28th February 2022
- Hours: 2
Participants
- 10
Education
- Goal Checking
- How are you progressing?
- Has your goal changed or do you want to change your goals based on what we have discussed. E.g. I want to lose weight > I want a healthier relationship with food.
- Living according to your values
- Do your goals align with your values?
- What happens if your goals don’t align with your values?
Exercise Class – CV circuits & Functional Mobility
CV Circuit
- Warm Up – 3 x 30s each exercise
- Marching on the spot
- Half Squats
- Arm Circles
- Chest Swings
- Torso Rotations
- Main Session 30 secs on, 20 secs rest x 3
- Body Weight Squat Thrusters
- Walking
- Side Step with Knee Lift
- Seated Running
- Hands to toes > hands to sky with stability ball
- Warm Down – Static Stretches, 30 secs per muscle group
- Glutes
- Hamstrings
- Back
- Chest
- Shoulders
Joint Mobility
- Warm Up – 3 x 30s each exercise
- Marching on the spot
- Half Squats
- Arm Circles
- Chest Swings
- Torso Rotation
- Main Session 30 secs on, 30 secs rest x 3
- Seated or standing side reach
- Squats or sit to stand
- Shoulder (horizontal flexion, flexion, extension)
- Shoulder blade squeezes
- Leg Circles
- Side lunge or side steps
- Hamstring scoops
- Warm Down – Static Stretches, 30 secs per muscle group
- Glutes
- Hamstrings
- Back
- Chest
- Shoulders
Analysis & Evaluation
- It is really important to set goals and reassess them on a regular basis for those living with joint pain. Interestingly, a 2015 study found that goal or target setting was something seldom done when individuals visited their health care provider with joint pain (Strand, et al.). And, the group of 10 participants in front of me all agree that their health care provider has not discussed what is important to them and why in regards to management of their joint pain. Many report this has given them feelings of not being heard or ‘they just want to throw painkillers at you and get the next person in.’
- We checked our goals this week and many reworded what they had down or many changed their goals completely. Some admitted to just putting down a generic goal of, ‘to lose weight’ or ‘to exercise more’ but now want to make it more specific and meaningful to them. E.g. lose weight > have a healthy relationship with food or, exercise more > to attend aqua once a week.
- I beleive that having the discussion based sessions allows participants to explore their beliefs, values and joint pain in a way that they maybe haven’t had the opportunity before. This has allowed them to make goals that align more with the ‘SMART’ framework (Doran. 1981).
Conclusion
- I do ask patients in clinic what their goals are but I fail to revisit them and this experience has highlighted just how important that might be.
- I will make a conscious effort moving forward to check-in with patients and their goals to assess progress, motivation and treatment satisfaction.
Revisiting Reflection
References
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- Doran, G. T. (1981). “There’s a S.M.A.R.T. Way to Write Management’s Goals and Objectives”, Management Review, Vol. 70, Issue 11, pp. 35-36.
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Strand, V., Wright, G. C., Bergman, M. J., Tambiah, J., & Taylor, P. C. (2015). Patient Expectations and Perceptions of Goal-setting Strategies for Disease Management in Rheumatoid Arthritis. The Journal of rheumatology, 42(11), 2046–2054. https://doi.org/10.3899/jrheum.140976