Show simple item record

dc.contributor.authorMcLaughlin, Katherine P. 20:09:26 (GMT) 20:09:26 (GMT)
dc.description.abstractObjective: This research explores the critical need for individualized care planning to ensure maximum cost savings by providing a balance between individuals’ care needs and care wishes. The primary objective of this research is to identify common goals of care (GoC) expressed by long-term care residents (using the interRAI LTCF) and clients receiving community supportive services (using the interRAI CHA) or community mental health services (using the interRAI CMH). Methods: Three interRAI datasets were used to perform data analyses. The responses to the open-ended GoC item were quantified and grouped into common goal categories, which were then examined against the interRAI outcome measures and Clinical Assessment Protocols (CAPs). Demographic and clinical characterisitics were compared across the sample populations using the chi-square test. Logistic regression models were created to reveal variables that are predictive of not having a GoC recorded within each care setting. Results: Twenty-five GoC categories were created. Although the GoC responses were very diverse, many persons had no goal recorded. Nearly 70% of long-term care (LTC) residents and community support service (CSS) clients were unable to state a GoC. Different populations in different service settings had distinct GoC but had some commonalities as well such as goals that focused on general physical or mental health issues. GoC varied with the CAPs- the triggering of a CAP did not necessarily mean a corresponding GoC was noted. Each care sector had different predictor variables that were strongly associated with not having a GoC. Conclusions: There is not a “one size fits all” solution to care planning. The same goals and outcome measures are not appropriate or realistic for all persons. It is critical to incorporate self-reported goals into the development of effective and individualized care plans to ultimately improve one’s quality of life, satisfaction with care, and success in achieving desired outcomes of care.en
dc.publisherUniversity of Waterlooen
dc.subjectgoals of careen
dc.subjectcommunity support servicesen
dc.subjectcommunity mental healthen
dc.subjectlong-term careen
dc.subject.lcshcommunity mental health servicesen
dc.subject.lcshlong-term care of the sicken
dc.titleCare Planning: It’s Not One Size Fits All - Cross-Sectoral and Individual Differences in Older Adults’ Expressed Goals of Careen
dc.typeMaster Thesisen
dc.subject.programHealth Studies and Gerontologyen Studies and Gerontologyen
uws-etd.degreeMaster of Scienceen

Files in this item


This item appears in the following Collection(s)

Show simple item record


University of Waterloo Library
200 University Avenue West
Waterloo, Ontario, Canada N2L 3G1
519 888 4883

All items in UWSpace are protected by copyright, with all rights reserved.

DSpace software

Service outages