Article

This study aimed to identify, describe and classify the transitional
rehabilitation goals of people with spinal cord injury (SCI) and map these goals
to the International Classification of Functioning, Disability and Health (ICF).
METHOD: The five most important rehabilitation goals as rated by clients were
extracted from records for 220 clients of a transitional rehabilitation service
for people with SCI in Australia over a 5-year period. These goals were
thematically classified into domains and then mapped to the ICF framework. Goals
were compared across age, gender, length of hospital stay, compensation status,
level and completeness of injury. RESULTS: A total of 1100 goals were classified
into 18 different goal domains, representing most aspects of the ICF framework.
Age was negatively related to vocational goals. Length of hospital stay was
positively related to personal care goals but negatively related to community
access and vocational goals. Goals did not differ across gender or compensation
status but did differ across level and completeness of injury. CONCLUSIONS:
People with SCI have a range of transitional rehabilitation goals that represent
most aspects of the ICF framework. Client-centred community rehabilitation during
this transition period offers continuity of care to support the realisation of
these rehabilitation goals. Implications for Rehabilitation Transitional
rehabilitation is a relatively new community service model in the rehabilitation
literature, especially for people with spinal cord injury. Client-centred goal
setting is integral to these types of community rehabilitation models.
Rehabilitation goals in transitional rehabilitation are varied and map well to
the International Classification of Functioning, Disability and Health (ICF) with
a focus on environmental goals. A typology of rehabilitation goals in this
setting will assist in service planning and evaluation of hospital and community
rehabilitation services.

Langue : ANGLAIS