Sample Goals

Short-Term Goals

• Patient will open eyes to verbal stimulation for ≥10 seconds in 3/5 trials with min/mod/max cues
• Patient will sustain arousal for 5/10/15 minutes with multimodal cues to participate in grooming tasks
• Patient will demonstrate localization to tactile stimulation in 3/5 trials
• Patient will demonstrate visual fixation on a familiar object for ≥10 seconds with verbal cues
• Patient will visually track a familiar object or person across midline in 3/5 trials

Long-Term Goals

• Patient will sustain arousal for the duration of a functional grooming or self-care task without cueing
• Patient will demonstrate consistent and reliable responses to sensory stimulation across modalities

Short-Term Goals

• Patient will be alert and oriented to person, place, and date ≥75% of the time with min/mod/max multimodal cues
• Patient will sustain attention for 5/10/15 minutes with cues to participate in ADL
• Patient will follow 1-step commands 100% of the time with min/mod/max cues
• Patient will demonstrate reliable yes/no communication in 4/5 trials
• Patient will complete a 2–3 step grooming sequence with mod assistance and verbal cues
• Patient will screen negative on CAM-ICU on ≥2 consecutive evaluations

Long-Term Goals

• Patient will sustain attention ≥15 minutes for participation in morning ADL routine
• Patient will independently sequence ADL routines with compensatory strategies as needed
• Patient will demonstrate safe judgment and problem-solving during functional mobility and self-care tasks

Short-Term Goals

• Patient will wash face with min/mod/max assistance using compensatory strategies as needed
• Patient will perform upper body grooming (face washing, hair combing, oral care) with mod assistance at EOB
• Patient will self-feed finger foods or soft/thickened consistency with min assistance and setup
• Patient will perform toilet transfer with min/mod/max assistance
• Patient will participate in upper body dressing with mod/max assistance in supported sitting

Long-Term Goals

• Patient will be modified independent with all basic ADL at seated level
• Patient will be modified independent for light meal preparation
• Patient will independently direct caregivers to perform ADL tasks
• Family/caregiver will be independent in assisting patient with bathing, dressing, grooming, and toileting

Short-Term Goals

• Patient will tolerate sitting EOB for 5/10/15 minutes to participate in ADL
• Patient will maintain sitting balance with min/mod assistance and 1–2 UE supports for ADL participation
• Patient will perform bed-to-chair transfer with min/mod/max assistance
• Patient will perform sit-to-stand with min/mod assistance at EOB
• Patient will perform toilet transfer with min/mod/max assistance

Long-Term Goals

• Patient will perform all functional transfers with supervision or modified independence
• Patient will ambulate within room for ADL tasks with supervision and appropriate assistive device
• Patient will demonstrate safe energy conservation strategies during mobility tasks

Short-Term Goals

• Patient will demonstrate BUE active range of motion against gravity for participation in grooming tasks
• Patient will perform weight-bearing through affected UE for 30 seconds with mod assistance
• Patient will demonstrate functional grip strength sufficient for ADL tool use (comb, toothbrush, cup)
• Patient will demonstrate isometric strengthening exercises with verbal cues and min assistance

Long-Term Goals

• Patient will increase bilateral UE strength to within functional limits for participation in ADL
• Patient will demonstrate functional UE use for all basic self-care tasks with compensatory strategies as needed

Short-Term Goals

• Patient will tolerate wear of left/right/bilateral hand splint(s) for contracture management per splinting schedule
• Patient/caregiver will demonstrate proper positioning of impacted extremities during functional tasks and rest
• Patient will demonstrate passive range of motion within functional limits in bilateral UEs following 1 session of instruction

Long-Term Goals

• Patient will maintain full passive range of motion in bilateral UEs without evidence of contracture
• Family/caregiver will be independent in performing home ROM program and skin inspection for splinted extremities

Short-Term Goals

• Patient will respond to auditory stimuli (name, familiar voice) in 3/5 trials
• Patient will demonstrate sustained visual tracking of a familiar object for ≥10 seconds
• Patient will trial a basic AAC system for yes/no communication with mod cues (in collaboration with SLP)
• Patient will demonstrate consistent yes/no reliability via head nod, eye blink, or gesture in 4/5 trials

Long-Term Goals

• Patient will use AAC system or functional communication method to express basic needs independently
• Patient will demonstrate compensatory strategies for sensory or perceptual deficits during ADL

Short-Term Goals

• Family will demonstrate independence with home ROM/exercise program for affected extremities
• Family will demonstrate proper positioning techniques to prevent contracture and skin breakdown
• Family will verbalize understanding of OT's role and the current plan of care
• Family will demonstrate use of meaningful sensory stimuli (familiar music, photos, scents) to facilitate arousal

Long-Term Goals

• Family/caregiver will be independent in assisting patient with all ADL tasks at the appropriate level of assist
• Family will demonstrate understanding of home safety requirements and adaptive equipment needs prior to discharge
• Family will verbalize plan for follow-up rehabilitation services (home care, outpatient, or inpatient rehab)