• S T Bogardus, E H Bradley, and M E Tinetti.
• Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06504, USA.
• J Gen Intern Med. 1998 Oct 1; 13 (10): 675680675-80.

ObjectiveDevelop a taxonomy for understanding and classifying goals in the care of persons with dementia.DesignQualitative study using open-ended interviews with key informants and the constant comparative method of qualitative data analysis.SettingThe geriatric assessment center at a large academic medical center in Connecticut.ParticipantsKey informant interviews with 36 subjects: consecutive patients receiving geriatric assessment at the center and their primary family caregivers, case managers, and physicians of patients.Measurements And Main ResultsGoals, or desired outcomes, for the patient's care as described by patients, primary family caregivers, case managers, and physicians were the main measurements. Participant interviews were conducted until the point of theoretical saturation, i.e., until further interviews no longer provided new concepts. All participants articulated at least one goal. Specific goals were characterized by a limited number of goal attributes resulting in a taxonomy, or consistent classification system, for reported goals. These attributes include domain (or content), specificity, time frame, and level of challenge.ConclusionsThe findings suggested that patients, primary family caregivers, and clinicians can articulate goals of care and may bring differing perspectives to the goal-setting process. The research identified a taxonomy that may facilitate negotiation of goals by revealing important, and perhaps overlooked, aspects of goals and the goal-setting process.

21 keywords...

hide…