I use this strategy a lot with my difficult patients. Sally Someone is having a rough time of it today. No matter what I do I just can’t get her walk more that 3 or 4 steps at a time. I’ll pull out a chair, put it 5 or 6 steps ahead of her and tell her we’re going to walk to that chair and sit down to rest. And lo, and behold she walks those 5 or 6 steps like nothing. Next time I take a second chair and put it 10 steps away… and it keeps going like that until Sally has the confidence in herself to literally and figuratively go the distance.
I’ve been wanting to design a goal assessment page that plays into this idea too.
When I was a personal trainer, and I started a new client, I would sit down with them on that first day and get a really good idea of what that client wanted. We would set short term and long term goals together, make a plan to get there and build in some rewards in the plan to motivate the client to arrive at the goals between here and the ultimate there. We would also talk about all the excuses or reasons “why not” that would inevitably come up on the tough days, and what the client would say to themselves in rebuttal as to why the answer should be to stick to the plan. I would type all this out and instruct the client to hang a copy of this where they typically make their decisions about exercise during the day. For me, that’s at the bathroom sink mirror or in my car.
I’m envisioning taking that same concept and applying it to my therapy patients
I think this concept works, because of what the video talks about: when you have a clearly defined goal that you can see, you’re more likely to arrive at that goal.
I feel I don’t do the greatest job and explaining the goals I’ve set for my therapy patients and why they are related to their goals. I think having it all written out will help the patient be more on board with the plan as whole if they can clearly see how my stepping stone goals will help them arrive at their “there” goal.
Anyway, just brain storming “out loud.” Medical professionals: how do you communicate your plan of care? Medical consumers: How would you like your goals visually represented?