STUDENT #1 EXAMPLE. Examples of SMART goals for nursing students. That's why we are going to use this technique as a baseline throughout this guide. Increasing the strength and movement of the affected limbs is an important goal of a hemiplegia rehabilitation plan. Your employer benefits from happier clients and therapists. This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the data elements required for the creation of a care plan in ARIES. At Pinnacle, our wellness coaches can help you create SMART goals through our Lifestyle 365 program. 3.1 Individualized Care Plan. IV/A/2 . Perform: will increase the use of expressive vocabulary 3. The SMART goal-setting method is recommended by experts in a variety of different fields, including business, psychology, academia, healthcare, and even COPD Treatment (PDF link). Over the next four weeks, the patient's anterior knee pain evaluation during prolonged sitting will decrease from 7/10 to 3/10 to help them return to work in the office. "A forward mindset and positivity are very important, especially during cancer treatment." Assess airway patency and respiratory pattern. For example, urgent health concerns, such as stabilizing a patient, can be a high-priority goal that you want to work toward first, before focusing on long-term healthcare objectives. Hand injuries can significantly impact your ability to perform self-care activities, including dressing, bathing and eating. Patient for paroxysms of coughing, food dribbling out or pooling in one side of the mouth, and therefore, food retained for long periods in the mouth, or nasal regurgitation when swallowing liquids. Rather than being open-ended, they have a concrete finish line. Example #3: [Client] will disclose that they are a . Seek information on palliative and hospice care, and advanced care planning from health care providers, public library, national and local cancer agencies, and local health departments. Provide extensive training and education for the person and their . Clin Rehabil. Time-Bound. S, Roskell CA, Pandyan AD. 1. However, after this period further recovery is unlikely. Remembering a List - Restoring and maintaining memory are key goals for cognitive occupational therapy. A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation. For example, goals focused on improving grip strength, endurance, manipulation, coordination, and movement that is part of the performance skills category are interrelated with performing various occupations that fall under the category of occupations. 7. Your therapist works closely with the . The stroke physical therapy rehabilitation program involves a dynamic process of assessment, goal . As for clinical practice, this study could guide therapists in the future to improve the process of achieving their patients' goals. Small goals might have a time frame of a month. Fine motor skills are how we use our hands and coordinate the small muscles that control our fingers. phics. Table of Contents. Numbness or tingling in a limb may continue even after recovering some movement. A practical and standardized method is needed for being specific. You as the therapist gain clarity and save time. According to the National Stroke Association article "Rehabilitation Therapy After a Stroke," stroke is one of the leading causes of long-term adult disability, affecting approximately 795,000 people each year in the U.S. It's a Goal! A progress note should be concise. "Goal setting helps us be present and move forward," says Lauren Garvey, MS, CRC, NCC, a counselor and facilitator at Cancer Wellness at Piedmont. Writing SMART Goals 1. Who: The patient 2. The following is a nursing assessment guide for this cerebrovascular accident (stroke) nursing care plan. Panic attacks will be reduced by 50%. Earn a Promotion. Setting Patient-Centered Speech Therapy Goals for Aphasia Rehabilitation. • Stroke Patient Performance Improvement Case Review Tracking Log . pdf icon. Small goals might have a time frame of a month. And Example Goals and Steps . A framework for the use of SMART goals in rehabilitation has been designed to accommodate the dynamic nature of this environment [25]. For example, patients are often not involved in the goal-setting process and are therefore unaware of the goals that have been set for them. You should also state how you're going to do it, for example, "I will remove all sugary drinks from my diet." Remember, to make your goals small and simple, with each new goal you will build upon. 2. "I will gain a better understanding of my depression and anxiety triggers by spending 20 minutes each night journaling about that day's symptoms for the next three months.". Examples in color-coded formula: Not SMART Goals SMART Goal Examples Improve posture and transfers of sit to stand with minimum assistance 2 out of 3 trials. examples, templates, and tools that are free and ready for you to download, adapt to meet your needs, . Occupational therapists address these deficits with short- and long-term goals. The goal is to gradually increase function without exceeding limits of pain and . This goal setting worksheet can help you make short term and long-term plans if you're unsure about the best way to return to work. participate in setting goals of care. Share this easy-to-read, colorful PDF to help patients learn what stroke is, how common it is, and what stroke's signs and symptoms are. ARIES Eligibility Programs Medications Care Plan Medical Case Notes Services ARIES Needs Assessment Risk & For example, increasing hand strength can allow you to hold a toothbrush, spoon, or key, all of which can have a positive impact . 2- Make a plan. To achieve this, I will apply to 1 job per week for 2 months — submitting a total of 8 job applications. 1. Gentle yoga. patients and caregivers identified 41 discrete goals fordementia care within five domains: medical care, physicalquality of life, social and emotional quality of life,accessing services and supports, and caregiver support. Goal setting can keep you motivated, focused and empowered during your cancer journey. To create a tool that will help goal-setting to be used properly in stroke rehabilitation units. Learn how to set client-centered SMART goals for stroke survivors with aphasia. Target Date: 10/1/2014. The most measurable SMART nursing goals examples are time-bound. Provide intensive, individualized rehabilitation. Usually, you will receive occupational therapy for at least 45 minutes per day, five days a week. By discharge, patient will transfer to toilet with Min A using DME as needed. Student #1 is able to use a gait trainer with close supervision. Here are some examples of writing SMART goals for adaptive equipment. A: This is a reasonable goal. (table1with goals and exemplary quotes) although theimportance of different discrete goals varied some amonggroups of … For long term goals, improvement is typically two levels of improvement for the assist, as seen in the above goal. Walking 5 minutes a day for the first week, 10 minutes second week up to 15 minutes by end of month . THE SMARTAAR GOAL WORKSHEET 56 Non-measurable goals Patient's anxiety will decrease. 2. How to Set Goals for Stroke Patients. DC Conclusion. Writing a Nursing Care Plan (NCP) for Stroke (CVA) A Nursing Care Plan (NCP) for Stroke (CVA) starts when at patient admission and documents all activities and changes in the patient's condition. MRI scans provide detailed images but take longer to complete than CT . stroke specific inpatient and community rehabilitation services. #1 Safety. Pain, numbness, a feeling of heaviness in a limb, or odd sensations such as tingling or prickling in a paralyzed or weakened limb (called paresthesia). #3 Efficiency. The aphasia goal pool at UNC is a way to help speech-language pathologists share experiences and knowledge about treatment planning for aphasia across the continuum of care. Each goal can be built up The stroke's severity determines the extent of this weakness. Prioritise what you want to achieve. Avoid inappropriate details. Enhancement of Physical Functioning. Read More As a part of the interdisciplinary team, physiotherapists work in concert with the managing doctor and other rehabilitation specialists to provide stroke patients with a comprehensive rehabilitation program. This multidisciplinary team is made up of doctors, nurses, physiotherapists, speech therapists, social workers, and other specialists. Eat Smart; Heart-Check Foods; Losing Weight; Recipes; Healthy Lifestyle. Long-Term Goal Mr. K will be able to write down key pieces of information from a telephone call to leave a written message for his wife that conveys the information with 90% accuracy within 6 weeks. • Short Term Goals: . Instead, provide the patient with a more specific functional goal, such as "I would like to walk for 15 minutes 3 days each week" or "I would like to take my kids to the playground for an hour every week." After a stroke many tasks take longer than before. Maximize each person's functional abilities and level of independence. For example, the therapist may set a goal of being able to bathe and dress unassisted within 8 weeks. In a case study of an individual who had sustained a stroke . 2. "For the next month, I will practice two anxiety management techniques every night to decrease my symptoms of anxiety to fewer than three times per week." S: This statement notes the action the person intends to take and the purpose of that action. 2011; 25(6): 501-514. Follow these tips on writing an effective progress note. Again, choose something that's attainable but still a challenge. Aspiration of food or fluid can also occur possibly brought about by a structural problem, interruption or dysfunction of neural pathways, decreased strength or excursion of muscles involved in mastication, facial paralysis, or perceptual impairment. Here's a walkthrough case to see the clinical reasoning behind the goals that are written, and a few example goals. According to the Screening with MRI for Accurate and Rapid stroke Treatment (SMART) study, small changes in quality improvement procedures enabled clinicians to use MRI scans to diagnose stroke patients before giving acute treatment, within 60 minutes of hospital arrival. From where: from 0 words-25 words 4. 3. aggregate reports with established program goals All patients confirmed as having a stroke and/or that activated a stroke code should be recorded . For instance, Laura Inverarity of VeryWell Health writes, "If at the end of therapy your long-term goal is to walk 200 feet without an assistive device, make 2 short-term goals of 1) walking 200 feet with a cane . Through retrospective review, the current study demonstrated that 100 patients diagnosed with stroke and were seen in KAMC in Riyadh have achieved 54% of the therapy goals. Document only the necessary and relevant information. Example #1: [Client] will present his/her/their aphasia card when appropriate, within a community setting, in 90% of opportunities. Expectations: While it's a positive idea for seniors to set goals that are challenging and that require them to reach beyond their . Post stroke rehabilitation has been consistently reported in physiotherapy as being difficult to manage and limiting to rehabilitation outcome. Weak Goal Example: I'm going to secure a promotion. 5. Goal: Improve cardiovascular health and reduce deaths from heart disease and stroke. Turning The Functional Goal Statement Into A SMART Goal Example Of Evidence-Based Therapy Tasks Which Can Help . Neurologic deficits of a stroke may include loss of gag reflex or cough reflex; thus, airway patency and breathing pattern must be part of the initial assessment. 1. functional maintanence program goals - patient will follow simple one-step directions utilizing compensatory strategies with 80% accuracy - patient will express wants/needs when presented with two verbal options with 80% accuracy - patient will answer yes/no questions with 80% accuracy - patient will exhibit no more than 2 _____ in 60 minutes … If a person experiences hemiplegia, for instance, it would be too overwhelming to set walking as the initial . And tools that are free and ready for you to download, adapt to meet needs! Should not exceed a single page because no one will really read much beyond that page is to a. Phrases to dictation, achievable, realistic/ relevant and timed ( SMART ) goals is here... Client ] will disclose that they are a other arm functions such reaching! That are free and ready for you the patient is eager to participate in that activated a and/or! Also describes the risks, prevention, diagnosis, and treatment of stroke is to gradually increase without... Age or inactivity in an easy to follow format a gait trainer with supervision... Will apply to 1 job per week for 2 months — submitting total. A toilet in time is no specific tool to assist therapists and patients in goal-setting together to 2., realistic, and time-framed ( SMART ) goals are learn how to start process... Of this weakness such as reaching and grasping, can be affected by stroke angry outbursts per week 6! Have no more than 2 angry outbursts per week for 6 consecutive weeks, per self-report achieve,! Examples, templates, and was previously independent with all I/ADLs States, and move to step 2 10... # 3: [ Client ] will disclose examples of smart goals for stroke patients they are a this greater of... Physiopedia < /a > Table of Contents longer to complete than CT long-term goals depression and anxiety they! Stay motivated on the road to recovery, it would be too overwhelming to set client-centered SMART goals is win! And tools that are free and ready for you walking as the therapist gain clarity and save time 5... Have collected goals from speech-language pathologists who work in many different settings and have varied levels of improvement for first... This will be achieved by taking prescribed medication daily program involves a dynamic process of assessment, goal Stroke4Carers. Benefit arises when well organised teams, work with the patient occupational therapist is an integral of! — submitting a total of 8 job applications multidisciplinary team is made up of doctors nurses... Control and loss of bladder and bowel control and loss of mobility to a... A day for the person and their still be vague is specific the! Pdf - 162 KB ] also describes the risks, prevention, diagnosis, and tools that free! For collaborative goal-setting can lead to better outcomes and more focused speech therapy the patient 2 when organised! The answers correct on my exams set a goal of an NCP is create... It would be too overwhelming to set walking as the therapist may set a goal of being to! > 1 disease and stroke is the fifth leading cause goals worksheet of and. Goals: 1 the small muscles that control our fingers # 1 is able to a! Therapy the patient and family/whānauto achieve goals Mr. K will identify 3 key pieces information. 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And their teams, work with the patient 2 is made up of,. To writing specific, measurable, achievable, realistic/ relevant and timed ( SMART goals. Beyond that page consecutive weeks, per self-report ; Losing Weight ; Recipes ; Healthy.! Disease and stroke is the fifth leading cause of death in the above goal ; Losing Weight Recipes! Is specific to the patient is motivated, and was previously independent with all.! Rather than being open-ended, they have a concrete finish line set client-centered SMART goals in rehabilitation been. Be affected by stroke in stroke rehabilitation patients - Shepherd Center < >. Anchored in evidence-based practices and accurately risks, prevention, diagnosis, and everyone & # x27 ; attainable. Will write 3-word phrases to dictation patient will transfer to toilet with Min a using DME as needed,.! Months — submitting a total of 8 job applications maintaining memory are key goals for stroke survivors with aphasia to... Healthy Lifestyle some movement set walking as the initial completed in two weeks benefit! This greater purpose of Healthy living in mind to the patient and family/whānauto achieve goals bathe dress... The most measurable SMART nursing goals examples are time-bound again, choose that... Gradually increase function without exceeding limits of pain and non-measurable goals patient & # x27 ; s but! ) goals is a win - win - win will write 3-word phrases to dictation doctors,,! Concrete finish line: //shannenmarieot.com/2020/05/11/review-of-mandy-chamberlains-ot-goal-writing-for-adults-package/comment-page-1/ '' > SMART | Stroke4Carers < /a > 1 patient 2 and everyone #... Goals: 1 goals 1. who: the patient is eager to participate in fingers! Made up of doctors, nurses, physiotherapists, speech therapists, social workers, and time-framed ( ). That they are a will help goal-setting to be used properly in stroke.... 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Of 8 job applications the benefit arises when well organised teams, work with patient... Start your process for returning to work is typically two levels of experience nursing note examples & amp ;.! Minutes second week up to 15 minutes by end of month multidisciplinary is! Read much beyond that page submitting a total of 8 job applications determines the of! Goal: I & # x27 ; s severity determines the extent of this environment [ 25 ] your for! & # x27 ; s anxiety will decrease will help goal-setting to be used properly in stroke rehabilitation only... Your needs, we are going to use this technique as a baseline throughout this guide help goal-setting be... Developed here instruction for goal setting in stroke rehabilitation units - Shannen Marie <... Realistic for you to download, adapt to meet your needs, //www.shepherd.org/patient-programs/stroke/goals-and-outcomes '' goals! 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examples of smart goals for stroke patients