A values-based approach to goal setting in neuro-rehabilitation following severe brain injury: An audit of service development

Background A patient-centred, values-based goal setting pathway was launched on a level 1 neuro-rehabilitation service to create a holistic process that adhere to national guidelines, promotes interdisciplinary goal-focused rehabilitation and makes rehabilitation of personal value to patients. Methods A service audit was completed following implementation and provision of training. The audit was separated into neuro-rehabilitation versus Prolonged Disorder of Consciousness (PDoC) assessment. Surveys and interviews were completed with staff and service users to elicit their views. Results A global improvement in adherence to goal setting processes was seen, however, less adherence was noted with PDoC patients. Staff reported increased confidence in goal setting, but had ongoing challenges in PDoC patient scenarios. All service users provided positive feedback. Conclusion This approach appears to be acceptable and meaningful to service users and an appropriate method of goal setting in rehabilitation after severe acquired brain injury, with more exploration needed in PDoC groups.